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Adolescence Contraception

Adolescence Contraception

Sample Answer 

Adolescence Contraception

What Issues Are Important in Determining How This Situation Should Be Managed?

For adolescents who are sexually active and who use contraceptives, the healthcare professional should educate and support the patient’s compliance. The healthcare practitioner should also assist in managing any adverse effects or advise the patient to use alternative methods of contraception as dictated by circumstances. This is in addition to offering follow-ups and referrals with periodic STI screenings. Issues to do with protection from STIs, proper use of contraceptives, and discussions on abstinence should be covered in the visit. If the patient uses hormonal contraceptives, she will need to be advised on the need to continuously protect herself against STIs. The healthcare provider will also need to ensure that confidentiality is maintained. Policies and procedures need to be followed as well as information disclosure, appointment scheduling, access to medical charts, and reimbursement guidelines (Potter & Santelli, 2015).

How Would You Further Investigate (Diagnostics), Advise and Manage This Patient?

According to Apter (2018), a healthcare provider should be supportive and nonjudgmental. The provider should inquire about why the patient wants to continue engaging in sexual activity. It is important to know how she believes that having a sexual relationship will change her self-image (Lim et al., 2015). The patient will also undergo a medical exam. The medical history, family medical history, and any risk factors to her health, such as social behaviours, will need to be recorded. She will also need to be examined for any possible STIs. If all negative effectors are absent, then she will be prescribed an oral contraceptive, and a follow-up visit is recommended. The patient will be requested to come after a month to be assessed for compliance with daily dosage and to examine if there are any side effects. She will then come for another follow-up two months after the first follow-up.

References

Apter, D. (2018). Contraception options: aspects unique to adolescent and young adult. Best Practice & Research Clinical Obstetrics & Gynaecology48, 115-127.

Lim, M. S., Zhang, X. D., Kennedy, E., Li, Y., Yang, Y., Li, L., … & Luchters, S. (2015). Sexual and reproductive health knowledge, contraception uptake, and factors associated with unmet need for modern contraception among adolescent female sex workers in China. PloS one10(1).

Potter, J., & Santelli, J. S. (2015). Adolescent contraception: review and guidance for pediatric clinicians. Minerva pediatrica67(1), 33-45.

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Question 


Adolescence Contraception

A 14-year-old female presents to her primary care provider wanting to start “the pill”. She has been with her boyfriend for 8 months. They both agreed that they wanted to start a sexual relationship and have already had intercourse on two occasions where they did not use contraception. She had never been sexually active before. Her periods started 3 years ago and were initially irregular but she now reports a regular 27 day cycle. She has never had any gynecological or other medical problems.

She reports that she is happy at school and she is one of three children, with a brother of 21 and sister of 19 years. She lives with her parents in a house locally. She has presented today with a friend from school.

Questions:

Adolescence Contraception

Adolescence Contraception

What issues are important in determining how this situation should be managed?
How would you further investigate (diagnostics), advise and manage this patient?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

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