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Continuity Clinic Notebook:

Chapter III. Adolescent Issues

Chapter 3 Index

A. General:

 

The Approach to the Adolescent Patient

Robert Pendergrast, MD - Adolescent Medicine

Introduction: In order for teenagers to feel welcome, attention needs to be paid to the following:

  1. Have the office user-friendly; this includes the receptionists who greet the patient, furniture that is age-appropriate, reading materials, etc.
  2. Consider having patient fill out pre-exam questionnaires before going into exam room.
  3. While there are different ways to do it, in general interview the parent outside the room, interview the patient while fully dressed, do not act rushed, never interrupt, examine child (with or without chaperone) without parent in the room.
  4. Ask open-ended questions.  This is difficult in a busy practice, but necessary to get at the real reason the child is there.
  5. Allow the patient to list ALL current concerns before concentrating on chief complaint.

Consent and Confidentiality: Laws vary by state.  Be aware of “mature minor doctrine.”

Psychosocial Maturation: Process is one of ambivalence for the teen:

  Early Adolescence Middle Adolescence Late Adolescence
Self-Image Preoccupied with
Body changes
Reestablishes body image; fantasy Realistic self-appraisal
Family relationships Define dependence/ independence limits major conflicts; struggles Transfer child-parent to adult-adult
Peer relations Peers counter

Instability

strong need for identification More individual rather than group friends
Sexuality Self-exploration; Limited dating plural relationships; may have sex activity romantic fantasy Stable relationships
Plans for future
Commitments made

Interview Techniques: Use open-ended questioning

A. HEADSS - OR BIHEADSS: Following this will help prevent you to not omit key issues:

  • BI: Body Image: “How do you feel about your body and the way it has changed recently.”
  • H: Home: “Tell me about your family - what happens when people disagree in your family.”
  • E: Education: “Tell me about school - what are you good at, having trouble in?”
  • A: Activities: “What do you do for fun; tell me about your friends; where are you after school?”
  • D: Drugs: Tobacco, other drugs: “Do you have concerns about your usage, your families, etc?”
  • S: Suicide: “How do you view yourself - happy, sad; have you thought about harming yourself?”
  • S: Sex: “What are you doing to protect yourself against HIV/AIDS?”

B. CAGE Technique: If get a positive response for alcohol, or have concerns in that area:

  • C: Cutback: “Do you think you need to cutback on your drinking?”
  • A: Annoy: “Do people annoy you when they talk about your drinking?”
  • G: Guilty: “Has anything happened that you regret while you were drinking?”
  • E: Eye-opener: “Do you sometimes drink first thing in the morning?”

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Department of Pediatrics  |  Medical College of Georgia
Please email comments, suggestions or questions to:
John T.  Benjamin M.D., 
jbenj@mcg.edu

February 27, 2004