Health Maintenance of the Adolescent Male Presented By: Kaitlyn Long SFNP, Tyler Mason Counseling, Bonnie Rogulj SDPT
Goal: • To provide information unto multidisciplinary health professionals regarding the maintenance of physical and mental health amongst the adolescent male population in order to promote an optimal quality of life and reduce the risk of mortality.
Age: • The World Health Organization (WHO) has defined adolescence as pertaining to those within the age range of 10 and 19 years.
Implication for health promotion: • Males within this age range have a higher tendency to engage in “risky” behaviors therefore, endangering their lives. • Adolescent males are more likely to die than adolescent females at every single year of age from 12 to 19 years (cdc 2012)
Risk Factors: • Sexual Intercourse • Mental Health -Mood Disorders -Suicide -Attention Deficit Hyperactivity Disorder • Substance Abuse • Obesity, Eating, Physical Activity • Accidents
Psychosocial Risk Factors. • Childhood Aggressive Behavior • Family and Social Environment • Socio-Economic Status (SES) • Sexual Orientation
Special Issues Regarding Race / Ethnicity • Health Disparity • Health Care Access
Screening • Past Medical History • Family Medical History • Occupation: Student? • Activity Level (frequency/duration) • Vaccination records
Screening cont. • Stress Level (low, moderate, high) • Smoke? Drink? • Sexually Active? • Hobbies/ Activities
Physical Findings: • Age • BP • Temperature • Height • Weight • BMI • Oxygen Saturation
Physical cont. • Skin • Musculoskeletal • Respiratory • Neurologic Exam • Eye Exam • Genitalia Exam • Gait Analysis
Physical Findings cont. • Video: What is Scoliosis?
Additional Testing: • Cholesterol • Urine Analysis • Hemoglobin and Hematocrit • Purified protein derivative (PPD) • Complete blood count (CBC)
Findings: • Findings may warrant further examination or the need to refer for additional services. • Inform Parents / Guardians of the adolescent male
Referral List may include: • Nutritionist • Physical Therapist • Urologist • Neurologist • Chiropractor • Alternative medicine
Referral cont. • Social Worker: • Counselor: • Psychiatrist: • Life Coach:
Guidelines/Follow-up: • Patient & Parent/Guardian Education • Reason for referral • Referral Letter • Time / Date Appointment • Relevant material: medical history • Actual Appointment • Post- care protocol • Follow- up appointment
Recommendations: • Stay Active! • Participation in regular counseling sessions • Schedule routine health appointments • Don’t give into peer pressure • Eliminate excess stress • Communicate • Stay safe
Screening Tool Annual Comprehensive Male Adolescent Screening Assessment Patient Name: Date of Birth: Race/Ethnicity: REASON FOR TODAY’S VISIT MEDICAL HISTORY CURRENT MEDICAL HISTORY Current health problems and concerns: Allergies: Current medications: Immunization History: \ Weight gain/loss over the last year:
Screening Tool cont. Review of Systems (Subjective) WNL= within normal limits AB=abnormal ( appropriate box) HEENT=Head, Ears, Eyes, Nose, Throat (vision, oral care) Skin/nodes Respiratory (Wheezing, cough, shortness of breath) Cardiovascular (palpitations, swelling of extremities) Gastrointestinal (Nausea, vomiting, stools) Genitourinary (frequency, painful) Musculoskeletal Neurological (Headaches, emotional liability)
Screening Tool cont. Physical Assessment (Objective) WNL= within normal limits AB=abnormal ( appropriate box) General appearance/affect HEENT Skin: Respiratory Cardiovascular Gastrointestinal Genitourinary: Musculoskeletal: Neurological:
Screening Tool cont. Psychosocial Screening using HEADSSS Home Living with: Length of time in current home: Recent changes: Strongest adult connections: _____________Family meals/celebrations: ____________ Environmental risks: __ inadequate housing __ TB exposure Education/Employment Sources of help/support at school:_______Favorite classes/school activities:____________ School difficulties/frustration:_________Current employment/hours:_____________________ Extracurricular activities:____________________Standardized Testing Results_____________
Screening Tool cont. Activities After-school and weekend activities: ___________Peer relationships: ________ # hours/day watching TV, computer, video games:_____Volunteer/civic activities: ______ Weekly physical activities:________Food bingeing/purging: _____________ Religious/spiritual involvement:___________________Dating _________________________ Drugs/Alcohol/Tobacco Exposure to drugs/EtOH, tobacco ________________Steroids use/exposure:__________ Refusal strategies/skills:__________Use (last 3 months) ___________Binging:________Has/wants to quit: yes or no
Screening Tool cont. Sexuality Age ofsexual debut_______________F/M partners _________________ Sexual ID____________Oral/vaginal/anal intercourse _________ STD/HIV exposure/hx__________________STD/pregnancy protection:_____________ Sex under the influence______________________Forced/pressured sex:________ Sadness/Self-Image/Depression/Suicide Family and/or personal changes/stresses in the past year: Body image_______________Stress/sadness/worries_____________________________ Suicide exposure/thoughts/plan:
Screening Tool cont. Safety Weapon carrying ___________________Anger control _________________________________ Comfort going to school/friends/work _____________Guns in house/bldg _______ Emotional/sexual/physical abuse:_________If in danger, safe place/person to go to __________ Labs/Imaging __Urine analysis- if sexually active __Complete blood count- if signs and symptoms of infection are present or anemia is suspected __Cholesterol screening __Purified protein derivative (PPD)- if exposure to tuberculosis is expected __X-ray- if physical assessment warrants further evaluation of suspected skeletal abnormalities Referrals Warranted
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