Weight changes with Jennifer
Jennifer is a 16/yo White female. Mother states her daughter doesn’t each much. States
her teeth are starting to look bad. Mother believes her daughter is sexually active. She wonders when
her daughter should start getting female exams and wants you to talk to her about all her
contraceptive options and which would be best for her and why. Mother reports that she thinks her
daughter drinks and sneaks some of her smokes every-once-in-a-while. No significant PMH. No
medications. No known drug allergies. BMI 16.
Impression/concerns
Are you okay with Ginger remaining in the room while I ask you some questions regarding
your health? Have you started your first period? If so, when was you last period? Are you
sexually active? How many sexual partners? Do you participate in oral, vaginally sexual
activities? Do you have any itching, burning, or discharge in your vaginal area? What is a
good idea weight for you? Are you happy with your current weight? How much weight
have you lost in the last month? The clothes you wear, do they fit tight, snuggly, or baggy?
Do you like to exercise? If so, how many hours. What do you usually eat on a typical day?
Do you eat a lot of food within 2-3 hours? Do you have a sense of knowing when to stop
eating? Do you use overt the counter laxatives, Diuretics? When was your last bowel
movement? Are you constipated at times? Do you have any teeth sensitivity, dry mouth,
dry or cracked skin? Have you ever vomited because you were uncomfortably full? If you
start birth control, do you think you will remember to take a pill every day at the same
time?
Questions for Ginger-Have you noticed any weight changes with Jennifer? Does Jennifer go
to the bathroom after meals? Does Jennifer criticize her weight? Do you schedule regular
family mealtimes? Have you talked to Jennifer about your concerns? Do you think she will
be willing to have contraceptive counseling?