Women Health Dilemma Unplanned Pregnancy
Read Case Scenario: Women’s Health Dilemma-Unplanned Pregnancy.
A 20-year old female presents to your clinic with complaints of nausea and vomiting every morning for the past week. She admits she has been sexually active with 1 male partner in the past 4 months. She has never used any form of protection or contraceptive. She reports she took a home pregnancy test 1 week ago and that it was positive. She states her last menstrual period was almost 2 ½ months ago.
Past Health History: No history of health problems.
Surgical History: None.
Family History: Parents and siblings healthy.
Social History: Lives with parents and one older female sibling in a single-dwelling home. She is a college student in a local private Christian college. She describes herself as an “A-student” and involved in several extracurricular school activities or athletics. She reports experimenting with alcohol and cigarettes when she was in junior high school but that “both made her so sick” that she did not continue to use. Denies illicit drug use in the past or present. She reports feeling safe in her home. She’s had a 21-year old boyfriend for the past two months. She denies history of emotional, sexual, and physical abuse. She reports she feels safe in her home and when she is with her boyfriend. FICA assessment reveals that is of Christian faith and belief and that her faith is very important to her. She attends church on Sunday and is an active member of her college discipleship group. She holds her faith as essential to her life and desires faith integration into her health care.
Diagnostic Testing: Urine HCG positive.
The Nurse Practitioner informs the patient that her urine pregnancy test is positive. The patient upon hearing of her pregnancy began weeping. She told the NP that her parents and her boyfriend would be devastated that she had become pregnant out of wedlock and that she was terrified to share this information with them. The NP listened compassionately and asked the patient to consider sharing the information with a trusted Christian mentor. The patient said she knew just who she would seek guidance. The NP also referred the patient to gynecology for prenatal care.
The NP is also a Christian, facing a spiritual dilemma, as she believes that life begins at conception and that abortion is morally and ethically wrong.
Complete the following initial post:
Student Groups will be assigned in the announcements section for this Module. Please refer to your specific assignment group and work with your peer students to start the Discussion topics below.
1. write a page. Identify and discuss a moral/ethical dilemma that the boyfriend is experiencing. Considering the NP Standards of Practice, the Nursing Code of Ethics and the six principles of spiritual interventions discussed in Shelly & Miller (2006) Chapter 14, discuss how the Christian NP should approach the counseling of the boyfriend in this situation.
2: write a half page . Identify and discuss a spiritual/moral/ethical dilemma that this NP is encountering. Considering the NP Standards of Practice, the Nursing Code of Ethics and the six principles of spiritual interventions discussed in Shelly & Miller (2006) Chapter 14, discuss how the Christian NP can establish a Biblically-integrated professional practice that prepares for encountering spiritual/ethical/moral dilemmas.
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