Hello, Can I get help with this Project, please!! I need to write the Reaction(t

Question

Hello, Can I get help with this Project, please!! I need to write the Reaction(the author opinion) of this article (MEDICAL FAMILY THERAPY CASEBOOK) in 330 words!! I could not find it online as a pdf file, so I posted as pictures.


MEDICAL FAMILY THERAPY CASEBOOK Munchausen by Mommy RUTH KANNAI, MD Munchausen's Syndrome by Proxy is hard tem, health-care professionals' communi- to diagnose and treat. The patient harms a cation, community-hospital collaboration defenseless person who is in his care, usu- ally a baby or a child, in order to receive the attention the parent requires. parent Such a parent CTarah gave birth to her fourth child, Joy, makes his child ill introduces his body to Son Passover eve. Thirty-two weeks various dangers, and with much concern and sacrifice brings him in for medical atment, accompanying it all patiently, pregnant, she endured contractions throughout a long day of cleaning. The con- tractions could not be stopped, and Joy was lovingly and anxiously. All the while, the born prematurely. There was great joy over caregiver is making sure to sabotage the the girl's birth. Joy spent several weeks in healing and cause further harm. This syn the neonatal intensive care unit without drome is a challenge to family physicians, complications, after which she was sent Internists and Pediatricians, since only the home. continuity of care of these families may re Worrisome signs appeared after a few veal the dangerous syndrome and prevent weeks. One night, Sarah urgently sum- its harmful outcomes. In this case report, moned the family physician for a home Sarah, the loving mother of Joy, continu visit. Joy became suddenly stiff in my ously damages her exposes her to the dangers of sophisticated medical interventions. Only careful inspec- tion by the medical teams, dialogue and description included all the symptoms of near sudden infant death syndrome: ap- nea, turning blue, eye rolling. "I was sure co-operation can bring to an end the harm the child had died," Sarah added. On exam- ful behavior of joy's mother. ination, the child appeared relaxed, smil- ing, with no shortness of breath or other symptoms of concern. However, the moth er's account obligated an immediate admis- sion to the pediatric inpatient unit. Keywords: Munchausen's Syndrome by Proxy, continuity of care, health care sys- Ruth Kannai, Department of Family Medicine, Ha- It was to be the first in a series of dassah School of Medicine, Hebrew University prolonged and difficult hospitalizations. She underwent an extensive examination, other test. She contracted multiple illnesses concerning this artice should be Joy's condition went from bad to worse. addressed to Ruth Kannai, MD, Department of Fam- ly Medicine, Hadassah School of Medicine, Hebrew University, P.O. Box 12272, Jerusalem 91120, Israel. with every positive finding leading to yet an- E-mail: rkannai@gmail.com 105

Explanation / Answer

Medical family therapy

The author is talking about the Munchausen’s syndrome by Proxy, . This disease is hard to diagnose of treat. In this disease, the patient would harm a person who is Defense lesss and under his care, and thisis most commonly their child or a baby. This is the parent who would be making their child ill, by introducing the child to a number of dangers such that this is a result of his concern or sacrifice. The author gives the the example of the case study of Sarah, who has now given birth to the fourth child. The child was a premature child. The signs appeared after few weeks of the delivery, where,Sarah went to the house of the physician and was hysteric. She thought the child had died, but on examination by the physician, he seemed fine. These were followed by series of hospitalisations. The family physician became concerned after Sarah showed signs of not leaving the bed, at joy’s hospitalisation , and being aware of all the difficult words in diagnosis. Sarah had become a contact the different staff members . She participated in differential diagnosis with with the staff members. Paediatric home became her second home. And her home began being managed by her husband. Joy began losing appetite. This work was done by Sarah drawing graphs of Joy’s weight. The medical team, tired, inserted a feeding tube in Joy. This was supervised by Sarah. He was fed round the clock, which made him not willing to take feeding bottles from nurses, in the end being declared “incapable of eating”. Joy would be brought frequently to the hospital department which ultimately led to her admission. This led the family physician to becoming doubtful about Joy’s difficulties l Sarah at different times kept insisting on Joy to using gastronomy. The staff would note that Joy would eat properly, but Sarah claimed of Joy vomiting and choking while having food. The diagnosis was difficult and took place over a in the gastronomy, there was a puncture of the abdominal wall of Joy. She recovered later. The professionals noted that even though Joy was eating and swallowing, Sarah was hysteric in insisting that Joy only ate small amounts. Sarah started revealing her story. Sarah’s dynamic was set up since her child hood. The treatment for MSP included separation from the child. There were strong resistances from her end in therapy .

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