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21 Cards in this Set
- Front
- Back
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Top Acute cause of death in teens vs Top long term cause of death?
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Accidents (so wear your seat belt)
vs Tobacco |
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Why has the mortality rate for 15-19 year old not been dropping like other age groups?
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Homicide
Suicide Drugs and Booze |
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Other bad trends among teens?
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Increasing Drug use
High Teen Pregnancy rates High Abortion rates |
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Two added parts of well-teen checkup from child check ups?
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Health Risk Behavior Review
Health Education and Counseling |
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What should i use during the Health Risk Behavior Review
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BiHEADSS
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What is BiHEADSS?
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Body Image
Home Education Activities Drugs Sex Suicide/Safety |
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When do you start performing pelvic exams?
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Only after sexual activity
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Different Screening Tests to use on teens?
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Vision/Hearing
Hemoglobin (yearly for gals, once for guys) Lipid Screening (esp for +FH) HIV Screen for anyone sexually active |
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What is the optimal approach to health education and counseling?
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GAPS!
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What is GAPS?
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Gather Information
Assess Further Problem Identification, Pros and Con, Plan Self-Efficacy, Solving Barriers, Shake on it |
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Keys to Gathering Information?
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Enhance the Reliability of Info
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Keys to Assessing Further?
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Don't be judgemental
Validate why your probing Possibly use CAGE |
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When do we use Pros and Cons?
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If the patient is ambivalent
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Criteria to a good behavior plan?
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Specific
Small and Measurable Steps Follow Up! |
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How soon should you have a follow-up appointment?
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3-4 weeks
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5 practical steps to a good teen interview?
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1. Interview Teen Alone, Explain Confidentiality
2. BiHEADSS 3. Physical Exam 4. Negotiate Rx Plan 5. Review and Plan w/ Teen AND parent |
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Time Management Tips
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Patient will only remember 2 things from visit
Prioritize Concerns Can't fix everything today Sports physical is a sports physical |
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Who can consent to Rx?
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Over 18
Married (regardless of age) Female about pregnancy/contraception Concerned about STDs Requires Rx for Drugs, Booze, Tobacco |
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Confidentiality in regards to Pregnancy, STD's, Contraception, and drugs?
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We are not prohibited from disclosure
We are not obligated to disclose info to family members |
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Do teens benefit from parental involvement?
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YES (at least most do)
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Clear Exceptions to Confidentiality
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Homicidal/Suicidal
Denial of ongoing substance abuse/refusing Rx Physically/Sexually Abused |
