Case Study Option 1: CONTRACEPTION

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Casey, a 17-year-old female, G0P0, presents to the clinic asking for a contraceptive method. She
shares that she has never used any birth control except for foam purchased over the counter. She
says her boyfriend uses condoms, but not all the time. She has had 3 lifetime partners beginning
with her first boyfriend at age 15. This is her first visit for an exam and she is “kind of scared.”
She says that the last time she and her boyfriend had sex, they did not use condoms or foam. She
heard her friend talk about a shot, but she is afraid of needles and wants to know what else she
can use. She shares that she has never been ill, does not take any medication, smokes marijuana
on the weekends with her boyfriend, and sometimes drinks alcohol.
On exam, her height is 5′ 2″, weight is 105lbs, and BP is 110/62.
1. What additional history is required before discussing birth control options?
2. What assessment and labs must you obtain for this visit before prescribing hormonal
contraceptives?
3. Which contraceptive methods will suit her needs? And why? Which methods are not
recommended for Casey and why?
4. What information will you provide regarding each contraceptive method recommended?
5. What additional education will you provide for Casey?

 

 

Sample Solution

Case Study Option 1: CONTRACEPTION

Modern contraceptives are very effective when used correctly and, thus, effective counseling regarding contraceptive options and provision of resources to increase access are key components of adolescent health care. Screening for sexually transmitted diseases is important, but performing these tests or waiting for results should not delay a prescription for hormonal birth control. Medical history and blood pressure measurement are the most useful screening approaches to detect contraindications to hormonal contraception use. Before you get birth control pills, your doctor may want you to have a pelvic exam with a Pap test. Your doctor should get a complete medical history before giving you a prescription for birth control pills. But you usually don’t need a Pap test and pelvic exam, especially if you are a teen.

 

 

 

 

The Progession of Poems
Adrienne Rich and Paulo Freire share a common theme in transition and society. Both are talking about the transformation of society and the relationship people have in writing. Freire talked about the way teachers teach the students, and there is no contradiction as they are sitting there waiting for information. Rich uses a similar theory in her essay “When we die” where she talks about society and how it is suppressed. Both have similar theories, but they have different ways to express their arguments.

“When doing mechanical language training in a mechanical way, students can train like well-trained parrots.When stimulating, students can repeat the whole thoroughly. :: ^ In addition to the received teaching materials, students must take the first lesson to apply what they remember or what they are doing to the communication context designed by the classroom group. In the mid-seventies This approach was proposed due to dissatisfaction with structural and behavioral language teaching methods, which is currently widely used in textbooks not only in the west but also in our Libya school training centers. In addition to secondary school textbooks, most petroleum departments and bank training centers apply this method to English classes.

Talk about playing that language! This is a wonderful poem that teaches students the flexibility of language. The interesting thing about this poem is that students can understand what is going on, even if there are meaningless words like “vorpal” or “uffish”. A monster named “bandersnatch” captures the imagination of the student. Lewis Carroll uses portmanteaus to create new words – this is an interesting challenge to have your own students try. This is a poem that I like to make my students bit me. I handed it to them and waited. My student sat for a while, and I will assign a burn about it. A few minutes later, the students showed a reaction “Oh”. Candlelight is a rather annoying symbol in literature, but I always like Edna St. Vincent Mirei to overturn our expectations for this poem. The students said they were proud of themselves, sadness, full of hope, and a little lost. I like 4 rows of packaging very much!

One poem per day: National Poetry Poems by 30 junior high school students at month (or other time)

 

 

 

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