Description
Please respond to discussion below using current APA edition and 2 scholarly references.Must be 150 words.
Question 1
A majority of societies have made sexual activities among people aged below 18 years a taboo. Legally, sex with a person under the age of 18 years is a punishable offense. However, currently, people are engaging in sexual activities as early as puberty kicks in. Most teenagers know it is not right, and they shun away from discussing the matter with none peers. In the case study, the patient is a 15-year-old girl who is sexually active. The mother informed a healthcare practitioner, something the teenager is feeling embarrassed and nervous about. It is common for teenagers to have such feelings when having conversations revolving around sex with people older than them (Mataraarachchi et al., 2023). As a healthcare practitioner, one should ensure the patient does not feel embarrassed or nervous. One way to ensure that the patient does not experience embarrassment and nervousness during the conversation is by making the environment comfortable and non-judgmental. During the introduction, one should mention that it is okay and normal for her to feel embarrassed and nervous and ensure that the details they share will be kept confidential. You should also ensure that they understand that you want the best for her health, and openness in the conversation should be paramount. It is also important to let the patient communicate what she is comfortable with, allowing her to ask questions about health and sexual well-being (Albers et al., 2022). That way, the patient is likely to give much information about her sex life, aiding a healthcare practitioner in giving the best advice and health care.
Question 2
When collecting information to build a gynecological history, it is noted that the patient is frustrated and embarrassed. The patient keeps reminding the healthcare practitioner that she has only had sex once. It ensures that the patient understands the importance of creating a gynecological history. Regardless of how often a person has engaged in sexual activities, the patient should understand that her gynecological history is paramount in helping a medical practitioner assess her risks and determine the most appropriate birth control methods. The patient should also be informed that a gynecological history helps determine whether they might have a sexually transmitted infection (STI) (Gubbin & Malbon, 2019). During such a talk, it should be emphasized that the healthcare practitioner only wants to provide her with the most appropriate guidance and healthcare.
Question 3
There are numerous birth control methods worldwide. In the United States (US), the most commonly prescribed birth control methods are hormonal methods, progestin-only methods, long-acting reversible contraceptives, barrier methods, and permanent methods (Kavanaugh & Jerman, 2018). The success or failure rate of birth control methods depends on numerous factors, but the most common are correct and consistent use and patient’s health.
Question 4
Some contraceptives are known to cause weight gain, among other side effects. Since the patient has mentioned that they would not mind using the most effective contraceptive, it is important to approach the topic with great caution. The healthcare practitioner should give the patient factual information, which includes admitting that the use of most contraceptives may result in side effects, which include weight gain. During this stage, the health practitioner should explain to the patient what would be most appropriate for them and inform them of the side effects they might experience. Since the patient is so concerned about weight gain, a nurse practitioner should avoid prioritizing contraceptives that are known to cause weight gain (Schrumpf et al., 2020). However, if such contraceptives are the most effective for the patient, they should be suggested, and the patient should be informed of the side effects.
Question 5
The patient has inquired about the use of a condom before she makes a decision on the contraceptive method she will use. As a health practitioner, one should encourage her idea. Condoms offer protection against unwanted pregnancies and STIs. They are readily available and easy to use with little to no side effects (Schrumpf et al., 2020). One should ask the patient whether she knows how to use condoms. It is important to educate the patient on the correct use of a condom, even if she mentions she knows.
