#ir #peds
Activities
After-school activities (or lack thereof) can profoundly affect an adolescent's physical well-being. I generally obtain this history without the parent in the room because the teen usually answers more honestly. If the history suggests participation in an activity that could be detrimental to the patient's health, this may warrant a private or a 3-way discussion with the parent.
Other key points to ask about:
•What activities does the teen participate in after school? Most adolescents need to be involved with some activity in addition to academics. Watching TV or Internet chatting all afternoon does not count as a healthy activity. The American Academy of Pediatrics recommends no more than 1 to 2 hours each day of "screen time."
•Simple "chilling" and "hanging out" generally spell trouble. With whom does the adolescent spend time? Is he home alone with a girlfriend or out on the street with peers? If an adolescent spends afternoons alone every day, some investigation of possible mood disorder or social issues is warranted.
The adolescent who naps for 2 to 3 hours every afternoon may require an evaluation for depression, substance use, or sleep cycle disorders.
Overactivity also needs to be identified. Teenagers (like everyone else) need time to relax and have fun. Some teens (or their parents) may require a friendly "prescription" from the doctor instructing them to incorporate this into their busy schedules.
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"HEADDS" Up on Talking With Teenagers meet this goal?
Be on the lookout for the adolescent with strong cognitive abilities who is faltering academically. An evaluation for mood disorders, substance abuse, ADHD, or learning disabilities is usually warranted.
<span>Activities
After-school activities (or lack thereof) can profoundly affect an adolescent's physical well-being. I generally obtain this history without the parent in the room because the teen usually answers more honestly. If the history suggests participation in an activity that could be detrimental to the patient's health, this may warrant a private or a 3-way discussion with the parent.
Other key points to ask about:
•What activities does the teen participate in after school? Most adolescents need to be involved with some activity in addition to academics. Watching TV or Internet chatting all afternoon does not count as a healthy activity. The American Academy of Pediatrics recommends no more than 1 to 2 hours each day of "screen time."
•Simple "chilling" and "hanging out" generally spell trouble. With whom does the adolescent spend time? Is he home alone with a girlfriend or out on the street with peers? If an adolescent spends afternoons alone every day, some investigation of possible mood disorder or social issues is warranted.
The adolescent who naps for 2 to 3 hours every afternoon may require an evaluation for depression, substance use, or sleep cycle disorders.
Overactivity also needs to be identified. Teenagers (like everyone else) need time to relax and have fun. Some teens (or their parents) may require a friendly "prescription" from the doctor instructing them to incorporate this into their busy schedules.
Drugs and Drinking
There is no one "right" way to approach the topic, but the following tactics can be helpful:
•Start with a generalized conv Summary
| status | not read | | reprioritisations | |
|---|
| last reprioritisation on | | | suggested re-reading day | |
|---|
| started reading on | | | finished reading on | |
|---|
Details