2: Adolescent health Flashcards Preview

Child Health Week 1 2017/18 > 2: Adolescent health > Flashcards

Flashcards in 2: Adolescent health Deck (27)
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1

What is adolescence?

The period of time between puberty and becoming an adult

2

Which ethical principles are treated differently to children and adults versus adolescents?

Confidentiality

Capacity to consent

grey areas

3

What is meant by transition in terms of paediatrics?

Progression from paediatric to adult care and supporting patients through that 

4

What is the WHO definition of an adolescent?

10 - 19 years

5

In general, adolescence covers the ages of __ and __ and involves physical, social and psychological ___.

10 and 20 years

development

6

What staging system describes puberty?

Tanner staging

7

Which biological processes occur during adolescence?

Puberty

Growth (growth spurts)

CNS development (increase in grey matter and synaptic connections)

8

What does CNS development during adolescence aid with?

Decision making

9

What is abstract thinking?

Ability to think about things which aren't directly in front of you

Aids in decision making, applying ideas to different situations, thinking beyond the here and now

10

Abstract thinking is important to giving what?

Consent

11

What is the different between assent and consent?

Assent is an expression of agreement by a person (usually a minor) who does not have capacity to consent

Consent is given by someone with the capacity to do so

12

Which mnemonic is used to assess the developmental stage of an adolescent?

STEP

Sexual maturation and growth

Thinking

Education / employment

Parental and peer relationships

13

What is competency?

Legal term meaning ability to do something (i.e capacity)

i.e understand explanations, benefits and risks of treatment

give consent

understand that information applies to them

retain information

make a choice without pressure or coercion

 

14

Can young people under the age of 16 consent to treatment?

In Scotland, yes, if they have capacity

15

In Scotland, parents (can / cannot) authorise treatment a child has refused.

cannot

16

What is important if an adolescent is giving you sensitive information?

Confidentiality

17

How can the confidentiality of an adolescent be preserved in a consultation with their parents?

Ask parents to leave

18

When can a patient's confidentiality be broken?

When the patient or other patients would be put at risk without disclosure

Legal orders

19

What is the rule in Scotland regarding underage sex?

Having sex with someone under the age of 16 is illegal

(it's not in their interest to prosecute consentual sex between underage people of roughly the same age, more interested in finding out the circumstances behind it happening)

someone 18+ having sex with someone under 16 is never ok

20

What does looked after technically mean?

In local authority care

21

What age is associated with the highest rate of child mortality?

Under 1 year

22

After < 1 year, what age has the highest rate of child mortality?

Late adolescence (15 - 19)

due to risk-taking behaviours, RTAs etc.

 

23

Unhealthy adolescents almost universally turn into unhealthly ___.

adults

24

What mental health problems are commonly seen in adolescents?

Eating disorders

Depression, anxiety, psychosis

Chronic fatigue

Functional disorders (e.g psychosomatic GI problems with no underlying medical cause)

25

What long-term conditions are seen in adolescents?

Diabetes

Epilepsy

Asthma

Inflammatory bowel disease

26

What social things cause problems typically in adolescents?

Alcohol

Drugs

Sex

27

What must be considered, particularly in adolescent girls, when prescribing drugs?

Teratogenic drugs e.g anti-epileptics, methotrexate

Counselling