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Therefore, the legal and professional obligations of confidentiality that are rooted in the given principle of autonomy often are not easily overridden. For this case, continued deliberation weighs increasingly on the side of favouring the duty to inform and warn Linet…
Linet came alone to the clinic, though had been married for 7 years and the last born was 3 years of age. At the clinic, she stated that her husband did not know of her pregnancy as they had agreed 3 years ago not to have other children due to their financial difficulties. Linet was determined to have another child despite her husband’s ignorance on the issue.
When it came to HIV testing recommended as part of routine prenatal care, Susan declined saying they had both been tested with her husband before entering their marriage 7 years ago. She claims that she her first three children had been home delivered, and it is because of her complication that resulted in her last pregnancy, pre-eclampsia, that she decided to start attending clinics. Several weeks later, the nurse practitioner receives another new patient, “Peter Wanyama.” The patient states that he is concerned about occurrence of thrush symptoms, which had originally been treated 4 months ago. Peter states that he is HIV positive and had discovered his status 2 years ago. He is a long distance truck driver and sometimes sleeps out. He states that he always has protected sex with his wife. He says that in the past 1 year, he had been visiting an infectious disease specialist who lived 150 miles from where he lives. ...
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