The Death of a Child With Diabetes from Neglect
1992; SAGE Publishing; Volume: 31; Issue: 6 Linguagem: Inglês
10.1177/000992289203100602
ISSN1938-2707
AutoresGary R. Geffken, Suzanne Bennett Johnson, Janet Silverstein, Arlan L. Rosenbloom,
Tópico(s)Ethics and Legal Issues in Pediatric Healthcare
ResumoThis case report of a child with insulin-dependent diabetes mellitus (IDDM) describes a naturally occurring ABABCA design. The A condition represents poor diabetes management provided in the home setting, and the B and C conditions represent improved diabetes management in residential treatment (condition B) or foster care (condition C). The A condition was consistently associated with episodes of diabetic ketoacidosis, high glycosylated hemoglobin percentage, and school failure. In contrast, the B/C conditions were consistently associated with improved health status and school performance. On two occasions, the child was returned to condition A by the state's protective service agency (HRS) in direct conflict with the recommendations of the child's psychological and medical treatment staff. During her last condition A placement, the youngster died. Chronically ill children who are neglected may not receive the protection they need because of lack of awareness about the psychosomatic aspects of their problem.
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