Safeguarding: Perplexing Presentations & FII
Tuesday 22nd May 2018
RCPCH, 5 Theobalds Road, London, WC1X 8SH
This course aims to increase your confidence when tackling perplexing presentations and fabricated or induced illness (FII). It will use analysis of case studies to provide strategies to assist you in recognising when complications tend to arise. To assist multi-agency working on this important area, we welcome applications from a range of professionals groups.
The goal of the case study-based group work is to have a mix of professions discuss the difficulties they encounter when working in a multi-agency setting, so social workers in attendance will be able to learn what other allied professionals find challenging as well as contributing challenges from a social work perspective, too. The ‘social worker perspective’ session is led by a social worker with extensive experience of working with paediatricians and others on these kinds of cases, so this should hopefully give social worker delegates a clearer idea of best practice when working in a multi-agency setting and tackling FII cases.
The underlying dynamic in FII is the parent's need for their child to be recognised as ill (or more ill where the child has a recognised disorder). Most presentations of fabricated illness will initially perplex paediatricians due to discrepancies between the parental report on the child's state of health and independent observations of the child. Further investigations do not explain the discrepancies. An approach will be described in which the focus is on the child's current state of health rather than on the parent(s) behaviour and actions.
If, beyond verified illness, there is no explanation for the child's reported ill health, parents can be reassured that the child does not suffer from a life threatening illness. Thereafter, instead of further investigations and trials of treatment, the child and family can be helped to function better alongside the symptoms. An important aspect of this approach is to explore, along with the parents, what the implications are of this 'change of tack' in focusing on the child's function, including school attendance, full mobilisation and appropriate eating, instead of the pursuit of a diagnosis. Furthermore, the child and the family require help in constructing a narrative around this change, which may lead to the involvement of mental health services.
Click here to see the programme for the day
RCPCH members - consultants - £190
RCPCH members - trainees - £145
SAS doctors, allied health professionals, nurses and social workers - £145
Date : 22nd May 2018
Time : 9:00am-5:00pm
CPD : Up to 7 Hours
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