The authorities say the mother duped doctors into ordering 200 hospitalizing and 40 surgical operations and even injected the girl, then 8 years old, with fecal bacteria. The arrest came after lengthy public attention for Snifter’s dilemmas. Her ill health was publicized in Florida newspapers and USA Today and on Nab’s “Today” program. Jennifer sat beside Hillary Roadman Clinton at a gathering in 1997 to call attention to the Administration’s efforts to overhaul health care (Associated Press). Jennifer Bush’s symptoms began when she was 2 years old, and continued until she was 8.
She underwent about 40 operations, including removal of her gall bladder, appendix and part of her intestines. Doctors treated her for seizures, infection, diarrhea, vomiting and other symptoms, and all were the result of her mother’s actions. Kathy Bush gave her daughter excessive doses of seizure medicine and tampered with her hospital feeding machine and medical charts (Associated Press). In 1999, Kathy Bush was convicted of aggravated child abuse and fraud and sentenced to three years in prison. She was released in June 2005 after serving 3 years in prison, with several months in a work-release program.
There are many healthcare and ethical issues on the Munches syndrome by proxy prevention. No single diagnostic test proves or disproves whether an illness is the result of fabrication or disease. As a result, there appears to be reluctance among primary care providers to report suspicion of MSP without a definitive certainty of the diagnosis. Many primary care providers hesitate to report suspicion because of the possibility of false accusations or ending the client/provider trust relationship. By failing to report, however, they may provide a means of permanent disability or even death to the child victim (Questioners).
One way to prevent or diagnose is with the use of Covert video surveillance (C.V.). C.V. is the video and audio recording of interactions between a child and his or her caregiver. It is conducted without the knowledge of the caregiver under strictly controlled conditions within a hospital department (Craft). This equipment gives the primary care providers the support they need in reporting and diagnosis of MSP. There has been an ongoing argument about the ethics and legalities of using C.V. monitoring devices in the child’s hospital room.
Some that are against the use of C.V. argue the SE of such surveillance exposes the child to further abuse by allowing the abuse to take place in the name tot collecting evidence. Another reason against is the use tot surveillance represents a breach of trust among caretaker, child, and the professionals. Some say that the surveillance represents a form of entrapment. Lastly, they argue that confrontation of the mother with the evidence of the video could precipitate psychiatric decomposition and serious danger to her mental and physical health (Morrison).
An argument for the use of C.V. is that the privacy rights of the parents must be sighed against the needs for protecting the child. While another reason being the professionals’ obligation is to the patient and the use of video surveillance is not entrapment because the presence of the video does not increase the likelihood of illegal acts. If monitored, the child is protected because the abusive act can be interrupted. Lastly, surveillance by numerous methods (cardiac, respiratory monitors, etc. ) is a common practice in hospitals for the benefit of patients (Morrison).