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Current Pediatric Research| Volume: 22
November 28-29, 2018 | Dubai, UAE
15th World Congress on
Pediatrics, Clinical Pediatrics and Nutrition
28th International Conference on
Nursing Practice
Joint Event
&
Introduction: Hospital Kuala Lumpur is an established tertiary
medical centre in Malaysia. One of its gems is the Child and
Adolescent Psychiatry Unit. Most of the time, clinicians tend to
focus on the biological aspects of treatment, however, there is
usually more than meets the eye. At times cases of child abuse
or neglect may be missed unless we look into the root issues.
A case vignette: We highlight Miss NAK, a Malay girl aged 12,
who has been through a difficult childhood. She was referred
for school refusal, frequent temper tantrums, childish and
destructive behaviour. Born out of wedlock to a mother who
had multiple affairs, and whom eventually moved out of her
life at age 4 months. As father was incapable, he gave Miss
NAK to his grandfather to look after till the age of 12 months,
after which, via social welfare services was given in to custody
of paternal granduncle. As paternal granduncle suffered from
multiplemedical illnesses including recent myocardial infarction
in 2014, he haddecided to seek help fromsocial welfare services
to return custody back to her biological father, who remains
incapable of looking after her due to multiple reasons. She had
also started to refuse to return home and would stay overnight
at a restaurant. This led father to seek admission for further
help. In the case ofMiss NAK, themedical social welfare services
were brought in to do psychosocial evaluation and to liaise with
social welfare services in order to find suitable placement.
Discussion: It is important for clinicians to understand the
complexity of interactions between different domains of
functioning which in turns guides management.
Conclusion: A holistic management plan encompasses a
biopsychosocial approach which should utilize various services
available including allied health professionals and social welfare
services.
Speaker Biography
Zaininah Mohd Zain is a highly professional Public Health Consultant. She was the
longest serving Director of Hospital Kuala Lumpur. She graduated with MBChB
Alexandria University, Egypt in 1982 and specialized with master’s Health Services
& Hospital Management, South Banks University, London. UK in 1996. She was the
1st Malaysian to receive prestigious the Dr Farndale Award 1996 from South Banks
University, London, UK. She was gazetted as Public Health Physician by Ministry of
Health, Malaysia in December 2003. A NIOSH Certified Medical Impairment Disability
Assessor in May 2005; became MSQH Surveyor in 2009 and Lead Auditor in MS ISO
9000-2000 in 2010. She became Certified Talent Competency Professional (CTCP) Asian
Regional Training & Development Organization International (ARTDO) in July 2012.
She successfully completed MBA in Leadership, Singapore in 2015 and Masterclass in
Finance Modelling, Melbourne in 2016. She is the recipient of the Women Leadership
2015 Golden Tigers Award.
e:
Zaininah Mohd Zain
Hospital Kuala Lumpur, Malaysia
A diamond in the rough: The biopsychosocial approach in practice
Zaininah Mohd Zain, Pediatrics and Clinical Pediatrics 2018
& Nursing Practice 2018, Volume 22
DOI: 10.4066/0971-9032-C2-004