In relation to Jenilyn’s case, answer the following: 1. Can the patient consent for termination herself or must she have parental consent since she is a minor? Why? Explain briefly but thoroughly. Cite references to justify your answer. 2. What is counseling and how would you plan to counsel Jenilyn about her options? How should the patient be counseled and managed regarding STD prevention?
CASE SCENARIO
Induced abortion is a reproductive option considered by some clients. Regardless of one's
personal views, nurses should be aware of the techniques, management and possible complications
of induced abortions. The Philippines’ 2021 campaign theme was “Safe Abortion is Essential
Healthcare #MakeUnsafeAbortionHistory.” Despite the restrictive laws in the country, many Filipino
women still seek out abortions and most of them end up having unsafe abortions. Emerging
estimates from 2020 project that around 1.26 million abortions were induced in the country (Belongel,
2021). This presents an increase of more than 100% from previous estimates made in 2012 of
around 610,000 induced abortions (POPCOM, 2020)
In relation to the above-mentioned issue, a patient, Jenilyn Mercader, 14-year-old G1 P0,
presents to a private clinic, Notodilitus Fitus, requesting termination of pregnancy. Her last menstrual
period began 9 weeks prior to arrival. She has been experiencing intermittent nausea and vomiting.
She is sexually active with her 21-year-old partner and reports she is having consensual sex with
him. She has been using condoms for contraception. She has no history of sexually transmitted
infections. She has mild asthma for which she uses an inhaler as needed. She drinks socially; 3-5
drinks (approximately 300mL/bottle) a day on the weekends. She does not use drugs nor tobacco
and lives with her mother and 17-year-old brother. Her physical exam is unremarkable, uterine size
is approximately 8 weeks. Ultrasound confirms intrauterine pregnancy at 8 weeks with fetal heart
motion present.
In relation to Jenilyn’s case, answer the following:
1. Can the patient consent for termination herself or must she have parental consent since she is a minor? Why? Explain briefly but thoroughly. Cite references to justify your answer.
2. What is counseling and how would you plan to counsel Jenilyn about her options? How should the patient be counseled and managed regarding STD prevention?
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