Case study Dr Iram Yasin. Miss LB 15 year old girl 15 year old girl No remarkable PMH No remarkable PMH Attends on 30/11/2011 with mum & sister Attends.

Slides:

Advertisements

Similar presentations

Name: Tori Lerma Period: 3 rd. Setting This story takes place at Rainas middle school, her house and the dentist office at noon.

Advertisements

Customer Service – Dealing With Difficult Customers

Legal or Not? You’d better know. Make it your business to know!

“Mom, Dad, I’m Pregnant…”

Quality time Time during which one focuses on or dedicates oneself to a person or activity. Time that is set aside for activities which you consider.

Family Planning Counseling

By: Bailey Wind with Chris Graf Julia Reeves Period 7 1/15/14

Objectives To work out how to practically bring 2 characters from a T.I.E script to life. Success criteria- Lines learnt Tone of voice changes & volume.

Faces in Focus Counselling, information, advice & guidance for young people aged in South London.

Getting It Right for Young People in Health 17 May 2012 | Birmingham ‘What Matters? Health Matters!

1 POST DIAGNOSTIC SUPPORT Martine L Marshallsay. 2 POLICY FRAMEWORK  National Autism Plan for Children (NAPC) 2003  A.S.D. Strategic Action Plan for.

Young Black Fathers and Maternity Services Fathers Direct St Michael’s Fellowship/Sure Start University of Bristol.

Community Pharmacy Young People’s Sexual Health Scheme Dr Tracey Dibble Clinical Lead for Young People’s Sexual Health Services 2013.

Is A&E for me? Public and Patient Engagement Forum 9 July 2014 Results of the forum’s electronic vote about urgent care services.

The Personal Benefits of Volunteering What does the academic literature have to say about the personal benefits of volunteering?

Case Study 3. Simulated Case Study 3 Asynchronous online support where a client seeks to engage in counselling with an independent online practitioner.

Young people’s health Adolescents and General Practice Based on Maggie Eisner, January 2011, Modified Heather Naylor October 2014.

UNTOLD DAMAGE Children’s accounts of living with harmful parental drinking Collaborative research SHAAP/ ChildLine in Scotland to explore what children.

‘Growing up girl’ and ‘Being boy’ – building and challenging gendered social realities over time through sibling relationships Rosalind Edwards University.

Assertiveness and Persuasion. What comes to mind when someone says you are:  Assertive  Persuasive  Aggressive  Passive  Manipulative  Controlling.

1. Aims of Choice Find out what they want Use our knowledge to jointly form an understanding Together choose what will be helpful NOT… Assessing a passive.

What your Families, Children & Young People think…

From playground to bedroom. Balancing acute and community sexual health services for young people Richard West Health Adviser lead for Young People’s Services.

Young People’s Sexual Health Update Dr Fiona Fargie Sexual health and HIV consultant Sandyford, Glasgow.

Giving Pregnancy Test Results A primer for nursing students.

Polly Straughn November Blues by Sharon M

NURS  It’s your first shift this week and you get your patient assignment. 4 patients who all have their unique medical situation:  A insulin.

Healthy Relationships

It begins with me… Feeling good about yourself and knowing that you deserve healthy relationships is VERY important! See the good in yourself and focus.

Throckley Primary Care Results of Patient Information Survey

 Learning Objectives  To understand that everyone has worries and problems  To find out who you can ask for help  To find out about ways to stay healthy.

TEENAGE PREGNANCY. SLOVENIA STATISTICS Total Births in Slovenia

Information Sharing: Really – What does this mean in practice Dan Mobbs Chief Executive.

Writing a Short Story Essential Question: How can a strategic writer engage the reader through plot and character development.

Basic Counselling Skills

Michelle Fonseca Period 1 Bulimia What to expect to hear about my section? My section is about bulimia, it talks about how it effects people and what.

Together we will enable individual and Council success by supporting continuous improvement through learning CYPOP 14 Support children and young people.

EQ: WHAT ARE THE AFFECTS OF DEPRESSION? BELLRINGER: DO YOU KNOW SOMEONE WITH DEPRESSION? HOW DID THEY ACT? DEPRESSION BETH, BRIANNA AND AUTUMN.

Coping with jealousy Simone has a baby brother. Everything was really lovely at first and Simone loved helping her mum look after him. Recently though,

 Sexual health involves many things, including: knowing about your body and how it works; understanding the physical, social and emotional changes that.

Should birth control be given out in school?. Birth control should be given in schools. Pregnancy rates for teens for teens is outrageous and if the schools.

Section 6.4 Choosing Abstinence Slide 1 of 17 Objectives Identify some risks of sexual intimacy. Explain why emotional intimacy is important in close relationships.

Why CCI? Janet C Read Professor of Child Computer Interaction Research Leader Computing Director Child Computer Interaction (ChiCI) group.

Rubi Alonso Tina Reyes.  Introduction  Physical  Emotional  Consideration  Questions.

*TEEN MOMS GET PREGNANT AT A VERY YOUNG AGE* Most teen moms have trouble going back to school after having a baby. Most teen moms have trouble going back.

Healthy Growth and Sexuality By Mr. Douglas. Disclaimer  *No personal remarks*  Hands up if you have a question, or would like to add to the conversation.

The project was made by Inga Kuropko 11A forms. It’s necessary for everybody to find the ways of coping with them. That why I’ve decided to make a research.

By Chris Anscombe Evaluation Question 3.

February Is Teen Dating Violence Awareness Month.

Early Adolescent African American Girls’ Views about Sex and Pregnancy Gwendolyn D. Childs, PhD, RN Reashanda White Connie Hataway, RN, MSN.

ETeens lesson 1: Decision Making & Saying No Secondary 3 9 April 2014.

