Acting in conformance with reporting requirements. Researchers are also looking to find what is successful in treating this devastating illness. Hospitals can usually satisfy legal concerns by posting signs stating that they use hidden video monitoring. Such laws may unwittingly result in pregnant women concealing substance use from their obstetricians or even forgoing prenatal care entirely.
As previously noted, when a legal or medical obligation exists for physicians to test patients for substance use disorder, there is an ethical responsibility to notify patients of this testing and make a reasonable effort to obtain their informed consent.
Regardless of the type of maltreatment—sexual, physical, or psychological—our legal and moral obligation as health care providers is to report any suspicion of abuse. Most of them fit your guidelines for BDD during their long diagnostic delay, as they repeatedly seek relief for unexplained symptoms that do eventually turn out to have medical causes.
Ethical Issues It would be easy to make a case in court if there was video evidence. Women with substance use disorder particularly are likely to be stigmatized and labeled as hopeless If you are providing psychological services you are obligated to remain informed regarding current ethical standards or issues.
Bizarre clinical and laboratory features. Two nurses provided evidence in this case linking the mother to laxatives in the bottled formula.
People have the right in our society to make unfortunate decisions about their lives. The following case report was adapted with permission from the American Journal of Ophthalmology. Obstetrician—gynecologists have an ethical responsibility to treat their patients with substance use disorder with dignity and respect and to try to establish a therapeutic alliance with these patients.
Such actions were seldom questioned in the not-too-distant past, but today they are considered blatant invasions of privacy unless the patient has agreed to them or there is serious suspicion of Munchausen by proxy abuse see Chapters 10 and Additionally, different states enact laws that may or may not contradict federal laws that grant people specific rights that revolve around ethical issues.
Policy compendium on confidential health services for adolescents. Male patients diagnosed with the psychological subtype of FD are generally considered to have the worst prognosis.
Overview of the Disorder Munchausen By Proxy is a rare but devastating illness. Gaining deep expertise in any area also carries a big price in narrowed perspective. They may suffocate their child to induce signs of apnea and seizures.
As a general rule, psychologists are expected to act in the best interests of such individuals, to avoid taking advantage of the vulnerabilities of clients, and to treat animal subjects humanely in accordance with accepted practice.
Patient A continued to come to the pediatric emergency room with the same set of symptoms despite being on an effective pain management regimen.
Specific courses will elaborate on these issues and help you identify situations in which they apply. Ethical Approach to Common Patient-Care Issues Related to Substance Use Disorder Obstetrician—gynecologists have a responsibility to respond in a medically and ethically appropriate manner, within legal requirements, to patient-care issues involving substance use disorder.
Can doctors who are genuinely worried about the factitious behavior of a patient warn each other, hospitals, or insurance carriers simply because they are desperate to help their patients preserve their health?
Prompt reporting of abuse is also important in order to prevent further harm to the child. Parents need to be self-aware of psychological trauma that been caused to them when they were children.
The lawsuit, carried forward by her estate despite the clear-cut evidence of simulation, was finally dismissed--four full years after it was filed. But less predictable outcomes can befall the reporting professional as well.
Regardless, often the methods are ineffective; a patient who is highly motivated to maintain a deception can resist the effects of such a drug, so such interventions don't really force truthfulness. Except in emergencies, it is never appropriate for physicians to write prescriptions for controlled substances for themselves or their family members In a third case, one involving laxative administration to an infant by her mother, the court found evidence of a number of warning signs of MBP, including the child's marked improvement in her absence.
In this manner, health professionals aid and abet the perpetrator by torturing the child with endless interventions. A decision by the California Supreme Court, however, recognized the duty of all mental health professionals to "take whatever steps are reasonably necessary" to protect their patients' potential victims.
The issue that occurs with Munchausen By Proxy is that education can only be done after it detected, and often it is too late for the child at that point.
In one instance, a patient had come to a hospital with factitious hematuria after she catheterized herself and injected herself with her own blood to simulate bloody urine. Not only do victims of Munchausen By Proxy face critical medical problems, but also serious psychological problems as the result of the perpetual abuse Berry, If the danger is not of life-threatening proportions at that moment, however, it probably does not.
Todd S, Iqbal A. Whether you go into politics, education, business, manufacturing, law, medicine, or any other vocation, you will need to take the time and effort to examine what you are doing in terms of its ethical implications and have the courage to confront unethical behavior.In a page APA formatted paper (excluding reference and face page) examine the possible problems associated with Munchausen Syndrome by Proxy.
As well as, compare and contrast the factors that may affect the consequences of child abuse: Characteristics of the child, Type of trauma, Type of abuse or neglect, Co-occurrences of types of abuse [ ].
The research showed that the term “Munchausen by proxy” may minimize the impact on the victim. The term is a diagnosis applied to the perpetrator, and individuals who posted online felt that labeling MCA as stemming from a mental disorder served as an excuse for the behavior.
Munchausen Syndrome by Proxy Inphysician Roy Meadow coined the term Munchausen syndrome by proxy (MSbP) when he described 2 cases in which the apparent symptoms of Munchausen syndrome were projected onto dependent children by mothers who fabricated signs of nonexistent illness.
Ethical Issues in Psychology Psychologists often work with vulnerable individuals in sensitive situations. An important step in becoming a mental health professional or consumer of psychological services is to be aware of the ethical issues faced by psychologists.
Ethical Issue Paper for Munchausen by Proxy child alone, even with lengthy hospital stays, the mother is comfortable and happy in a hospital environment, the mother does not seem relieved by negative test results, mother appears less worried than staff despite critical presentation, or unexplained illness in a sibling (Malatack cheri197.com, ).
Alcohol Abuse and Other Substance Use Disorders: Ethical Issues in Obstetric and Gynecologic Practice. ABSTRACT: Alcohol abuse and other substance use disorders are major, often underdiagnosed health problems for women, regardless of age, race, ethnicity, and socioeconomic status, and have resulting high costs for individuals and society.Download