Teen 13-18

Card Set Information

Author:
servinggod247
ID:
292898
Filename:
Teen 13-18
Updated:
2015-01-13 14:10:44
Tags:
pediatrics
Folders:
pediatrics
Description:
test 1
Show Answers:

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  1. Adolescence is what age
    13-18
  2. Girls will reach adult height during
    13-18
  3. Boys continue to grow till
    18-20
  4. Adolescents need annual exams but dont seek them because
    they are "healthy"
  5. Visits for illness should include
    health maintenance
  6. what is ideal at PCP
    teen waiting area
  7. What is different during doctors visits?
    parents may be asked to wait outside
  8. Girls stop growing when
    2.5 years after menarche
  9. Cognitive development
    • can evaluate quality of their own thinking
    • maintain attentions for longer periods
    • imaginative and idealistic
    • can use formal logic to make decisions
    • understands how actions of an individual influences others
  10. Activities
    • nonviolent video games
    • nonviolent music
    • social events
    • caring for a pet
    • career training groups
    • reading sports
  11. Nutrition/Activity
    • Encourage healthy eating habits
    • Ask about supplements
    • Teach meal planning
    • Assist with cooking
    • Assess for under- or overeating
    • Avoid using food as reward
  12. What extra vitamins needed
    calcium, iron, folic acid needed (especially for girls of childbearing age)
  13. Physical activity
    20 mins 3X per week
  14. Physical activity tends to
    decrease
  15. Sexual development in girls
    • breast development
    • pubic hair growth
    • axillary hair growth 
    • menstruation
  16. Male sexual development
    • testicular enlargement
    • pubic hair growth 
    • facial hair growth 
    • vocal changes
  17. Teenagers screenings
    • Scoliosis
    • Sexual maturity rating-Tanner scale
    • Breast or testicular exam
    • STDs, pelvic exam & Pap smear
    • if sexually active
    • Hearing screening
    • Lipid if family history 
    • TB tests 
    • BP
  18. Oral health
    • Floss daily
    • Brush QID
    • Regular exams & cleanings
    • Can d/c fluoride supplements at age 14
    • May desire whitening
    • May need corrective appliances
  19. common issues with teens
    • boundaries 
    • sleep 
    • spirituality 
    • sexuality
    • acne
    • body piercings and tats
    • sports overuse injuries
    • eating disorders
    • bullying
  20. sexuality issues
    • intimate partner violence
    • date rape
    • confusion about sexual orientation
  21. immunizations
    • when was last Tdap
    • Recieve 2nd MMR
    • Receive Hep A vaccine
    • Meningococcal vaccine
    • HPV for females 11-12 years ( 3 doses) and 13-26 years if has not recieved
    • Annual flu
  22. What to do when discussing sexuality
    • provide accurate info and discuss what is heard from peers
    • emphasize abstincence and safe sex 
    • provide info on preventing STDs
    • Provide atmosphere where they are comfy asking questions
  23. Mental health
    • Be aware of changes in mood
    • Monitor for self-harm
    • Lack of interest
    • Social isolation
    • Disturbances in sleep or appetite
    • Expression of suicidal thoughts
  24. MVA- learning to drive
    • seat belt use
    • no textin/calling
  25. sport injuries
    • use of protective gear
    • ensure coaches are competent
  26. drowning
    • never swim alone
    • rulse about risk
  27. Teach about ETOH and
    drug abuse
  28. Injury prevention
    • sunscreen 
    • avoid loud music
    • drowning
    • teach about ETOH and drug abuse 
    • sport injuries
    • MVA
  29. Teens and Hospitalization
    • Loss of independence, control
    • Loss of privacy
    • Fear of bodily injury or changes in body image
    • Fear of disability, pain, death
    • Separation from peers, home, school
    • Respect privacy
    •       Knock
    •       Ask permission if able
    • Allowing choices
    • Flexible visiting hrs
    • Allowing social networking
    • Internet access
    • Teen lounge
  30. Family experiences
    reinforcing parenthood: talk, find out what role they want to play 

    share the emotional burden: exhaustion common

    supporting everyday coping: counseling

    Confidential relationship

    Provide up to date information

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