32.1 Chronic Illness Adolescents Flashcards
prevalence of chronic illness?
10-20% of young ppl
most prevalent cause of chronic illness?
obesity/overweight 20%
top 5 prevalence causes of chronic illness?
obesity 20% asthma: 5-10% anorexia 0.5 T1DM CF
which common conditions does puberty affect?
epilepsy may worsen
asthma: cause of smoking
Diabetes
common reason for delayed puberty?
- chronic systemic illness/malnutrition
- hypothalamic hypopituitarism
- prader willi
- genetic: Turner
common reason for early puberty?
- obesity
- tumours: CNS
- hypothalamic disorders
what are relatively adaptive responses?
denial
regression
intellectualisation
how does ‘prolongation of adolescence’ happen in chronic conditions?
- overprotection
- limitation of peer contact
- lack of appropriate role models
- lack of opportunity for employment
3 factors in formulating management plan for adolescents with chronic illness?
- psychosocial
- severity of illness
- engage adolescent/family
adherence adolescents with chronic illness, what decreases it?
- time consuming
- no apparent benefit
- no end point
what helps with adherence for adolescents with chronic illness?
- having a routine
2. perceived importance
what was the best protective factor for adherence in adolescents with chronic illness?
organisation/cohesion in the family support
what factors enhancing resilience in adolescents with chronic illness?
- self perception as not handicapped
- involved with household chores/part-time work
- family/peer support
- network of friends with and without disability
