According to Mitchell and Scott, authors of "America's Problems and Needed Reforms," quandary ethics concern tangible and concrete moral dilemmas.
What is the evidence? What every practitioner needs to know Medical child abuse MCA is defined as a child receiving unnecessary and harmful or potentially harmful medical care at the instigation of a caretaker. Previous names for Child abuse case study in malaysia type of child maltreatment include Munchausen syndrome by proxy, factitious disorder by proxy, pediatric condition falsification, and fabricated or induced illness by a carer.
In this form of child abuse a caretaker, most commonly a mother, engages in a pattern of behavior that results in medical care providers giving care that the child does not need and which is or could be harmful.
As an example, if a mother is caught smothering her child with a pillow and he dies, the event is called fatal physical abuse of a child or homicide. If she smothers her child until he turns blue and then takes him to the doctor for care without revealing her involvement and he receives a bronchoscopy, the potentially harmful procedure represents medical abuse.
Likewise, if a mother does not smother her baby but lies to the doctor saying the child turned blue, and the baby gets an unnecessary bronchoscopy, the procedure is again an example of medical child abuse. Are you sure your patient has medical child abuse?
What are the typical finndings for this disease? Identifying Medical Child Abuse As with other forms of child maltreatment, identification of MCA begins with having an index of suspicion that it might be taking place. The diagnosis, as with most forms of child abuse, is made primarily after conducting a thorough history and physical.
Finding a discrepancy between physical and laboratory findings and the stated history can result in the physician looking beyond the obvious explanation and considering more uncommon causes, including the possibility of an inaccurate history.
If the parent gives the history that the infant rolled off the bed, and the child has retinal hemorrhages and subdural hematomas, one might be wise to question the history.
The evidence might more accurately suggest the child was violently shaken. Likewise, if the history is that the child has been vomiting constantly for 2 days, and the physical exam documents a happy baby with no clinical or laboratory signs of dehydration, one might question the history. The parent might well be giving an exaggerated or totally fabricated story.
The first example represents physical abuse while the second is an example of MCA. But occasionally listening to the mother will result in harm to the child. Knowing when to listen and when to doubt is the challenge. Identifying MCA varies depending on the nature of the treatment relationship.
A primary care pediatrician might suspect he or she is receiving inaccurate information at the first visit or well along in the treatment of a child. A suspicion of MCA is only that.
Confirmation comes when the doctor informs the mother the child does not need the treatment the mother is requesting or the treatment previously given and signals a significant decrease in the need for treatment.
If the mother responds positively, accepting the improved assessment of the health of her child, then treatment can proceed on the new terms. If there is strenuous objection, or precipitous move to seek another physician who will give the unnecessary treatment, this constitutes evidence that the child might need protection from the actions of the parent.The event was a seminar on creating awareness on child sexual abuse cases.
Between and , child sexual abuse reports were lodged with the police here. In the first six months of this year, police received 10 reports. An Example of Adult Peer Pressure. Finally landing the job of her dreams, Helen was excited to go to work each day. At least that was the case for the first few months.
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- July 24, , Long Beach Independent, 'Child abuse at Pentagon-funded school told'. One of the earliest reports in which Satanism and child abuse were (loosely) combined (in an interesting setting, sounding like a MK-ULTRA offshoot). As a member, you'll also get unlimited access to over 75, lessons in math, English, science, history, and more. Plus, get practice tests, quizzes, and personalized coaching to help you succeed. The most senior Roman Catholic cleric in the world to be convicted of covering up child sex abuse has been sentenced in an Australian court to 12 months in detention. Newcastle Magistrate Robert.
Case Studies as Ethics Training ToolsMankind censure injustice fearing that they may be the victim of it, and not because they shrink from. In , state agencies identified an estimated 1, children who died as a result of abuse and neglect — between four and five children a day.
2 However, studies also indicate significant undercounting of child maltreatment fatalities by state agencies — by 50% or more. case the children who are denied necessary and basic rights A Study on Child Labour as a Form of Child Abuse in Malaysia. Nik Ahmad Kamal Nik Mahmod, Marhanum Che Mohd Salleh, Ashgar Ali Muhammad, and Azizah Mohd.