By Gail B. Slap, MD, MS (Auth.)
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Some adolescents may have the cognitive maturity and impulse control to develop problem-focused responses, whereas others may need to rely on emotionfocused responses that control stress without inflicting risk. In either case, adolescents can learn to recognize 30 Adolescent Medicine: The Requisites in Pediatrics the emotional and physical discomfort induced by stress and, with guidance, can plan pro-social channels that help relieve the discomfort (Figure 5-1). Evaluation Annual Comprehensive Visit Screening questionnaires for violence-related attitudes and behaviors exist, but they are neither designed nor validated for use in clinical settings.
The tasks apply broadly to all chronic health conditions and consider current and future developmental needs. Disease-specific management goes hand-in-hand with these broader goals and may fall within the purview of the PCP and/or subspecialist. For example, the PCP may choose to manage asthma alone and co-manage cystic fibrosis. Regardless of the delineation, common goals should be the coordination of disease-specific care and the provision of comprehensive primary and preventive care. The PCP can help prevent duplications and omissions by clarifying the responsibilities of involved providers.
The first is verbal insult or disrespect directed toward the adolescent. The second is generalization of the insult to the adolescent’s family, friends, gang, etc. ” The fourth is physical contact. Thresholds vary among individuals and across settings for a given individual. For example, an adolescent provoked on a street corner may feel compelled to fight rather than walk away. ” Asking the adolescent questions such as the following can help identify the threshold for fighting: “What do you usually do when you are really mad or frustrated?