gynecological history, past medical and family history (Ball et al., 2015). I wold also begin to start asking her about the father. What is his medical history? Would she like
him to be involved with the pregnancy process? All f these questions are important to how she will respond to being pregnant and how we will handle the months to come. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Massachusetts Legal Ages Laws - FindLaw. (2019). Retrieved from - laws.html Meghan, Thank you for the very informative post regarding a challenging patient population. It is important to develop a strong and trusting relationship with the adolescent patient population. Breaking adolescent confidentiality is something that a practitioner should take very seriously (Ott, 2014a). An adolescent whose confidentiality is betrayed by a clinician may be less likely to trust other health care professional with confidential information necessary for optimal health care and thus may not seek care for sensitive issues in the future (2014a). Of other importance is having knowledge and understanding of laws in your practicing state regarding legal ages of consent. The case presented is that of a 16 year old white pregnant teenager. In Pennsylvania, the age at which individuals are considered adults under the law is 18 (Find Law, 2019). In Pennsylvania, a minor may consent to medical treatment related to drug and alcohol abuse, pregnancy, or sexually transmitted disease (2019). It is also of importance to know that a minor who has a baby may consent to all of her own healthcare, except abortion (Juvenile Law Center, 2014b). Until a minor parent turns age 18, her parents may still make many of the legal decisions
regarding her life (2014b). It will be important to assess the patient’s home environment and her relationship with her parents or guardian. References Find Law (2019). Pennsylvania legal age laws. Retrieved from: Juvenille Law Center (2014b). Emancipation, or living away from your parents, in Pennsylvania. Retrieved from Ott, M. (2014). Teen pregnancy and confidentiality. AMA Journal of Ethics, 16 (11), 884-890. doi: 10.1001/virtualmentor.2014.16.11.ecas3-1411
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