One of the most significant details to understand in this instance is why the mother requires her girls to be evaluated.
This will entail asking whether there is any family history that leads her to believe the daughters should have this type of evaluation. The most crucial thing to remember here is any history of difficult menstrual periods, endometritis, heavy bleeding, or cysts.
After this information from their mother, I will ask the mother to leave the room so that I can question each daughter individually. Are you sexually active? will be one of the interview questions. In such case, how many partners do you have? Do you engage in sex? Have you started receiving menses? If so, are there problems such as heavy bleeding or increased pain?
After this information has been collected, it will be upon the girls to consent if to undergo the test, not the mother because the ethical obligation will be to the girls, not their mother (Devettere, 2010).
This is because pediatric medical practitioners have a legal and ethical duty of providing competent medical care based on what their patients require not what someone else wants.
Case 5
In this case, the first step will be asking the boy several questions so as to be able to know the kind of test which will be conducted. Some of the most important questions may include; when did the injury occur? Were you wearing a helmet? Which kind of object knocked your head? Have you received any form of medication? Have you had such an incident before? If so, which kind of medication were you given? After obtaining information from these questions, the next step will be examining his head injury through undertaking appropriate concussion tests. Computed tomography (CT) scan will be appropriate so as to identify the nature of the injury.
After this, I will ask his parents about their view concerning after-concussion return to play. In this case, I will advise the boy not to participate in the next game because the American Medical Society of Sports Medicine states that should not return to play with any symptomatology of concussion (Sonya, 2014). I will advise the boy accordingly and probably show him a video of someone who experienced second impact syndrome because of an early return to play. I will also let him as well as his parents know that return to play should be approved by a properly trained and licensed medical practitioner.
Scenario 3
Belmont's principle of justice states that equals should be treated equally. Additionally, the Universal Declaration of Human Rights states that every person has the right to health, including access to health care (David 2010). Based on this knowledge, I will inform the patient not to get worried because he has the right to get health care irrespective of whether he can meet the cost or not.
According to Judith (2012), stress can worsen Crohn's disease. Therefore, the first step will be assisting the patient to avoid stressing himself because of not being able to meet his health care cost. The next step will be obtaining information through discussing the condition to determine if it is a flare-up of Crohn's or another gastrointestinal problem. Important information, in this case, will be asking him when did the condition start, possible symptoms, and if he has undergone any kind of medication before.
References
David, R. W. (2010). Can We Improve Treatment Decision-Making for Incapacitated Patients? The Hastings Center Report, 40(5), 123-150.
Devettere, R. J. (2010). Practical Decision Making in Health Care Ethics: Cases and Concepts. Washington, DC: Georgetown University Press.
Judith, H. A. (2012). Embracing Ethical Principles for Nursing Education. Nursing Education Perspectives, 33(1), 67-89.
Sonya, F. J. (2014) . Challenges in Clinical Nurse Specialist Education and Practice. Online Journal of Issues in Nursing, 19(2), 34-56.
