peds- adolescent medicine Flashcards
what age is “early adolescence”? what is the “thinking”?
10-14 year olds
Thinking: Concrete Operational
what age is “middle adolescence”? what is the “thinking”?
15-16 year olds
Thinking: Concrete to Formal Operational
what age is “late adolescence”? what is the “thinking”?
17-20+++ year olds
Thinking: Formal Operational
what 4 things make up concrete operational thinking
Egocentric
Imaginary audience
Focus on present and immediate consequences of actions
Lack of insight
what 3 things make up formal operational thinking
Contemplation of future
Introspection
Commitments to others
identity in middle adolescence
Introspective, begin to think of global issues
describe independence and identity in late adolescence
Independence: change back to ambivalence about real independence
Identity: Who am I with respect to others?
Education and job issues
what is the “HEADS model”?
guide for successful adolescent interview:
home, education, activities, drugs/substances, sexuality
in the state of VA, we can talk about these two things with adolescents in private…
Family planning/Sexual Health
Mental Health
(unless risk harm to self or others)
what group of women? – pregnancy rate twice that of heterosexual counterparts
Sexual minority young women (bisexual)
__% of women < ___ who are pregnant have a second pregnancy before age 21
60%, < 19
3 types of emergency contraception, what other two things to consider?
Levonorgestrel – 1.5 mg once
Ulipristal (30 mg) once
IUD insertion
- Consider HIV prophylaxis & std screen
what has more estrogen exposure?- patch or pill?
patch, about 60% more estrogen - so not for HTN pts
what has more estrogen exposure?- patch or pill?
patch (norelgestromin/ethylin estradiol):
about 60% more estrogen - so not for HTN pts
2 supplements with the medorxyprogesterone shot
Supplement vitamin d and calcium and close monitoring for bones
