Module 19 adolescent risk assessment and developmental red flags Flashcards
considered risky behaviors
tobacco and nicotine use substance use or abuse ETOH poor academic performance risky sexual activity drinking and driving body dysmorphism or eating disorders behaviors -> injury or violence delinquency or gange involvement violent behavior mood disorders or signs of mental disorder physical, mental, sexual, emotional abuse poor nutrition and physical inactivity inappropriate use of social media/tech
HEEADSSS
Home
- who lives with you, relationships at home, changes at home, feel safe
Education/Employment
- likes/dislikes about school, how is school/grades, trouble at school, do you work, how many hours, friends
Eating:
- comfortable with body, interested in gaining/losing wt, how do you manage wt, tell me about exercise
Activities:
- do for fun, things. you do with friends, thing you do with family, sports, clubs, organizations, how much tv/computer/texting, music
Drugs:
- you, family, friends use, performance-enhancing
Sexuality:
- do you date, romantic relationship, what do you consider sex, ever had sex, how many partners, interested in males/females/both, threaten you sexually, birth control/condoms, how often
Suicide/depression:
- feel alone, feel sad, thoughts of hurting yourself, need to use drugs, lost interesting in things
Safety:
- been hurt or threatened by someone, seriously injured, sports safety equipment, seat belts, text/talk while driving, feel unsafe, bullied, met or plan on meeting someone from online
all phases of adolescences, physical and sexual red flags
poor vision kyphosis or scoliosis poor nutrition/oral health loss of appetite/underwt chronic disease no physical activity; overwt sleep disturbance
all phases of adolescence psychosocial red flags
drug or ETOH abuse permissive or authoritarian parents no participation in home chores hx of family violence school fights no close friends no identified peer group friends or siblings in gangs cruelty to animals sexual orientation worries moods: sad, hopelessness, SI flat affect excessive worrying believes self: ugly or fat dieting despite nml body size and shape negative feelings of self worth
all phases of adolescence cognitive red flags
low IQ behind in grade or failing chronic absenteeism attention problems lack of organizational skills disruptive behavior lack of impulse control unable to control emotions
early adolescence 11-14 physical and sexual red flags
less than SMR stage 2
female short stature/lack of growth spurt
early sexual experimentation
early adolescence 11-14 psychosocial red flags
fears about emerging sexuality/orientation
does not fantasize or dream about adult career
early adolescence 11-14 cognitive red flags
unable to identify feelings
middle adolescence 15-17 physical and sexual red flags
kyphosis or scoliosis less than SMR stage 4 male short of stature/no growth spurt male muscular growth w/out testicular maturation male persistent gynecomastia and acne female primary and secondary amenorrhea risky sexual behavior
middle adolescence 15-17 psychosocial development red flags
drinking and driving
excessively oppositional, defiant
abusing dating relationships
sexual orientation worries
middle adolescence 15-17 cognitive red flags
unable to differentiate emotional from physical states
poor judgement
late adolescence 18-21 physical and sexual red flags
less than SMR stage 4 or 5
risky sexual behavior
late adolescence 18-21 psychosocial red flags
no life goals does not dream of adult career drinking and driving lacks intimate relationships abusive dating relationships unable to separate from peer groups unable to separate from parents unable to keep job sexual orientation worries
late adolescence 18-21 cognitive red flags
high school dropout persistent egocentrism unable to reason or plan based on future and abstract concepts poor judgement chronic health care - seeking for psychosomatic complaints
GAPS
guidelines for adolescent prevention services
- primary prevention
- 24 recommendation that encompass health care delivery, guidance, screening, and immunizations
- Goal: improve health care delivery to adolescents using primary and secondary interventions to prevent and reduce morbidity and mortality
