Nu631U8peerresonseRochelle
Adolescent Contraception
What issues are important in determining how this situation should be managed?
While contraception for minors has been an ongoing debate over the past, contemporary society has changed its approach, with numerous states expanding their approach and extending the minor authority for consent. One of the factors to consider before managing the case is the patient’s level of awareness of consent and contraception administration. Advanced healthcare practitioners should know the legal requirements for consent to various healthcare services (Todd & Black, 2020). In most states, people between 16 and 18 years can engage in consensual sex, while minors in 25 states in the US can consent to contraception. It is essential to determine whether the patient’s parents are aware of the decision before beginning contraception. Informing the patient of the risks and benefits of different contraceptive measures, seeking consent, and assuring them of confidentiality reflects positive healthcare practice.
How would you further investigate (diagnostics), advise, and manage this patient?
The first step is to evaluate the patient’s physical condition. In this case, the patient is a minor. Although capable of making decisions regarding her contraception, it is essential to evaluate her boyfriend to identify whether it is a case of coercion or abuse. Features such as posture and body language should be assessed to determine whether sexual consent is voluntary or coerced (Brady et al., 2022). The second step is to collect the patient’s past medical history to determine whether the patient is at any health risk after the administration of any contraceptive pill. It is essential to execute point-of-care screening, including blood pressure and BMI (Todd & Black, 2020). This can be followed by patient education on the different types and forms of contraception and their benefits and potential side effects. The patient should be counseled on how to improve contraceptive pill adherence and combine it with condoms to increase effectiveness. Establishing a follow-up plan can facilitate adherence and ensure the patient is safe and healthy.
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