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Anna Avery, 14 years of age, arrives at the walk-in clinic seeking advice. She t

ID: 3495325 • Letter: A

Question

Anna Avery, 14 years of age, arrives at the walk-in clinic seeking advice. She tells the health care provider that she has had sexual intercourse once with her boyfriend. She admits that she will continue to be sexually active. She expresses a concern about not wanting to become pregnant or infected with an STD. Anna feels that she cannot discuss these concerns with her parents. Outline a simple teaching plan to present to Anna. List the major functions of dating in adolescence. Suicide prevention is an important safety issue when dealing with teenagers. Explain how this should be added to your preventative health plan for Anna. Experimentation with alcohol, drugs, and tobacco is common during this stage of development. Teens often engage in these unhealthy practices to gain acceptance from their peers. How will you educate Anna about the risk of these unhealthy practices?

Explanation / Answer

1. Outline a simple teaching plan to be presented to Anna.

Teaching plan to be presented to Anna would include

- lessons about safe se-xual practices.

- implications if there is a situation such as pregnancy or STD.

- importance of menstrual cycle and ovulation.

- days around her menstrual cycle around which she might be prone to becoming pregnant.

2. List the major functions of dating in adolescents.

- companionship

- building social relations.

- se-xual experimentation

- having fun

- developing criteria for potential marriage partners.

- prestige and status

3. Explain how the plan of preventative health care is added to Anna's plan.

Preventative health care would include : use of con-doms before se-xual intercourse to prevent STDs, use of contraceptive pills, use of female con-doms and abstaining during menstruation. Also, in case of any heartbreak, not to be depressed or indulged into practices such as suicide or cutting hands etc.

4. How would you caution Anna about the unhealthy practices of drinking, drug abuse etc.

Also, it is important to caution her that there is no status that develops through indulging in practices such as drinking or drug abuse. Such shannanigans may cause bad complications if they go over the board. Hence, if possible, such practices should not be undertaken.

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