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Munchausen syndrome by proxy: a case report.
Holly S Lieder1, Sharon Y Irving, Rizalina Mauricio
1Duke University School of Nursing, Durham, NC 27710, USA. holly.lieder@duke.edu
AACN Clinical Issues
|May 7, 2005
Summary
Munchausen syndrome by proxy (MSbP) is challenging to diagnose. Recognizing its complex clinical features and management is crucial for healthcare providers to protect vulnerable patients.
Area of Science:
- Medical jurisprudence
- Child abuse
- Nursing ethics
Background:
- Munchausen syndrome by proxy (MSbP) is a form of abuse where a caregiver fabricates or induces illness in another person.
- Diagnosis is often delayed due to the subtle and complex nature of the condition.
Observation:
- A case study is presented to illustrate the multifaceted challenges in diagnosing and managing MSbP.
- The case highlights the critical need for heightened awareness among healthcare professionals.
Findings:
- MSbP involves intricate nursing, medical, legal, and social dimensions.
- Understanding the perpetrator's common characteristics and epidemiological patterns is essential for identification.
Implications:
- Healthcare personnel must be vigilant for signs of MSbP to ensure patient safety.
- Awareness of MSbP is vital for addressing its legal and international ramifications and protecting vulnerable individuals.