Adolescent patient Flashcards
Assessment
Home Education Employment Activities/hobbies Drugs Diet Sexual activity, contraception, STD Social->alcohol, drugs, peers Suicide risk->mood, psychiatric
What is Gilleck compentency/Fraser guidelines and contraception
- A child or young person can give valid consent to treatment when the child has achieved a sufficient level of understanding and maturity to enable them to understand fully what is proposed. This is known as “Gillick competence” or the “mature minor” doctrine
- Gillick competency and Fraser guidelines refer to a legal case which looked specifically at whether doctors should be able to give contraceptive advice or treatment to under 16-year-olds without parental consent.
- The Fraser guidelines refer to the guidelines set out by Lord Fraser in his judgement of the Gillick case in the House of Lords (1985), which apply specifically to contraceptive advice. Lord Fraser stated that a doctor could proceed to give advice and treatment:
“provided he is satisfied in the following criteria:
a. that the girl (although under the age of 16 years of age) will understand his advice;
b. that he cannot persuade her to inform her parents or to allow him to inform the parents that she is seeking contraceptive advice;
c. that she is very likely to continue having sexual intercourse with or without contraceptive treatment;
d. that unless she receives contraceptive advice or treatment her physical or mental health or both are likely to suffer;
e. that her best interests require him to give her contraceptive advice, treatment or both without the parental consent.”
Preparticipation exam->athlete, what should prompt referral to cardiology
Any adolescent with stigmata of Marfan syndrome, a murmur suggestive of hypertrophic cardiomyopathy, with a grade 3/6 or louder systolic murmur, or any diastolic murmur should be evaluated by a cardiologist prior to clearance for athletic participation.
How is gillick competence assessed
