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Malnutrition and Medical Neglect
Alexander Burford1,2, Randell Alexander3, Carol Lilly4
1University of Wisconsin School of Medicine and Public Health, Madison, WI USA.
Medical neglect in children can involve malnutrition, including under-nutrition and obesity. Diagnosis requires assessing harm, benefit, caregiver understanding, and access to care, even in complex cases.
Area of Science:
- Pediatric Nutrition
- Child Maltreatment
- Medical Ethics
Background:
- Nutritional anomalies are frequent in pediatric practice.
- The link between malnutrition and medical neglect is under-explored.
- Medical neglect involves harm from lack of recommended healthcare.
Observation:
- This review applies the medical neglect definition to various malnutrition cases.
- Considerations include children with special needs, selective diets, severe failure to thrive, and obesity.
Findings:
- Medical neglect may apply to under-nutrition and over-nutrition (obesity).
- Failure to supervise nutritional intake or follow obesity management advice can constitute neglect.
Implications:
- Clarifies the diagnosis of medical neglect in pediatric malnutrition cases.
- Highlights the importance of addressing both under- and over-nutrition within the framework of medical neglect.
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