Nurs 6541 week 3 discussion

Discussion: Provider–Patient Confidentiality With School-Age Children and Adolescents

When treating pediatric patients in clinical settings, you also treat patients’ families. With younger patients, this tends to be a seamless process. However, as patients age and grow into the adolescent years, the provider-patient-family relationship becomes more complex. The change in this dynamic often creates questions in provider-patient confidentiality. As the advanced practice nurse providing care for school-age children, adolescents, and their families, how do you handle these confidentiality issues? If a child is a minor, do you have to maintain provider-patient confidentiality? When is it appropriate to allow patients privacy? When is it your legal and ethical duty to involve family members? How do you facilitate the care of a minor when you have to work with parents and still maintain patient trust?

Consider the following three case studies.

Case Study 1

You receive a phone call from a mother who is concerned that her son is using drugs. The 16-year-old boy is seeing you in the afternoon for a follow-up for acne. The mother requests that you obtain a drug test during the visit, but she does not want her son to know he is being screened or that she requested screening because “I don’t want him to stop trusting me.”

 

Case Study 2

A 17-year-old girl comes to your office with a complaint of abdominal pain and missed periods. She thinks she may be pregnant. She requests pregnancy testing and does not want you to tell her parents if she is pregnant.

 

Case Study 3

The father of a 10-year-old boy calls your office to request assistance with an Individualized Educational Plan (IEP) for his son who was recently diagnosed with attention deficit hyperactivity disorder (ADHD). He wants you to contact the school and to facilitate getting an IEP developed.

To prepare:

  • Review this week’s media presentation, as well as “Developmental Management of School-Age Children” and “Developmental Management of Adolescents” in the Burns et al. text and the Schapiro article in the Learning Resources.
  • Think about confidentiality laws regarding providers, school-age children, adolescents, and their families.
  • Select one of the three provided scenarios. Reflect on the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario.
  • Consider the appropriate way for the provider to respond and facilitate the care of the patient in the scenario you selected. Think about interventions and strategies that the provider should use to address the issues presented.

Provide a thorough response at least 250 words (select a case study)

1.           Post an explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected.

2.           Explain how the provider should appropriately respond and facilitate the care of the patient in the scenario.

3.     I    Include interventions and management strategies that the provider should use to address the issues presented.

 

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

  • Chapter 7, “Developmental Management of School-Age Children” (pp. 92–109)

This chapter presents guidelines for the assessment of school-age children, including psychosexual, social and emotional, cognitive and problem-solving, and moral development. It also explores common developmental issues and red flags for school-age children.

 

  • Chapter 8, “Developmental Management of Adolescents” (pp. 110–129)

This chapter explores adolescent development and anticipatory guidance during adolescence. It also examines common issues in adolescents related to physical and sexual, psychosocial, and cognitive development.

 

  • Review: Chapter 10, “Nutrition” (pp. 166–185)

This chapter describes nutrition-related health problems in pediatric patients. It also provides guidelines for diagnosing and managing different types of nutrition disorders.

 

  • Chapter 13, “Physical Activity and Sports for Children and Adolescents” (pp. 218–255)

This chapter provides guidelines for promoting and supporting physical activity for children and adolescents. It also identifies high-risk conditions for sports participation and presents strategies for evaluating and managing sports participation for athletes with health conditions.

 

  • Review: Chapter 14, “Sleep and Rest” (pp. 263–272)

This chapter provides strategies for the prevention and management of sleep problems in pediatric patients. It also identifies special considerations for children with chronic disorders.

 

  • Review: Chapter 17, “Role Relationships” (pp. 334–344)

This chapter explores circumstances that create role-relationship problems in family units such as violence, neglect, maltreatment, and physical and sexual abuse. It also presents strategies for assessing and managing families presenting with these circumstances.

 

  • Chapter 18, “Sexuality” (pp. 345–357)

This chapter covers the assessment and management of normal sexual development. It also identifies red flags for abnormal sexual behavior among children and adolescents.

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

 

  • Review: “Promoting Healthy Nutrition” (pp. 121–145)

This chapter examines the impact of environment and culture on patient behaviors related to food and nutrition. It also explores essential components of nutrition for children from preconception through adolescence.

 

  • Review: “Promoting Physical Activity” (pp. 147–154)

This chapter describes physical activity as a growing problem. It also identifies strategies for promoting physical activity, including age-appropriate activities for infants, children, and adolescents.

 

  • “Promoting Healthy Sexual Development and Sexuality” (pp. 169–176)

This chapter explores strategies for promoting healthy sexual development and sexuality among pediatric patients from infancy through adolescence. It also examines sexual behaviors among adolescents, including onset of intercourse, pregnancy rates, and sexually transmitted infections.

 

  • Review: “Promoting Safety and Injury Prevention” (pp. 177–191)

This chapter explores two categories of issues relating to safety and injury prevention and examines strategies for promoting safety among infants, children, and adolescents.

 

  • “Middle Childhood” (pp. 463–514)

This chapter explores the care of children from ages 5 to 10 years. It identifies concerns related to their growth, health, behavior, school progress, and safety. It also presents common parental concerns and strategies for educating parents and children about health issues and puberty.

 

  • “Adolescence” (pp. 515–575)

This chapter explores the care of adolescents ranging from 11 to 21 years. It focuses on their physical, cognitive, emotional, and social transitions relating to their family, friends, school, and jobs.

Schapiro, N. A. (2009). Confidentiality and access to adolescent health care services. Journal of Pediatric Health Care, 24(2), 133–136.

Note: Retrieved from the Walden Library Databases.

 

 

This article explores the development of adolescent confidentiality policies in the United States. It also examines confidentiality issues related to adolescent health care, focusing on reproductive health, access to health services, and parental rights.

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

We value our customers and so we ensure that what we do is 100% original..
With us you are guaranteed of quality work done by our qualified experts.Your information and everything that you do with us is kept completely confidential.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

The Product ordered is guaranteed to be original. Orders are checked by the most advanced anti-plagiarism software in the market to assure that the Product is 100% original. The Company has a zero tolerance policy for plagiarism.

Read more

Free-revision policy

The Free Revision policy is a courtesy service that the Company provides to help ensure Customer’s total satisfaction with the completed Order. To receive free revision the Company requires that the Customer provide the request within fourteen (14) days from the first completion date and within a period of thirty (30) days for dissertations.

Read more

Privacy policy

The Company is committed to protect the privacy of the Customer and it will never resell or share any of Customer’s personal information, including credit card data, with any third party. All the online transactions are processed through the secure and reliable online payment systems.

Read more

Fair-cooperation guarantee

By placing an order with us, you agree to the service we provide. We will endear to do all that it takes to deliver a comprehensive paper as per your requirements. We also count on your cooperation to ensure that we deliver on this mandate.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency