BOOK
Adolescent Medicine, An Issue of Primary Care: Clinics in Office Practice, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of Primary Care: Clinics in Office Practice, devoted to Adolescent Medicine, is edited by Drs. William B. Shore, Francesco Leanza, and Nicole Chaisson. Articles in this issue include: Health Care Maintenance for Adolescents; Adolescent Growth and Development; Puberty; Current Concepts of Psychosocial Development; Body Image and Health: Eating Disorders and Obesity; Working with Families with Adolescents; Care for Adolescents with Developmental Delay; Sports Medicine; Sports Injuries; Teens and Technology; Care of Incarcerated Youth; Mental Illness in Adolescence; Substance Use/Abuse; Current Approach to Contraception and Pregnancy; Oral/Hormonal Contraception; Sexually Transmitted Infections; Teen Sexuality and GLBT Youth; and Bullying and Violence Prevention.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Adolescent Medicine | i | ||
| Copyright | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Primary Care:\rClinics In Office Practice | xii | ||
| Foreword | xiii | ||
| Preface | xv | ||
| Adolescent Health Care Maintenance in a Teen-Friendly Clinic | 451 | ||
| Key points | 451 | ||
| Caring for teens in the primary care setting | 451 | ||
| Communication with Teens and Their Families | 451 | ||
| Systems/Structure | 452 | ||
| Minor consent and confidentiality | 453 | ||
| Strengths and resiliency | 454 | ||
| Assessing risk factors | 454 | ||
| Psychosocial screening tools | 454 | ||
| Health maintenance and screening | 455 | ||
| Immunizations | 459 | ||
| Summary | 461 | ||
| References | 462 | ||
| Adolescent Growth and Development | 465 | ||
| Key points | 465 | ||
| Introduction | 465 | ||
| Physical growth and development | 466 | ||
| Neuroendocrine Basis of Puberty | 466 | ||
| Hypothalamic Pituitary-Gonadal Axis | 467 | ||
| Adrenal Gland Changes | 467 | ||
| Growth Hormone Axes | 467 | ||
| Physical changes of puberty | 467 | ||
| Development of Secondary Sexual Characteristics | 467 | ||
| Height Growth | 469 | ||
| Body Composition | 471 | ||
| Approach to Normal Pubertal Variations and Abnormal Pubertal Growth and Development | 471 | ||
| Normal pubertal variations | 474 | ||
| Premature Adrenarche and Premature Thelarche | 474 | ||
| Abnormal growth and development | 476 | ||
| Precocious Puberty | 476 | ||
| Delayed Puberty | 477 | ||
| Short Stature | 480 | ||
| Tall Stature | 481 | ||
| Psychosocial growth and development | 481 | ||
| Developmental tasks and phases of adolescence | 482 | ||
| Cognitive development | 482 | ||
| Moral development | 482 | ||
| Self-concept and identity development | 482 | ||
| Relationship development | 483 | ||
| Adolescence as a social phenomenon: When does adolescence end? | 483 | ||
| References | 483 | ||
| Parents and Family Matter | 489 | ||
| Key points | 489 | ||
| Introduction | 490 | ||
| Why parents and family matter for adolescents | 491 | ||
| How Do Community and Neighborhood Factors Affect Parenting Practices and Ultimately Adolescent Health? | 492 | ||
| Optimizing primary care to meet the needs of adolescents and their families | 493 | ||
| The Current Status | 493 | ||
| Primary Care for Adolescents with Developmental Disabilities | 507 | ||
| Key points | 507 | ||
| Introduction | 507 | ||
| Definition of Developmental Disability | 507 | ||
| Barriers to Accessing Care | 508 | ||
| Interdisciplinary Team | 509 | ||
| Examination Room Etiquette | 509 | ||
| Assessment | 510 | ||
