Dr. K, yes I used the Rapid Assessment Adolescent Preventative Services (RAAPS) adolescent screening tool as I mentioned in my first and last paragraph of my post. I apologize as I realize in my post I left out the teaching that my preceptor and I had with the patient and her parents.
The fifteen year-old came to the clinic due to risky behavior whereby she ended up in a motor vehicle accident and was not wearing her seatbelt. She was not the driver and was in the backseat on the right side. The RAAPS questionnaire has twenty-one questions and for a more detailed response to your question I will list her results as well as further teaching and education that was given to her and her parents at the visit.
1. In the past 12 months, have …show more content…
In the past 3 months, have you smoked any form of tobacco (regular or e-cigarettes, cigars, black and mild, hookah, vape pens) or used smokeless tobacco (dip, chew, snus)? Yes No =No
10. In the past 12 months, have you driven a car while texting, drunk or high, or ridden in a car with a driver who was? Yes No =No
11. In the past 3 months, have you drunk more than a few sips of alcohol (beer, wine coolers, liquor, other)? Yes No =No
12. In the past 3 months, have you used marijuana, other street drugs, steroids, or sniffed/huffed household products? Yes No =No
13. In the past 3 months, have you used someone else’s prescription (from a doctor or other health provider) or any nonprescription (from a store) drugs to sleep, stay awake, concentrate, calm down, or get high? Yes No =No
14. Have you ever had any type of sex (vaginal, anal or oral sex)? Yes No =No
15. Have you ever been attracted to someone who is the same gender as you are (girl if you are a girl/guy if you are a guy) or do you feel that you are gay, lesbian or bisexual? Yes No No
16. If you have had sex, do you always use a condom and/or another method of birth control to prevent sexually transmitted infections and pregnancy? Yes No …show more content…
Our strategy to help this adolescent and open up communication was first by discussing the results of her RAAPS test (she wanted her Mom to be present). We identified the area she needed help with and we offered support with reinforcement for healthy behavior eg. (Wearing a seat belt and helmet) that it saves lives and reduces injuries such as the one she sustained. We used good listening skills, as her reason for not wearing a seat belt was “we were just going up the street to rent a red box movie”. We explained to her that safety and responsibility go hand in hand and even if the driver did not suggest or force her (by not driving until she was belted in) that she needs to take charge of her body and has choices to engage in safe behavior. According to Burns, Dunn, Brady, Starr, & Blosser, (2013) one of the components of middle adolescent self care education consists of injury protection including the use of helmets, proper sports protection equipment and seat or lap belts. The parents were told to please keep reinforcing to her child safe practices to keep their child healthy. The patient agreed that wearing a seat belt, being assertive if being put in a situation where there was peer pressure not to wear a helmet, protective
The fifteen year-old came to the clinic due to risky behavior whereby she ended up in a motor vehicle accident and was not wearing her seatbelt. She was not the driver and was in the backseat on the right side. The RAAPS questionnaire has twenty-one questions and for a more detailed response to your question I will list her results as well as further teaching and education that was given to her and her parents at the visit.
1. In the past 12 months, have …show more content…
In the past 3 months, have you smoked any form of tobacco (regular or e-cigarettes, cigars, black and mild, hookah, vape pens) or used smokeless tobacco (dip, chew, snus)? Yes No =No
10. In the past 12 months, have you driven a car while texting, drunk or high, or ridden in a car with a driver who was? Yes No =No
11. In the past 3 months, have you drunk more than a few sips of alcohol (beer, wine coolers, liquor, other)? Yes No =No
12. In the past 3 months, have you used marijuana, other street drugs, steroids, or sniffed/huffed household products? Yes No =No
13. In the past 3 months, have you used someone else’s prescription (from a doctor or other health provider) or any nonprescription (from a store) drugs to sleep, stay awake, concentrate, calm down, or get high? Yes No =No
14. Have you ever had any type of sex (vaginal, anal or oral sex)? Yes No =No
15. Have you ever been attracted to someone who is the same gender as you are (girl if you are a girl/guy if you are a guy) or do you feel that you are gay, lesbian or bisexual? Yes No No
16. If you have had sex, do you always use a condom and/or another method of birth control to prevent sexually transmitted infections and pregnancy? Yes No …show more content…
Our strategy to help this adolescent and open up communication was first by discussing the results of her RAAPS test (she wanted her Mom to be present). We identified the area she needed help with and we offered support with reinforcement for healthy behavior eg. (Wearing a seat belt and helmet) that it saves lives and reduces injuries such as the one she sustained. We used good listening skills, as her reason for not wearing a seat belt was “we were just going up the street to rent a red box movie”. We explained to her that safety and responsibility go hand in hand and even if the driver did not suggest or force her (by not driving until she was belted in) that she needs to take charge of her body and has choices to engage in safe behavior. According to Burns, Dunn, Brady, Starr, & Blosser, (2013) one of the components of middle adolescent self care education consists of injury protection including the use of helmets, proper sports protection equipment and seat or lap belts. The parents were told to please keep reinforcing to her child safe practices to keep their child healthy. The patient agreed that wearing a seat belt, being assertive if being put in a situation where there was peer pressure not to wear a helmet, protective