Health Promotion & Adolescent

 

Cases C.C is a nurse practitioner working in a small private high school. She provides comprehensive care to the students and staff at the school. She coordinates the health education program of the school and consults with the administration to identify the educational and health promotion needs of the population.
She works in a Catholic high school. She meets resistance about providing health education about some of the topics typically taught to the adolescent age group. Substance abuse prevention; HIV, AIDS, and sexually transmitted disease prevention; and pregnancy prevention are topics that are highly controversial at her school. However, C.C. realizes that it is imperative that she reach the teens about these difficult topics.
Questions for the case Discuss the recommended schedule of health-promotion and preventive health visits for adolescents and the appropriate topics for inclusion during each visit.

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
1. Discuss appropriate interventions for adolescents suspected of having an eating disorder. Describe how they would initiate conversations with adolescents about this issue.
2. Describe the physical changes of adolescents that include natural processes of biology and genetics
3. Discuss the prevalence of violence among adolescents. Identify ways that health care practitioners can help prevent and educate adolescents about these issues.

Sample Solution

Case 25: Health Promotion and Prevention in Adolescence

 

 

Recommended Schedule of Health-Promotion and Preventive Health Visits for Adolescents and Appropriate Topics for Inclusion During Each Visit

 

For adolescents, regular health-promotion and preventive health visits are crucial, typically recommended annually. These visits provide opportunities for anticipatory guidance, screening, and addressing evolving physical, emotional, and social needs.

General Schedule: Annual visits from ages 11-21, with some flexibility based on individual needs and risk factors.

Appropriate Topics for Inclusion During Each Visit (with age-appropriate nuances):

Early Adolescence (Ages 11-14):

  • Physical Health:
    • Growth and Development: Pubertal changes (onset, stages, common variations), body image.
    • Nutrition and Healthy Eating: Importance of balanced diet, healthy snacking, avoiding excessive processed foods. Addressing early signs of disordered eating.
    • Physical Activity: Encouraging regular exercise, screen time limits.
    • Sleep: Importance of adequate sleep for development and concentration.
    • Hygiene: Personal hygiene, acne care.
    • Vision and Hearing Screening.
    • Immunizations: Review and update (e.g., Tdap, HPV, Meningococcal).
  • Mental and Emotional Health:
    • Emotional Regulation: Identifying and expressing feelings, coping strategies for stress.
    • Peer Relationships: Friendship dynamics, bullying prevention (both as victim and perpetrator).

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