Risk-taking Behaviors - Unprotected Sex

Running head: CLINICAL ALGORITHM: RISK-TAKING BEHAVIORS
1
Risk-taking Behaviors: Unprotected Sex
Name
University Title
CLINICAL ALGORITHM: RISK-TAKING BEHAVIORS
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Discussion Board 16.1: Risk-taking Behaviors: Unprotected Sex
Prevalence of Unprotected Sex and Its Consequences
A huge number of young individuals engage in sexual risk behaviors that lead to
inadvertent health outcomes. The Center for Disease Control and Prevention (CDC, 2018)
reports that in 2015, 41% of U.S. high school students have reportedly had sexual intercourse.
The CDC further reports that 43% of those individuals had unprotected sex with 21% having
sex under the influence of alcohol or other intoxicants. The CDC data further indicates that
bisexual, gay, and lesbian high school students are at a high risk for unintended pregnancies,
contracting sexually transmitted diseases such as HIV, as well as other STD’s. With regard to
prevalence rates, the CDC reports that in 2016, about 21% of all young individuals aged 13-
24 accounted for all new HIV diagnoses in the U.S. Of these, 81% were bisexual and gay
males. In addition, about 10 million new STD cases reported every year consisted of
individuals aged between 15 to 24 years (CDC, 2018).
Social and Cultural Circumstances
Patra (2016) observed that teenagers are at a higher risk of contracting HIV owing to
socio-cultural pressures, behavioral factors, and stage of physical maturity. Early
commencement into sexual activity was also identified as a risk factor alongside other socio-
cultural factors such as pessimistic attitudes, low rate condom use, multiple partners, repeated
partner changes, as well as short-term relationships. Patra’s study additionally identified
women as being the most vulnerable group with factors such as lack of education and
unemployment being considered revealing factors for their increased susceptibility to HIV
infection (Patra, 2016). Other factors include cultural practices of multiple sex partners, early
marriages, polygamy amongst certain communities, and unsafe sex.
Subjective:
Chief Complaint
CLINICAL ALGORITHM: RISK-TAKING BEHAVIORS
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Patient complains of severe itchiness around the vaginal area with yellowish vagina
discharge.
History of Current Illness
The 23-year-old student claims she started feeling intense itchiness around her vagina
around two days ago. The discharge did not start until a few hours before showing up at the
ER. Patient denies having any linked odor with her discharge.
Past Medical History
Evaluated and found to be of no consequential effect.
Prior Home Medications
Patient took Monistat OTC in the morning after feeling some discomfort for a little
while. The symptoms subsided but the discharge continued.
Allergies Noted
Patient denies any allergy to foods or medications
Past Surgical History
The patient indicates to have had a previous Left forearm AV-fistula placement and
bilateral knee replacement.
Social/Personal History
The patient has a history of recreation drugs, including ecstasy, alcohol, and often
smokes marijuana.
Objective:
Testing
Hematology
LACTIC ACID: 1.9
BNP: 7320(H)
HCT: 34.8 (L)
PLT: 218
MCHC: 31.7
CLINICAL ALGORITHM: RISK-TAKING BEHAVIORS
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MCH 29.0 (L)
HGB: 11.8 (L)
MCV: 86.9
WBC: 15.2(H)
RBC: 4.35
Blood culture pending
Assessment
A 23-year-old female patient shows up to the ER with claims of intense itchiness
around her vagina around two days ago. She additionally states she has a yellowish discharge
which began not long ago prior to her admission. Patient denies having any linked odor with
her discharge. Upon examination, there was suprapubic tenderness on palpation. Here was
also moderate leucorrhea noted.
Diagnosis
Potential sexually transmitted disease-related vaginitis, for instance, trichomoniasis,
gonorrhea, or chlamydia.
Plan:
Treatment
Conduct pregnancy test
Provide lessons about safe sex
Carryout pelvic exam to acquire samples for culture
Prescribe antibiotics as required upon obtaining culture results.
CLINICAL ALGORITHM: RISK-TAKING BEHAVIORS
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References
Centers for Disease Control and Prevention. (2018). Sexual Risk Behaviors: HIV, STD, &
Teen Pregnancy Prevention, Adolescent and School Health. Retrieved from
https://www.cdc.gov/healthyyouth/sexualbehaviors/.
Patra, S. (2016). Socio-cultural correlates and risky sexual behavior influencing prevalence of
HIV/AIDS and STIs in Uganda: A gender perspective. Cogent Social Sciences, 2(1),
1166472.

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