Teen Living Notes Obj Factors that affect relationships. Obj Consequences & risks of youth parenting.

Helping a Suicidal Friend. Ask and listen. Talking about the person’s thoughts openly and frankly can help prevent a person from acting on them. This.

For us all to agree What sometimes gets in the way of healthy relationships between boys and girls?

Unit 3 Lessons 15 & 16 EXAMINING DATING & FRIENDSHIPS.

Self Injury What Students need to know. Why? Often, people say they hurt themselves to express emotional pain or feelings they can’t put into words.

Empowering Women through Sex Education Scarlyn Gutierrez.

What do I value? A Personal Discussion.. Define: value To show respect for To regard highly To think much of… “I respect his Judgment” “I value his judgment”

Assignments of Jeanette Vanderlip. My name is Jeanette. I was born and raised here in Arizona. I graduated from Mesa High School, and married my high.

CHAPTER 1 HEALTH CHOICES AND BEHAVIOR. TERMS Life management skills: skill people use to meet their own needs everyday. Health: physical, mental and social.

Relationship Situations Go to the corner with the corresponding number of the answer that most closely relates to you.

 My section is about a very serious mental disorder. A disorder characterized by unpredictable disturbances in thinking, mood, awareness, and behavior.

 Reasons for dating:  1. Dating is one way for teens to get to know each other.  2. Some teens decide to date because they want to develop friendships.

 Did you know that nearly 3 in 10 teen girls in the US will get pregnant at least once before age 20?  Less than half of teen mothers ever graduate.

Signs A Girl Likes You: Let’s Try To Read Her Mind Scoopify.

Cognitive Explanations – Anxiety disorders. Explain their thoughts!

Teen Pregnancy By: Marisol Hernandez.

Ethical Decision Making

What is the Main Idea?.

Presentation transcript:

Case study Dr Iram Yasin

Miss LB 15 year old girl 15 year old girl No remarkable PMH No remarkable PMH Attends on 30/11/2011 with mum & sister Attends on 30/11/2011 with mum & sister Pregnant with 17 year old boyfriend Pregnant with 17 year old boyfriend Quiet Quiet Withdrawn Withdrawn Little eye contact Little eye contact Mum says …’ well tell her then..’ Mum says …’ well tell her then..’ Miss LB says ‘..erm.. I’m pregnant…’ Miss LB says ‘..erm.. I’m pregnant…’

What thoughts are going through your mind as the Dr? What thoughts are going through your mind as the Dr? What would be your next step ? What would be your next step ? How does the consultation feel.. How does the consultation feel..

Then… Mum and sister are most talkative during the consultation.. Mum and sister are most talkative during the consultation.. …sister had similar accident at the same age and had an abortion and both feel that LB should have the same …sister had similar accident at the same age and had an abortion and both feel that LB should have the same …LB states ….’they don’t know how I feel its my body and my baby…’ …LB states ….’they don’t know how I feel its my body and my baby…’ Mum tells ‘ boyfriend is not going to stick around, I cant afford to have her and another mouth to feed, and she only wants this baby cos’ all her friends have babies..’ Mum tells ‘ boyfriend is not going to stick around, I cant afford to have her and another mouth to feed, and she only wants this baby cos’ all her friends have babies..’ Sister …’ she doesn’t understand this is going to ruin her life…’ Sister …’ she doesn’t understand this is going to ruin her life…’

Any thoughts? What would you do next? What would you do next? Thoughts about the structure of the consultation? Thoughts about the structure of the consultation?

And then… Tried to engage eye contact with Miss LB Tried to engage eye contact with Miss LB Boyfriend aged 17, consensual sex, not forced or aggressive. Boyfriend aged 17, consensual sex, not forced or aggressive. Arranged follow up later that day with boyfriend and Miss LB alone Arranged follow up later that day with boyfriend and Miss LB alone Mum booked next appointment for herself..to talk about LB!! Mum booked next appointment for herself..to talk about LB!!

Alternative options ? Other management ideas ? Other management ideas Thoughts about Fraser competence Thoughts about Fraser competence Mums appointment?!?! Mums appointment?!?!

Appoinment with couple Miss LB more talkative, expresses that she understands she is young but would like to consider keeping the baby Miss LB more talkative, expresses that she understands she is young but would like to consider keeping the baby Boyfriend feels he is too young and cant cope with responsibility Boyfriend feels he is too young and cant cope with responsibility Refer to – teenage pregnancy specialist midwife! For balanced options counselling Refer to – teenage pregnancy specialist midwife! For balanced options counselling at Keighley Sexual health clinic

What happened next? Phone call from mum at AGH – Miss LB admitted for ? Ectopic, currently in theatre..’Could you ask them to get rid of baby at the same time!..’ Phone call from mum at AGH – Miss LB admitted for ? Ectopic, currently in theatre..’Could you ask them to get rid of baby at the same time!..’ d/w Obs SHO – made aware of situation d/w Obs SHO – made aware of situation TOP 7/12/2011 at AGH TOP 7/12/2011 at AGH

Post TOP Multiple attendances for UTI, abdo pain Multiple attendances for UTI, abdo pain Two further admissions to AGH for ? Appendicitis Two further admissions to AGH for ? Appendicitis Split with boyfriend, low mood, Marie Stopes post TOP counselling arranged Split with boyfriend, low mood, Marie Stopes post TOP counselling arranged

What did I learn? Complexities of consultations with imposing relatives. Complexities of consultations with imposing relatives. To try to maintain structure of consultation to allow focus on patient To try to maintain structure of consultation to allow focus on patient Fraser – Gillick competence and how to apply this Fraser – Gillick competence and how to apply this Use of MDT Use of MDT To be able to be truly non-judgemental (personal beliefs) To be able to be truly non-judgemental (personal beliefs)

Thankyou