Informed Consent- 3

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الوصف الكامل Background: 

A 19-year-old Caucasian man brings his 14-year-old girlfriend to clinic because she is complaining of amenorrhea. Her last menstrual period was nine weeks ago. The girl takes a urine pregnancy test, and it returns positive. She immediately says that she wants to terminate the pregnancy, as she has no interest in raising a child right now. Who should sign the consent form for the elective abortion?

A. The parents of the girl
B. The adult boyfriend
C. The teenage girl
D. The family physician
E. The patient's baseball coach

الشكوى الرئيسية CC: 

القصة المرضية HPI: 

الأجهزة الأخرى ROS: 

السوابق المرضية الشخصية PMH: 

السوابق المرضية العائلية FMH: 

الوضع الصحي والاجتماعي SH: 

الفحص السريري Clinical Exam: 

التشخيص التفريقي DD: 

الاستقصاءات Investigations: 

التدبير Managment: 

كتابة حرة وطرح موضوع النقاش!: 



i would kick them outside the clinic...

طبعا ما رح اعمل هيك رغم رغبتي الشديدة..المهم

the girls parents is the answer, she's underage, and here's no legal from conects her to the idiot that nocked her up, so the parents are to sign the consent

صورة dr.tabban


C. The teenage girl
برا مو هون ....
اما هون : اذا ما اقتلوها و شربوا من دمها A. The parents of the girl

صورة qusei


c?
legaly speaking?? i mean if she decides to lose the fetus will you be able to trust her dicision? she's 14!
and if you do the abortion, you will be sued by her parents.. am i speaking right?

صورة dr.tabban


the girl
C

صورة Dr_Ayyad


c

صورة dado


تماماً الجواب هو C وليس b.
لقد ذكر الدكتور طريف أيضاً مثل هذه الحالة.

In most states, adolescents do not require parental consent when they seek a physician's care for contraception, pregnancy, sexually transmitted disease, drug or alcohol abuse, or mental health concerns. Therefore, this teenage girl would normally be the one to provide consent for an elective abortion. It is important to note that some states do require parental notification; if this is the case, the girl should be warned beforehand.
Of additional concern in this scenario is the age difference between the girl and her boyfriend. Most states consider all sex (including consensual sex) between a 19-year-old male and a 14-year-old female to be statutory rape. Should this be the case, the physician would be obliged to breach confidentiality and report the sexual relationship to local law enforcement and child protective services.
(Choice A) Because this girl is seeking care for a medical issue that is normally protected under state law, she would not need her parents to provide consent.
(Choice B) Although the boyfriend is an adult and the father of the unborn child, he does not have the legal authority to provide consent for a medical procedure to be performed on his girlfriend.
(Choices D and E) Physicians and other unrelated adult authority figures (eg, coaches or teachers) do not have the legal authority to provide consent for this girl.
Educational Objective:
In most states, adolescents do not require parental consent when they seek a physician's care for contraception, pregnancy, sexually transmitted disease, drug or alcohol abuse, or mental health concerns. If a physician discovers evidence of statutory rape, he is obliged to report his findings to local law enforcement and child protective services.

صورة DAM


Most states require parental consent when a minor seeks an abortion, see H.Y, Psychiatry, P149. However, I believe this must be referred to in the question.



dam
you r right
the answer is BBB

صورة a.y.s


dam
you r right
the answer is c

صورة a.y.s


i am sorry
cEmbarrased Embarrased Embarrased
i made a mistake

صورة a.y.s