Meeting the needs of adolescent parents and their children Flashcards
How many infants are born to adolescent parents each year in Canada?
13 000
What are some needs/issues of the adolescent mother?
- Interpersonal violence
- Relationship conflict
- Abuse and Trauma
- Educational challenges
- Employment challenges
- Financial challenges
- Depression
- PTSD
- Anxiety
- Substance misuse
- Access to birth control
- STI
- Preventing and managing repeat prgnancies
What additional things need to be addressed with adolescent parents?
- Provide anticipatory guidance
2. Provide assessments and teaching around growth and development, nutrition, feeding, sleep, safety and immunizations
What areas of vulnerability are present in children of adolescents?
- Difficulties in speech and language development
- Less engagement in preventative health maintenance visits
- More frequent use of acute care services
- Neglect
- Unintentional injury
- Disorders of attachment and regulation
- Behavior problems
- Maltreatment
- Exposure to interpersonal violence
What percentage of adolescent fathers live with their child?
20%
What percentage of adolescent fathers visit their child on a weekly basis?
50%
What is the recommended model of care for adolescent parents and their children?
Medical home model
What are screening tools or growth and development?
Greig Health Record
BMI
What are the recommendations for immunizations?
Ensure both parent and child are up to date
What are the screening questions to ask regarding nutrition/food security?
Screen for body image concerns and nutrient deficiencies:
a) “How do you feel about your body changing?”
b) “Do you worry about having enough money to buy food?”
What are the screening questions to ask for acute illness management?
“Do you have the medications and equipment that you need in order to feel well?”
“Do you have the funds or insurance coverage to be able to pay for this treatment?”
What are the recommendations regarding lactation support?
Refer to a local breastfeeding clinic or a public health unit/nurse
What are the recommendations for psychosocial assessment?
- HEEADSSS (Home / Education, employment / Eating / Activities / Drugs / Sexuality / Suicide, depression / Safety)
- SSHADESS (Strengths / School / Home / Activities / Drugs/substances / Emotions/eating/depression / Sexuality / Safety)
- Refer to youth services/social services/local mental health agencies
What are the screening questions to ask for sexual health?
“Do you have any sexual health needs? I can help with this care or I can tell you about local sexual health clinics. What would you prefer?”
Birth control - www.sexualityandu.ca
STI screening/treatment
What are screening tools for depression?
- Beck Depression Inventory (BDI)
2. Patient Health Questionnaire (PHQ-9)