Medical Indications

A female 15-year-old came in with abdominal pains, says she has done ecstasy once and is sexually active. Her diagnosis shows that she is 21-25 weeks pregnant and dehydrated. To help this she would need prenatal care as soon as possible to prevent a miscarriage also hydration to prevent further dehydration. This is a critical problem for both the fetus and the mother and the goals of the treatment that can be offered to her are for a healthy pregnancy and bring her health back to normal. There are very high probabilities of having a successful pregnancy if she does the treatment. The case does not indicate what the plans are in case of therapeutic failure are. In this case, Casey can benefit by having a healthy normal pregnancy and will no longer be dehydrated. Going through with the treatment will avoid most harm that comes with a pregnancy.

Patient Preferences

The patient has refused treatment and wants to terminate the pregnancy. She understands the benefits and risks of the situation and still refuses treatment. Although she is mentally capable of giving her consent she cannot legally give it, being that she is only 15 years old and would need her parents consent for any kind of treatment. The case does not indicate about any prior preferences that she’s had or who could be an appropriate surrogate. She is unwilling to cooperate with medical treatment because she does not want her parents to know about the pregnancy. Ethically, she has been offered treatment but simply refuses to take it, and she is too young to be respected legally and also too far into her pregnancy.

Quality of Life

With treatment the patient will get healthy again and have a normal pregnancy with little to no complications, without treatment it could result in a miscarriage and her health will become worse. The case does not indicate any bias’. There will be no physical or mental deficits that she will experience if the treatment succeeds, socially she will most likely just not be able to do things a normal teenager would usually be able to do. The case does not indicate whether or not she finds life undesirable. The plan was to give her treatment but she refuses to get any kind of treatment. The case does not indicate any plans for comfort and palliative care.

Contextual Features

The only family issues that could influence the treatment decisions are her parents. The issue between the physician and Casey could also influence the decision on the treatments. The case does not indicate any financial or economic factors, and also does not indicate any religious or cultural factors. Since she is underage confidentiality would have to be breached because she cannot get any treatment without the consent of her parents. The case does not indicate if clinical research or teaching is involved. The physician could provide her with a pregnancy with little to no complications, but she still refuses treatment.


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