Transitioning to Adult care

Question 1

Why may this transition be hard for some adolescents and not for others?

Answer 1

support system, etc

Question 2

What immunizations need to be updated prior to college?

Answer 2

• PPD: many school require
• Menactra booster (if did not receive at 16)
• Flu
• Tdap
• Varicella #2
• HPV
• HAV
• Advise to have immunizations prior to study abroad / travel

Question 3

To Do list for transitioning ados to adult care

Answer 3

• Update medical hx
• Screen for health risk behaviors
• PE
• Update Immunizations
• Counseling / Education

Plan for maintenance of chronic health condition –they need to touch base before

Question 4

Anticipatory Guidance: How much protein will they need per day?

Answer 4

44-60g

Question 5

Anticipatory Guidance: How much iron will they need per day?

Answer 5

12 mg male/ 15 mg female

Question 6

Anticipatory Guidance: How much calcium will they need per day?

Answer 6

1200mg

Question 7

Anticipatory Guidance: How many calories will they need per day?

Answer 7

3,000 (+) male; 2200 female

Question 8

Anticipatory Guidance: How much water will they need per day?

Answer 8

minimum 64ox

Question 9

Anticipatory Guidance: How much exercise will they need per day?

Answer 9

20-30+ minutes several times/week

Question 10

Anticipatory Guidance: What important counseling can you give in regards to exercise?

Answer 10

Different opportunities: intramural, varsity teams, gym

Encourage activities now that they can dowithout a team - e.g., running

Question 11

Transitioning to adult care: What areas of anticipatory guidance will you need to focus on

Answer 11

Diet and nutrition

exercise

menstrual function

sexuality / STIs

Prevention of sexual assault

Injury prevention

Depression and suicide risk

Coping with stress

Question 12

Transitioning care: focus of PE

Answer 12

• Vision /hearing - can change a lot ~17yo. Ear buds – loud music can cause permanent hearing loss). Update vision Rx while still on insurance!
• Bp
• HT WT BMI
• Sexual maturity rating
• Acne: how will we manage while away?
• Breast exam / testicular exam
• Pelvic exam: yes maybe if they haven’t had and first can be w/someone they’re comfortable with. Pap at 21

Question 13

Transitioning care: lab tests

Answer 13

• CBC
• Total Cholesterol
• STI screening
• HIV / VDRL
• Urinalysis