Uti Case Study

1840 Words 8 Pages
1. Case Summary:
Miss X, 16y/o Chinese young teenager visited her GP for a simple UTI treatment. However, she was recommended by her GP to visit the family planning (FP) clinic for advice regarding contraception. Miss X had started a relationship with her boyfriend early this year and they had been sexually active since then. Miss X reported that she sometimes had unprotected sex but said that she had always been careful and not having sex during her ‘fertile’ period. She is currently well, with no symptoms and signs of any pregnancy or sexually transmitted diseases (STIs) and she reported that her partner has no known history of STIs. Her current boyfriend is the only person that she reported having sex with. She also confidently said that
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She argued that she had no problems monitoring her own sexual activity. However, the nurse in the clinic was unsure about Miss X’s competency in understanding the consequences of having unprotected sex- risk of pregnancy and STIs, suggesting that she can ask a support person to come along to a next appointment. Upon hearing that suggestion, Miss X quickly agreed to the pill and wants nobody to know about it. After a long discussion, she was being prescribed the pill with a quick explanation of method of using them and possible side effects from the pill.
The ethical problem that I am going to discuss here is whether contraception can safely be prescribed in this case, given the uncertainty regarding Miss X’s level of understanding regarding her safety of using the pill versus the risk of pregnancy or STIs.
2. List of relevant concepts:
Ethical:
- Maintaining confidentiality irrespective of whether treatment is provided
- Respecting autonomy and assessing capacity to make informed consent about using contraception.
Legal:
- Statutory obligations of medical practitioners- right to not prescribe if perceived unsafe for Miss X
- Legal regulation of contraceptives- age of consent for contraceptive use
- Gillick competency and Fraser guidelines
Social/cultural:
- Doctor-patient relationship
- Understanding cultural and social norms 3. Case
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In this case, confidentiality is an important issue because Miss X had mentioned several times, to her GP and again in the FP clinic that she wanted no one to know about her sexual history and the use of oral contraception. Although Miss X is 16 y/o, she has the right to have her privacy respected in every circumstances. (Right 1, Health & Disability Commissioner (HDC) Code of Health And Disability Services Consumers’ Rights Regulation (HDSCRR) 1996). In this case, Miss X needed to be reassured that the information she shared would not be disclosed without her knowledge. The nurse in the FP clinic had reassured Miss X that whatever she said will be confidential unless she feels that to do so would be unsafe for Miss X in any way. By discussing this issue, Miss X was seen to be more willingly accepting information and advice from the

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