Misusing health services (Overutilisation) Flashcards
Define what Munchausens syndrome is
A psychological disorder where someone
1) Pretends to be ill
2) Deliberatley produces symptoms of illness themselves
3) Main intention is to assume a “sick role”
What is the main intention of someone who has Munchausers syndrome?
- Assume a “sick role”
- So they can be cared for/ center of attention.
What are the 3 MAIN features of Munchausens syndrome?
- Pathological lying
- Peregrination
- Recurrent, feigned, simulated illnesses
PPR
What does Pathologic mean?
- Behaviour that is compulsive, frequent and difficult to stop
What does peregrination mean?
- Wandering off ,
- Travelling
- In a meandering way
What does equanimity mean?
- A sense of calm and composure in a difficult situation
Prevalence meaning?
- How common something is,
- Across a population
Can you name 3 SUPPORTING features of Munchausens syndrome?
- Equanimity (for diagnostic procedures, treatments, operations)
- Borderline/ Antisocial personality traits
- Self induced physical signs
(knowledge of medical field, police record, multiple scars)
Define Malingering
- a FACTITIOUS disorder
- When someone tries to make themselves unwell or pretends to be unwell for an incentive (disability allowance)
How is Malingering different from Munchausens?
- Munchausens= no external incentives. There is only a psychological benifit if assuming the sick role.
Can you define what the ICD 11 is?
- A comprehensive catalogue of known human diseases, medical conditions, mental disorders
What is the ICD used for?
- Satistical tracking
- Global health categorization
Name some possible reasons for Malingering
- Avoiding criminal prosecution
- Recieving compensation
- Gaining disability allowance
What are some possible causes for Munchausens syndrome?
- Childhood trauma (parental negelect, abandonment)
- Personality disorder
- Need to feel important/ be the centre of attention.
