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I’m trying to study for my Article Writing course and I need some help to understand this question.Ethical/Legal Dilemmas: Individual vs. Public Health Protection Situation A nurse in a community clinic is having a follow-up visit with V.T., a 38-yr-old woman who was diagnosed with HIV infection during her annual examination 2 weeks ago. During the visit, V.T. discloses that her partner verbally and physically abuses her. V.T. says she had not yet told her partner about the HIV diagnosis because she is afraid that he will hurt her. She has not used any protection during sex with him since she learned of her test results because she suspects he infected her. Ethical/Legal Points for Consideration You face a conflict between preventing further harm to V.T. (possible increase in intimate partner violence), providing care to her partner (his need for an HIV test, diagnosis, and treatment), and protecting the public health (potential spread of HIV infection to her partner or from her partner to others in the community). Patient teaching and support are essential because your primary obligation is to the patient.
• Because relevant law varies from state to state, your first step is to be familiar with your state law concerning mandated reporting for domestic partner abuse and infectious diseases.
• Federal laws about protection of privacy in HIV testing apply everywhere.
• In many states, reporting domestic abuse is mandatory only when the reporter actually witnesses the abuse or when the immediate effects of the abuse (e.g., wounds, contusions, broken bones) are witnessed.1 (Links to an external site.)
• You should be familiar with crisis counseling services for V.T. and offer her the following advice: Collect and stash a set of car keys or taxi money in a safe place, keep a bag packed and hidden or even stored in a locker somewhere accessible, develop a code phrase to use with a friend or family member to call for help, keep a cell phone charged, and have money hidden in a safe place.
Discussion Questions 1. Within the parameters of your state’s requirements for reportable conditions, how can you protect the patient’s confidentiality to prevent further intimate partner violence?
2. What services does your state offer to notify a partner without disclosing the source patient’s name? How would V.T. access those services in your state?
3. How can you protect the partner from possible infection while also protecting V.T. from further violence?
4. How can you best address the issue of intimate partner violence? What resources would V.T. have in your community?
5. Discuss the benefits of universal, voluntary testing in light of V.T.’s case.
Requirements: APA | Discussion | 2 pages, Double spaced