Adolescent Health Part 3 Flashcards
What is an easy way to remember the important parts of an adolescent social history?
HEADSS – Adolescent Social History
H - Home E - Education (or Employment) A - Activities D - Drugs/Alcohol S - Sexuality S - Suicide/Self Harm
What might you ask about home?
Where do you live? Who lives with you?
How do you get on with the people you live with?
Who would you talk to if you had a problem?
What might you ask about education?
Which school do you go to? What year are you in?
Which subjects do you enjoy? What are you good at?
Who do you spend time with at school?
What might you ask about activities?
What do you enjoy doing outside of school?
Are you in any clubs or teams?
Who do you meet up with at weekends?
What might you ask about drugs/alcohol?
Do any of your friends smoke cigarettes or drink alcohol? How about you?
Have you ever tried cannabis?
How much do you smoke/drink?
What might you ask about sexuality?
Do any of your friends have boyfriends/girlfriends? How about you?
Have you ever had sex? Do you use condoms/the pill?
What might you ask about suicide/self-harm?
How would you describe your mood? Do you ever get really down?
Some people who feel really down often feel like hurting themselves or even killing themselves. Have you ever felt like that?
When do you transition form paediatric to adult services?
Around 16
What are the changes when comparing adult to paediatric care?
Paediatric: Parental responsibility Greater skills in developmental assessment Lower patient volume Cartoons on the walls?
Adult: Individual responsibility Greater skills in alcohol/drug/sexual history Higher patient volume Blood on the walls?
How might you improve care transition?
Treat transition as a process rather than an event
Begin process early - 11-12 years
Ensure good understanding of condition and medications
Initial joint appointments with adult and paediatric teams
Use checklists/toolkits to improve
READY, STEADY, GO
