The essay aims to address a two-fold objective to wit: (1) to analyze the case study presented; and (2) to answer seven relevant questions pertaining to the case study and sexuality issues among female teenagers.
1. Can a practitioner provide family planning services to a minor…
Department of Health and Human Services (2003), a personal representative is a person who has the legal authority to make health care decisions on behalf of the individual as in the case of minors (n.p.). Parents are often the personal representatives of minor children; thus, parents have the right to obtain health information about a minor child. However, the Privacy Rule specifies three circumstances in which certain minors can obtain specified health care without parental consent such as when the State or law does not require parental consent when obtaining particular health services (e.g., mental health treatment), when the court determines other authority rather than the parents to make treatment decisions for the minor, and when the parent to confidential relationship between the minor and the physician (U.S. Department of Health and Human Services, 2003, n.p.). In the case study presented, the 14-year-old teenager in an unemancipated minor with parents acting as the legal authority. Under the Privacy Rule, one has to get the consent and agreement of a parent to a confidential relationship between the minor and the physician prior to the provision of health care services; however, family planning services such as use of contraceptives allow minors to give their own consent and a practitioner could provide family planning services to a minor without parental knowledge. Provided that confidentiality is given to the adolescent, the real challenge lies on billing and third-party reimbursement. A physician can prevent the transfer of billing/insurance information to reach parents by letting the minors use the option of requesting restrictions on disclosure of confidential communications.
According to Pillitteri (2009), the normal or usual age range for menarche is 9 to 17 years with average age of onset at 12.4 years (p. 99). The 14-year-old female in the case study ...
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