Question: Heading 2 Title BCc ABCcDd ABCDd AaBb C Subtitle Subtle Emp Emphasis Intense Em 2 Styles 5 Maria Started To Use Drugs At The Age Of 18. She Injected With A Group Of Friends, Who Would Share Needles. “I Wouldn’t Call Myself A Sex Worker, But Sometimes I Traded Sex For Drugs.” After Several Years Of Drug Use, When A Friend Tested Positive For HIV, Maria …

Heading 2 Title bCc ABCcDd ABCDd AaBb C Subtitle Subtle Emp Emphasis intense Em 2 Styles 5 Maria started to use drugs at the age of 18. She injected with a group of friends, who would share needles. “I wouldn’t call myself a sex worker, but sometimes I traded sex for drugs.” After several years of drug use, when a friend tested positive for HIV, Maria visited an AIDS Centre to be tested herself. When she returned to the Centre, Maria learned she was HIV positive. “I didn’t know what to say, what to ask. I was in shock. The counselor was concerned about everyone but me. Who had I shared needles with? had sex with?” The counselor instructed Maria that she must change her behavior. “If you spread the virus, you can be criminally charged and sent to jail.”Maria was required to sign a document that she understood these conditions. She left the AIDS Centre feeling judged and angry. “It wasn’t my fault. Someone gave me the virus.” Maria thought the system was unfair. She convinced herself the test was wrong. She did not experience any symptoms and did not seek any treatment Through a community outreach program, Maria received treatment for her drug use. At 28 years old. Maria was drug-free for two-years and lived with her husband, Nikolay, who is also tested for positive HIV. Maria recently became pregnant. Maria and Nikolay were ecstatic about being parents. When Maria experienced pain in her lower abdomen, she visited Brimley Medical. Dr. Minkov diagnosed a tubal ectopic pregnancy, the fertilized egg had implanted outside the uterus in the fallopian tube. Dr. Minkov informed Maria that he must perform surgery and that she would lose the pregnancy. Devastated, Maria disclosed that she tested HIV positive several years ago. She worried that her status had affected the pregnancy. Dr. Minkov replied that there was little time to discuss the matter before surgery. He stated: “I will treat the ectopic pregnancy by surgical intervention. Given the circumstances, I assume you do not plan to have any future children, so we will not worry about preserving fertility.” Maria asked again about the effect of her HIV status on her pregnancy: “Can I have a healthy child?”Dr. Minlov curtly answered, “Sure prevention exists to protect against mother-to-child transmission, but it’s not as effective. Sterilization is 100%.” He then informed Maria that sterilization is a general condition of maternal care for HIV-positive women. “It’s hospital policy. If you don’t agree. I will need to call senior administration.” Maria asked for more time and an opportunity to talk with Nikolay before making a decision. Rather than informing Nikolay of Maria’s request, Dr. Minkov had Nikolay sign She asked: “Are you sease to your child. It is a blessing you did not have the Deliverables, Format, and Marking Scheme for This Week’s Case Study Your task is to respond to the following questions: 1. Describe the link between patient and family-centered care and patient outcomes 2. Do you think the health care providers follow the core concepts of the PFCC (1.dignity and respect, 2. Information sharing, 3. Participation, 4. Collaboration). If yes, explain. If no, why? 3. List specific behaviors health care providers should practice when meeting Maria and her husband in order to treat them with dignity and respect and describe the steps health care providers can take to create partnerships with Maria and her husband. 4. As a leader, how would you address this problem? Discuss your role in promoting the well- being of Maria and her husband. 5. Describe how patient and family-centered care can improve patient safety and the quality of care delivered using examples from this case. Please prenare ananarin