ethics disscusion
Jasmine’s request for an abortion due to sexual abuse and the absence of parental consent raises significant ethical and legal dilemmas. Althea must juggle her role as Jasmine’s advocate while respecting her autonomy and privacy. Discuss the following three questions:
Consider the ethical principle of patient autonomy. How should Althea balance Jasmine’s right to make decisions about her healthcare with her vulnerability as a victim of sexual abuse?
Confidentiality is a cornerstone of patient care. How might a healthcare team member navigate their duty to maintain patient confidentiality while also addressing potential child abuse concerns involving the mother’s boyfriend?
Reflect on your ethical values and perspectives. How might your personal beliefs and experiences influence how you would navigate this challenging situation
SCRIPT
Whatever you need, I’m here. I got you. You can stay with me as long as you have to.0:43
Or if you need a ride anywhere. Whatever.0:49
Jasmine. We’re ready for you. You come with me?0:55
I don’t want to go in there alone. Of course. Hi, Jasmine.1:00
How are you? I’m fine. And you must be Jasmine’s friend.1:14
Yeah. I’m Alexis. It’s nice to meet you, Alexis. Jasmine is lucky to have you here.1:18
It’s always good to have support when you need to make a tough decision. I don’t need to make a decision.1:23
I know what I want. I want an abortion.1:29
Okay, well, we can give you information on how to schedule the procedure in the closest facilities.1:33
You mean you can’t do it here? No. We don’t perform abortions at this clinic, so Jasmine will have to go to a different clinic for the procedure.1:38
How much is it going to cost?1:46
Well, there are different variables, but I have read that Planned Parenthood usually costs around $600 in the first trimester.1:49
I don’t have $600 as an insurance to cover medical stuff.1:57
Jobs has insurance. Insurance only covers abortion if the pregnancy is life threatening or if the life of the fetus isn’t viable.2:01
But insurance does cover the costs of the visits that you’ve had with us at the clinic.2:11
Wait, I’m on my mom’s insurance. Is this going to show up on her bill?2:17
She can’t find out about this. What do you mean? My mom can’t know that I’m pregnant or that I’m getting an abortion.2:21
She’d hate me forever. It’s your mom. She wants to know how super Alicia she is.2:29
According to her, anybody that gets pregnant before marriage is going to [INAUDIBLE].2:33
But you can’t have this baby. Especially because it’s Alexis.2:37
I don’t. Is it more expensive after the first trimester?2:41
The cost usually does go up in the second trimester. Yes. Worry I can help you if $600 because that’s what would help.2:51
I just wish I had known to start saying within months ago. You mean before your mom’s boyfriend moved in?3:00
This is all because of him.3:07
Jasmine, it sounds like you’re in a really difficult situation and it’s a lot more complicated than I originally understood the first time we met.3:11
I’m getting this sense that where you’re living is not a safe space, and if that’s the case, social services can’t help you.3:20
No. No, they didn’t want to interview me or something.3:30
And then my mom would definitely find out about it. Jasmine.3:36
If your mother’s boyfriend coerced you or sexually assaulted you, I have to say something.3:42
I’m a mandated reporter. You said that because I’m pregnant, I’m medically emancipated, so I just cannot find out about this.3:47
Don’t you have to keep what Charles wants to do confidential?3:56
Like, how are you going to do that if you’re telling everybody that she’s pregnant by her mom’s boyfriend?3:59
I don’t talk about that. Okay. You don’t have to make a decision right now.4:03
Right. But I would like to know a couple of other things.4:07
You’re staying with Alexis right now, right? Yeah. She moved in after the last time she came here.4:11
Okay. And your home is a safe space, right? Of course.4:18
That’s why she’s there. Okay, this is a good place to start.4:22
Regardless of everything else, I. I need to talk to my supervisor to find out the best way that we can help you.4:26
Okay? She’s going to be all right. I’ll be right back.4:32
Everything all right? I don’t know.4:57
You remember that patient I was telling you about a couple of days ago?5:00
The teenager who was experiencing nausea. She’s pregnant, wants to terminate.5:04
She has a boyfriend, so I assumed he was the father until I learned some pretty concerning details about her living situation.5:10
It turns out that she was impregnated by your mother’s boyfriend.5:18
You know, it’s awful.5:22
Yeah. She’s 15, right?5:27
Mm hmm. We have to report that she’s adamant that her mother not know she’s on her policy.5:31
She doesn’t even want this visit sent to insurance.5:38
She’s afraid someone might see it on the statement. So I don’t know how we’re going to keep this a secret if we involve a social worker.5:41
This is a lot to navigate, and I’m honestly worried about what might happen to her if I don’t handle this correctly.5:49
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