FPC: adolescent patient Flashcards
(30 cards)
What age is considered the start of adolescent?
11-12
What happens emotionally in early adolescence?
Able to weigh several viewpoints
What happens in terms of morals in early adolescence?
Begin to understand right vs wrong beyond fear of punishment
What happens academically in early adolescence?
Begin algebra
What happens socially in early adolescence?
Mostly interested in same sex peer groups
What happens physically in mid adolescence?
Becoming more accepting of changing body
What happens emotionally in mid adolescence?
Strained parental relationships
What happens morally in mid adolescence?
Developing a personal code of ethics
What happens socially in mid adolescence?
Experimenting with affiliating with specific peer groups (cliques)
What happens sexually in mid adolescence?
May be dating and take part in same sex experimentation
What happens physically in late adolescence?
Less stable body image as physical changes slow down
What happens emotionally in late adolescence?
Less self-centered and capable of understanding delayed gratification
What happens morally in late adolescence?
Focus of justice, patriotism, history
What happens academically in late adolescence?
Future-oriented and focused on future plans
What happens socially and sexually in late adolescence?
Intimate relationships may become more important than peer relationships
What are some aspects of introduction in the adolescent interview?
Introduce yourself to the patient first and the caregiver if present, explain visit format
What is involved in an adolescent well check HPI?
Diet, elimination, sleep habits, school, activities, behavior
What is involved in the confidential history of the adolescent patient?
Screen for risk-taking behaviors and provide individual counseling
What would make a conversation no longer confidential?
Someone presents a risk of harm to themselves or someone else
What is a mature minor?
State law allowing patient to consent to medical care without parental consent
What is the mature minor age?
16
What pneumonic is used for social interview?
HEADSS
What are the parts of the adolescent social interview?
Home, education/employment, activities, depression, substance use, sexual activity/sexuality
What are some important things to avoid in the adolescent confidential interview?
Make assumptions about risky behavior, visibly react, lecture, make promises about not telling caregivers
