FAMILY DOCTORS DUTIES - CASE REPORT

Introduction and objective The doctor has a system of moral principles that apply values and judgments to the practice of medicine. We aim to present a case of domestic violence, bisexuality and HIV which compromise the family doctor duties. Methods Interviews and clinical file consulting. Results and conclusion A 22 years old female patient lives with her boyfriend, 28 years old, since February 2015. She has depressive and anxiety disorders history, augmented by her relationship since she founded her boyfriend is bisexual, HIV positive and wants her to get pregnant. At 12/01/2016 the patient consulted her family doctor, motivated by the worsening of her depressive symptoms. At consultation she referred suicidal ideation, in order to end physical, psychological and financial violence. Information was provided about Portuguese National Association for Victim Support and she was advised to present criminal complaint with the Legal Entities. In parallel, she was forward to Domestic Violence Team Support in our health centre. Despite civic campaigns, scholar subjects and reproached by law, the domestic violence and HIV are still real. After triggered the various components to support the patient, the difficulty remains for family doctor to combine professional confidentiality, the legal duty and professional doctor-patient relationship, since they are both patients of the same family doctor. Moreover, some other questions arise: is it possible an effective emotional isolation from the physician? Should the boyfriend be patient of the same doctor?