Adolescent Medicine by Gail B. Slap, MD, MS (Auth.)

By Gail B. Slap, MD, MS (Auth.)

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36 Adolescent Medicine: The Requisites in Pediatrics Adolescents with and without chronic conditions should be screened through individual and family history for psychiatric illness. There is considerable controversy in the literature about the psychosocial adjustment and potential psychiatric comorbidity of adolescents with chronic conditions. In general, family connectedness, school connectedness, and a supportive health care team appear to promote emotional and behavioral health both in youth with and without chronic conditions.

J Adolesc Health 2000;26:338–342. Assessment of nutritional status. In Kleinman RE (ed): Pediatric Nutrition Handbook, 5th ed. Elk Grove Village, IL, The American Academy of Pediatrics, 2004, pp. 407–423. Bessler S: Nutritional assessment. In Samour PQ, King K (eds): Handbook of Pediatric Nutrition, 3rd ed. Sudbury, MA, Jones and Bartlett, 2005, pp. 12–15. Caloric and selected nutrient values for persons 1–74 years of age: First Health and Nutrition Examination Survey. United States, 1971–1974.

Each of these characteristics is discussed next, along with case histories that exemplify interventions matched to specific characteristics. Cognitive Maturity Cognitive maturation during adolescence involves a gradual transition from concrete to abstract thinking. However, it is always better to deliver information in small, simple bites than to talk beyond the adolescent’s level. —all in the future. Words such as “possible” or “future” are abstractions that may have little meaning to a cognitively immature adolescent who views the world and people as good or bad.

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