| Diagnostic Assessment | 510 | ||
| Developing Strengths | 510 | ||
| Adaptive Behavior | 510 | ||
| Communication | 510 | ||
| Establishing goals of care | 511 | ||
| Transition planning (patient centered) | 512 | ||
| Medical Summary | 512 | ||
| Health Passport | 512 | ||
| Documentation | 512 | ||
| Maximizing Social Environment | 513 | ||
| Maximizing Physical Environment | 513 | ||
| Improving Function-building Life Skills | 513 | ||
| Self-determination | 514 | ||
| Prevention of Abuse and Neglect | 514 | ||
| Bullying | 515 | ||
| Isolation/Seclusion | 515 | ||
| Navigating puberty | 515 | ||
| Changing Roles | 515 | ||
| Family Adjustment: Acceptance | 515 | ||
| Sexuality | 515 | ||
| Accessing Service Systems | 516 | ||
| Person-centered Planning | 516 | ||
| Monitoring health and safety | 516 | ||
| Care Management | 516 | ||
| Circles of Support | 516 | ||
| Crisis Intervention | 516 | ||
| Estate Planning | 517 | ||
| Summary | 517 | ||
| Acknowledgments | 517 | ||
| References | 517 | ||
| Body Image and Health | 519 | ||
| Key points | 519 | ||
| Introduction | 519 | ||
| Assessing eating behavior and activity in adolescents | 520 | ||
| The psychosocial context of eating behavior | 524 | ||
| Adolescent obesity screening, treatment, and referrals | 525 | ||
| Screening | 526 | ||
| Treatment | 526 | ||
| Referrals | 528 | ||
| Adolescent eating disorders screening and referrals | 528 | ||
| Screening and Diagnosis | 530 | ||
| Treatment | 532 | ||
| Summary | 534 | ||
| References | 535 | ||
| Common Issues Encountered in Adolescent Sports Medicine | 539 | ||
| Key points | 539 | ||
| Introduction | 539 | ||
| Preparticipation Cardiac Screening | 540 | ||
| Cardiac Physical Examination | 541 | ||
| Electrocardiogram | 542 | ||
| Sudden cardiac death | 543 | ||
| Hypertrophic Cardiomyopathy | 543 | ||
| Preparticipation Concussion Screening | 544 | ||
| Acute Concussion Diagnosis and Management | 545 | ||
| Recovery | 547 | ||
| Preparticipation Evaluation of Musculoskeletal Injuries | 550 | ||
| Traumatic Shoulder Injury | 550 | ||
| Nontraumatic Shoulder Injury | 551 | ||
| Anterior Knee Pain | 552 | ||
| Anterior Cruciate Ligament | 554 | ||
| The Adolescent Spine | 554 | ||
| Clearance to play | 555 | ||
| Summary | 556 | ||
| References | 557 | ||
| Teens, Technology, and Health Care | 559 | ||
| Key points | 559 | ||
| Introduction | 559 | ||
| Health Information Seeking Among Teens | 560 | ||
| Use of Technology for Health Care Engagement and Promotion Among Teens | 560 | ||
| Tools to Manage Chronic Illness | 562 | ||
| Sexual and reproductive health | 563 | ||
| Summary | 564 | ||
| References | 565 | ||
| Adolescent Substance Involvement Use and Abuse | 567 | ||
| Key points | 567 | ||
| Introduction | 567 | ||
| Risk and protective factors: vulnerability to SUDs | 568 | ||
| Prevalence/Incidence | 569 | ||
| Impact of substance use on adolescent health | 569 | ||
| Substances of abuse | 570 | ||
| Screening, brief intervention, and referral to treatment: a framework for addressing adolescent substance use | 571 | ||
| Screening | 571 | ||
| Tobacco Use: Special Considerations | 577 | ||
| Screening for Alcohol and Other Drugs of Abuse | 577 | ||
| Brief Intervention | 578 | ||
| Referral to Treatment | 582 | ||
| The Facilitated Referral | 583 | ||
| References | 583 | ||
| Mood Disorders in Adolescents | 587 | ||
| Key points | 587 | ||
| Introduction | 587 | ||
| Epidemiology and comorbidity | 588 | ||
| Risk factors | 588 | ||
| Recognizing symptoms of mood disorders in adolescents | 589 | ||
