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SB_CPS Statements (Pediatrics Royal College 2018) > Meeting the needs of adolescent parents and their children > Flashcards

Meeting the needs of adolescent parents and their children Flashcards

1
Q

How many infants are born to adolescent parents each year in Canada?

A

13 000

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2
Q

What are some needs/issues of the adolescent mother?

A
  1. Interpersonal violence
  2. Relationship conflict
  3. Abuse and Trauma
  4. Educational challenges
  5. Employment challenges
  6. Financial challenges
  7. Depression
  8. PTSD
  9. Anxiety
  10. Substance misuse
  11. Access to birth control
  12. STI
  13. Preventing and managing repeat prgnancies
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3
Q

What additional things need to be addressed with adolescent parents?

A
  1. Provide anticipatory guidance

2. Provide assessments and teaching around growth and development, nutrition, feeding, sleep, safety and immunizations

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4
Q

What areas of vulnerability are present in children of adolescents?

A
  1. Difficulties in speech and language development
  2. Less engagement in preventative health maintenance visits
  3. More frequent use of acute care services
  4. Neglect
  5. Unintentional injury
  6. Disorders of attachment and regulation
  7. Behavior problems
  8. Maltreatment
  9. Exposure to interpersonal violence
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5
Q

What percentage of adolescent fathers live with their child?

A

20%

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6
Q

What percentage of adolescent fathers visit their child on a weekly basis?

A

50%

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7
Q

What is the recommended model of care for adolescent parents and their children?

A

Medical home model

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8
Q

What are screening tools or growth and development?

A

Greig Health Record

BMI

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9
Q

What are the recommendations for immunizations?

A

Ensure both parent and child are up to date

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10
Q

What are the screening questions to ask regarding nutrition/food security?

A

Screen for body image concerns and nutrient deficiencies:

a) “How do you feel about your body changing?”
b) “Do you worry about having enough money to buy food?”

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11
Q

What are the screening questions to ask for acute illness management?

A

“Do you have the medications and equipment that you need in order to feel well?”

“Do you have the funds or insurance coverage to be able to pay for this treatment?”

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12
Q

What are the recommendations regarding lactation support?

A

Refer to a local breastfeeding clinic or a public health unit/nurse

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13
Q

What are the recommendations for psychosocial assessment?

A
  1. HEEADSSS (Home / Education, employment / Eating / Activities / Drugs / Sexuality / Suicide, depression / Safety)
  2. SSHADESS (Strengths / School / Home / Activities / Drugs/substances / Emotions/eating/depression / Sexuality / Safety)
  3. Refer to youth services/social services/local mental health agencies
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14
Q

What are the screening questions to ask for sexual health?

A

“Do you have any sexual health needs? I can help with this care or I can tell you about local sexual health clinics. What would you prefer?”

Birth control - www.sexualityandu.ca

STI screening/treatment

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15
Q

What are screening tools for depression?

A
  1. Beck Depression Inventory (BDI)

2. Patient Health Questionnaire (PHQ-9)

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16
Q

What are screening tools for postpartum depression?

A

Edinburgh Postnatal Depression Screen (EPDS)

17
Q

What are screening tools for substance use?

A

CRAFFT substance abuse

18
Q

What are screening tools for anxiety?

A

SCARED

19
Q

What are screening tools for trauma/PTSD?

A

The (abbreviated) UCLA PTSD Reaction Index

20
Q

What are screening questions on interpersonal violence/safety?

A

“Do you feel safe in your relationships with your partner and family members?”

“Have you been physically hurt, threatened, afraid or forced sexually in any way in the last six months?”“Have you had any involvement with child protection services?”

Develop a safety plan including assault help-line numbers and information about local shelters to have ready for quick mobilization in case of safety risk or crisis
21
Q

What are screening questions on parenting support?

A

“Do you have the supports and resources you need to parent in the ways that you would like?”

Refer to adolescent-specific services whenever possible, including public health or young parent resources centres (formerly known as maternity homes), mental health services or support services offered by child protection agencies, as needed
22
Q

What are screening questions on finances?

A

“Do you have any concerns about having enough money to pay your bills or to buy what you need for you and your child?”

Use region-specific practical tools to screen for child poverty in primary care:
23
Q

What are screening questions on housing?

A

“Do you have any concerns about where you live? About being able to pay rent or becoming homeless?”

24
Q

What are screening questions on education?

A

“Do you have access to a school that helps you pursue your own educational goals?”

25
Q

What are screening questions on employment?

A

“Do you need help with securing employment or pursuing your career goals?”

26
Q

What are screening questions on child care?

A

“Do you have child care arrangements that are safe, affordable and reliable, and that allow you to attend work or school appointments?”

27
Q

What are screening questions on legal?

A

“Do you have any concerns about immigration or custody and access or other legal issues that may require the advice of a lawyer?”

28
Q

What are the suggested screening tools, questions and resources re: infant mental health?

A

Observe and discuss mother-child relationship, attachment, interactions, emotional regulation, sleep, feeding and developmentally appropriate behaviours

ASQ-SE
29
Q

What are the suggested screening tools, questions and resources re: early intervention?

A
  1. Promote early literacy and communication: Use CPS “Read, speak, sing” information as yourstarting point: http://www.cps.ca/en/issues-questions/literacy
  2. Refer to preschool speech and language services, as needed
  3. Provide contact information for child development centres, children’s mental health centres, local public library programs, nursery schools, child care centres and subsidy information, as needed
30
Q

What are the suggested screening tools, questions and resources re: safety?

A
  1. Offer developmentally appropriate anticipatory guidance
  2. Refer to Health Canada’s consumer product safety website (http://www.hc-sc.gc.ca/cps-spc/index-eng.php) for essential equipment information such as crib safety, and to Transport Canada for safe car seat practices (http://www.tc.gc.ca/eng/motorvehiclesafety/safedrivers-childsafety-index-53.htm)
  3. Assess for child maltreatment and exposure to interpersonal violence. Consult with child protection services as required.
31
Q

What are the suggested screening tools, questions and resources re: behaviors?

A
  1. Observe and ask about parenting strategies, approaches to discipline, parent-child interactions, stress factors
  2. Provide contact information for adolescent-specific community supports and family services, whenever possible

SB_CPS Statements (Pediatrics Royal College 2018) (223 decks)

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