DISCUSSIONS
Discussion Part One (graded)
Setting: Suburban family practice office
Part 1: You review the chart before entering the room. The patient is Elizabeth, age 16, with a chief complaint of a left ankle injury. Elizabeth is an Irish dancer and has been seen in the past for other injuries. At the last visit 8 months ago, Elizabeth had a groin pull and was sent to physical therapy (PT) for evaluation and treatment. The PT notes state Elizabeth has lax ligaments and responded well to PT. She was released to return to dance without restrictions 3 weeks ago.
HPI: Elizabeth presents with her mother. You note Elizabeth is on the exam table with her legs resting on the table. Her left ankle is wrapped in an ace bandage. A pair of crutches …show more content…
· TSH and Free T4 for hyperthyroidism screening (Sarezky, 2016)
Did her mom do the right thing by waiting until this morning or should she have taken her to ED last night?
A visit to the emergency department soon after the fall would be best to rule out possible fractures or soft tissue damage that could compromise circulation of the affected limb.
Elizabeth is a teenager, is it a HIPAA violation to share healthcare information with her parents if she is not present?
A discussion regarding Elizabeth’s injuries with her parents without her presence is not a HIPPA violation. Information regarding Elizabeth’s sexual history, drug consumption, and/or personal feelings are all confidential and will not be discussed with her parents without permission. Any other information regarding Elizabeth can be disclosed to parents without breaching HIPPA laws. The clinician should discuss the reasons for disclosure with the patient and allow the patient to participate in the decision of to whom and in what manner the information should be divulged (Goyal,
Discussion Part One (graded)
Setting: Suburban family practice office
Part 1: You review the chart before entering the room. The patient is Elizabeth, age 16, with a chief complaint of a left ankle injury. Elizabeth is an Irish dancer and has been seen in the past for other injuries. At the last visit 8 months ago, Elizabeth had a groin pull and was sent to physical therapy (PT) for evaluation and treatment. The PT notes state Elizabeth has lax ligaments and responded well to PT. She was released to return to dance without restrictions 3 weeks ago.
HPI: Elizabeth presents with her mother. You note Elizabeth is on the exam table with her legs resting on the table. Her left ankle is wrapped in an ace bandage. A pair of crutches …show more content…
· TSH and Free T4 for hyperthyroidism screening (Sarezky, 2016)
Did her mom do the right thing by waiting until this morning or should she have taken her to ED last night?
A visit to the emergency department soon after the fall would be best to rule out possible fractures or soft tissue damage that could compromise circulation of the affected limb.
Elizabeth is a teenager, is it a HIPAA violation to share healthcare information with her parents if she is not present?
A discussion regarding Elizabeth’s injuries with her parents without her presence is not a HIPPA violation. Information regarding Elizabeth’s sexual history, drug consumption, and/or personal feelings are all confidential and will not be discussed with her parents without permission. Any other information regarding Elizabeth can be disclosed to parents without breaching HIPPA laws. The clinician should discuss the reasons for disclosure with the patient and allow the patient to participate in the decision of to whom and in what manner the information should be divulged (Goyal,