| Mental Status Examination | 590 | ||
| Screening and assessment | 590 | ||
| Depression Screening | 590 | ||
| BD Screening | 594 | ||
| Assessment of Mood Disorders | 594 | ||
| Suicide | 596 | ||
| Demographics | 596 | ||
| Risk Factors | 596 | ||
| Suicide Warning Signs and Assessment | 597 | ||
| Treatment | 598 | ||
| Psychosocial Interventions | 598 | ||
| Pharmacologic Interventions | 599 | ||
| Educating Families and Obtaining Consent | 600 | ||
| Referral to Mental Health Services | 600 | ||
| Case | 601 | ||
| Summary | 601 | ||
| References | 602 | ||
| Adolescent Pregnancy and Contraception | 607 | ||
| Key points | 607 | ||
| Case study | 607 | ||
| Introduction | 607 | ||
| Confidentiality, reproductive health, and the adolescent patient | 609 | ||
| Caring for the pregnant adolescent | 609 | ||
| Diagnosis and Screening | 609 | ||
| Pregnancy Options Counseling | 610 | ||
| Health Risks of Adolescent Pregnancy | 611 | ||
| Psychosocial Consequences | 611 | ||
| Improving Outcomes for Pregnant Adolescents | 612 | ||
| Pregnancy Prevention | 612 | ||
| First-line contraceptives for adolescents | 613 | ||
| When Can LARC Methods Be Initiated? | 614 | ||
| Contraceptive implant | 614 | ||
| Trouble-Shooting | 620 | ||
| Levonorgestrel IUD | 620 | ||
| Copper IUD | 621 | ||
| Trouble-Shooting IUDs | 621 | ||
| Second-line contraceptives | 621 | ||
| Depo-Medroxyprogesterone Acetate | 621 | ||
| Trouble-shooting | 623 | ||
| Combined Hormonal Contraception (Pills, Patch, Ring) | 623 | ||
| Trouble-shooting | 624 | ||
| Progestin-Only Pills | 624 | ||
| Emergency contraception | 624 | ||
| Dual methods | 625 | ||
| Summary | 625 | ||
| References | 625 | ||
| Common Sexually Transmitted Infections in Adolescents | 631 | ||
| Key points | 631 | ||
| General background | 631 | ||
| Special Considerations | 632 | ||
| STI prevention programs | 632 | ||
| Expedited partner therapy | 632 | ||
| Condom use | 633 | ||
| Confidentiality | 633 | ||
| Circumcision | 633 | ||
| Health education | 634 | ||
| Most common bacterial infections | 634 | ||
| Chlamydia | 634 | ||
| Organism/Transmission/Epidemiology | 634 | ||
| Screening | 634 | ||
| Symptoms | 634 | ||
| Diagnosis | 635 | ||
| Management | 635 | ||
| Gonorrhea | 635 | ||
| Organism/Transmission/Epidemiology | 635 | ||
| Screening | 635 | ||
| Symptoms | 638 | ||
| Complications | 638 | ||
| Diagnosis | 638 | ||
| Management | 638 | ||
| Syphilis | 639 | ||
| Organism/Transmission/Epidemiology | 639 | ||
| Screening | 639 | ||
| Symptoms | 639 | ||
| Early syphilis | 639 | ||
| Late syphilis | 640 | ||
| Diagnosis | 640 | ||
| Management | 640 | ||
| Special considerations/specific counseling points | 641 | ||
| Trichomonas Vaginalis | 641 | ||
| Organism/Transmission/Epidemiology | 641 | ||
| Screening | 641 | ||
| Symptoms | 641 | ||
| Complications | 641 | ||
| Diagnosis | 641 | ||
| Management | 641 | ||
| Preferred treatment | 642 | ||
| Special considerations | 642 | ||
| Most common viral infections | 642 | ||
| Human Papillomavirus | 642 | ||
| Organism/Transmission/Epidemiology | 642 | ||
| Screening | 642 | ||
| Symptoms | 642 | ||
| Diagnosis | 642 | ||
| Management | 642 | ||
| Vaccination | 643 | ||
| Special considerations | 643 | ||
| Genital Herpes | 643 | ||
| Organism/Transmission/Epidemiology | 643 | ||
| Screening | 643 | ||
| Symptoms | 644 | ||
| Diagnosis | 644 | ||
| Management | 644 | ||
| Human Immunodeficiency Virus | 645 | ||
| Organism/Transmission/Epidemiology | 645 | ||
