Terry's case: A Youth at Risk

Question 1

Terry, 19 years old, presents to the emergency department of your hospital with a fever and phlebitis of his left arm. You suspect that the phlebitis is a result of injection drug use. Because of the severity of his symptoms and the need for iv antibiotics, you admit Terry to hospital.

Now, 2 days later, you have effectively managed Terry's phlebitis. You have ruled out other possible underlying medical conditions such as endocarditis and medication reactions. As you suspected, it would appear that Terry's phlebitis is related to injection drug use. Terry has been quite unwilling to provide you with any further information.

You note on Terry's admission form that he is lacking a health card and he lists no permanent address.

What should your next steps be?

1. Discharge Terry now that his phlebitis and fever have been appropriately managed.
2. Charge Terry for his hospital stay since he is lacking a health card.
3. Realize that Terry is a youth at risk and use this opportunity to address his health risks.
4. Since you suspect Terry uses injection drugs, discharge Terry into police custody.