| Popis: |
A 14-year-old girl, Toni, and her 22-year-old boyfriend of 3 weeks present to the family practitioner seeking a prescription for oral contraception in anticipation of the couple's first act of sexual intercourse. Mike, Toni's first boyfriend, requests the contraception for Toni on her behalf. The physician is a longtime friend of Toni's parents and has known Toni since her birth. Drs. Kerrigan and Piegsa would both provide Toni with oral contraception and maintain physician-patient confidentiality, while Dr. Rogers would deny the request and inform the parents that Toni is at risk. Drs. Kerrigan and Piegsa emphasize the need to garner and maintain Toni's trust and to speak with her alone at subsequent meetings in the near future. That sexual intercourse between the two is technically rape must be explained, and the need to protect against sexually transmitted diseases and HIV must be stressed. Toni should be asked how relations are at home, whether she feels pressured by her partner, and discretely assessed with regard to her level of maturity. |