| Screening | 645 | ||
| Symptoms | 645 | ||
| Diagnosis | 646 | ||
| Management | 646 | ||
| Special considerations | 646 | ||
| Summary | 647 | ||
| References | 647 | ||
| Sexual Minority Youth | 651 | ||
| Key points | 651 | ||
| Introduction | 651 | ||
| LGBT terminology | 652 | ||
| Sexuality constructs | 655 | ||
| Cause of sexual orientation and gender identity | 656 | ||
| LGBT prevalence | 656 | ||
| Mental health | 656 | ||
| The Psychosocial Factors | 656 | ||
| Coming Out | 657 | ||
| The Environmental Factors | 657 | ||
| Gender Variant Youth | 658 | ||
| Medical primary care | 658 | ||
| Health Maintenance | 659 | ||
| Body Image | 659 | ||
| Emotional Well-Being | 659 | ||
| Academic Concerns | 660 | ||
| Substance Use | 660 | ||
| Violence and Injury Prevention | 660 | ||
| Gay and bisexual men’s sexual health | 660 | ||
| Lesbian sexual health | 662 | ||
| Gender variant youth | 662 | ||
| Primary Care | 662 | ||
| Gender-Affirming Therapies for Transgender Youth | 663 | ||
| Prepubertal children | 663 | ||
| Puberty blocking agents | 663 | ||
| Cross-gender hormones | 663 | ||
| Surgical treatments | 664 | ||
| Summary | 664 | ||
| References | 665 | ||
| Adolescent Interpersonal Violence | 671 | ||
| Key points | 671 | ||
| Introduction | 671 | ||
| Adolescent violence involvement: scope of the problem | 672 | ||
| Risk and protective factors for adolescent violence involvement | 673 | ||
| Risk Factors for Adolescent Violence Involvement | 673 | ||
| Protective Factors Against Adolescent Violence Involvement | 675 | ||
| Resilience | 675 | ||
| Two contexts of adolescent violence and violence-related behaviors: bullying and dating | 676 | ||
| Adolescent Bullying Involvement | 676 | ||
| Definition of bullying | 676 | ||
| Risk and protective factors for adolescent bullying involvement | 676 | ||
| Adolescent bullying involvement and other forms of adolescent violence | 677 | ||
| Consequences of adolescent bullying involvement | 678 | ||
| Adolescent Dating/Relationship Violence | 678 | ||
| Definition of adolescent dating/relationship violence | 678 | ||
| Risk and protective factors for adolescent dating/relationship violence | 679 | ||
| Adolescent dating/relationship violence and other forms of adolescent violence | 680 | ||
| Consequences of adolescent dating/relationship violence | 680 | ||
| Adolescent violence involvement: implications for primary office practice | 680 | ||
| Importance of Screening | 680 | ||
| Preparing the Office Setting | 685 | ||
| Advocacy Outside of the Office | 686 | ||
| Summary | 686 | ||
| References | 686 | ||
| Health Care for Youth Involved with the Correctional System | 691 | ||
| Key points | 691 | ||
| Introduction | 691 | ||
| Demographics | 691 | ||
| Juvenile justice process | 692 | ||
| Health care services in detention facilities | 692 | ||
| Health of detained youth and goals for care in detention | 693 | ||
| Immunizations | 693 | ||
| Chronic Illnesses | 694 | ||
| Sexual and Reproductive Health Issues | 694 | ||
| General Health Complaints | 695 | ||
| Mental Health Issues and Suicidality | 695 | ||
| Substance Use and Abuse | 696 | ||
| Special populations | 696 | ||
| Girls | 696 | ||
| Gay, Lesbian, Bisexual, or Transgender Youth | 697 | ||
| Selected relevant biological and congenital genetic disorders | 698 | ||
| Klinefelter Syndrome | 698 | ||
| Fetal Alcohol Spectrum Disorders | 698 | ||
| Challenges to care | 699 | ||
| Follow-up care considerations | 701 | ||
| Summary | 702 | ||
| References | 702 | ||
| Index | 707 |