Adolescent Health Care

Adolescent Health Care: Clinical Issues provides an understanding of the main health problems and concerns facing teenagers. This book discusses the major legal decisions and thinking on confidentiality, consent, minor's right to health services, and the limitations of parental and medical authority.
Organized into seven parts encompassing 27 chapters, this book begins with an overview of the main issues faced by any health care provider working with adolescents. This text then discusses the ways in which youths visualize their own health problems. Other chapters consider the normal nutritional needs of the teenager as well as the physically- and learning-impaired segment of the adolescent population. This book discusses as well the development of childhood sexuality from infancy through adolescence. The final chapter deals with counseling issues with specific recommendations on how to work with the teenager in crisis.
This book is a valuable resource for medical practitioners, psychiatrists, physiologists, nutritionists, and social workers.

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Contributors
Preface
Acknowledgments
Part 1 Introduction: Issues in Working with Youth
1 Working with Adolescents in the Health Field
I. Questions for Health Professionals Who Work with Youth
II. The Changing Nature of the Health Profession
III. The Complex Nature of Health and Illness
IV. Common Knowledge and Attitudes for Working with Youth
V. The Common Adolescent Experience: Firsts
VI. Professional Values
VII. Working with Youth
References
2 Health Concerns of Youth: Multiple Perspectives
I. Introduction
II. Adolescent Perspectives
III. Utilization
IV. Minnesota Youth Poll
V. Synthesis and Conclusion
References
3 Medical Treatment-The Legal Rights of Children and Youth
I. Introduction
II. Goals of the Youth Rights Movement
III. The Parental Role
IV. Supreme Court Decisions Affecting Minors" Rights to Medical Treatment
V. Voluntary Commitment of Minors to Mental Hospitals
VI. The Mature Minor
VII. Health Care Professionals and the Medical Treatment of Minors
VIII. The Future
References
Part 2 Physical Development: Normal and Abnormal
4 The Comprehensive Health History and Physical Examination
I. Introduction
II. Methodology
III. Conclusion
References
5 Normal and Abnormal Growth and Development in Adolescence
I. Introduction
II. The Endocrinology of Puberty
III. Physical Changes
IV. Abnormalities of Adolescent Growth and Development
V. Summary
References
6 Growth and Nutrition of Adolescents
I. Introduction
II. Sex Maturity Ratings
III. Clinical Use of Sex Maturity Ratings
IV. Cognitive and Psychosexual Growth
V. Adolescence and Nutrition
VI. Summary
References
Part 3 Nutrition
7 Nutritional Needs and Assessment of Adolescents
I. Introduction
II. Adolescent Growth and Nutritional Implications
III. Nutritional Requirements
IV. Food Habits of Adolescents
V. Nutritional Status and Problems
VI. Assessment of Adolescent Nutritional Status
VII. Nutritional Intervention
References
8 Adolescent Obesity
I. Definition and Measurement
II. Prevalence
III. Natural History
IV. Metabolic Factors
V. Physical Characteristics
VI. Psychosocial Characteristics
VII. Food and Activity Patterns
VIII. Treatment Approaches
IX. Prevention
References
9 Anorexia Nervosa
I. Introduction
II. The Dynamics of Anorexia Nervosa
III. Disturbed Body Image
IV. Issues of Control
V. Social Pressures
VI. The Role of Hunger
VII. Treatment Options and Long-Term Outcomes
References
10 Nutrition and the Athlete
I. Introduction
II. Major Nutrition Concerns for the Athlete
III. The Limiting Factors of Nutrition for Maximum Performance
IV. The Adequate Athletic Diet
V. What Should Be Done
References
Part 4 Injuries and Disabilities
11 Sports and Recreational Injuries in Teen-agers and Young Adults
I. Introduction
II. Unsafe Acts-Sensation of Sport
III. Medical Qualification of Athletes
IV. Role of the Physician in Conditioning
V. Four Common, Potentially Serious Injuries
VI. Return to Sport
VII. Conclusion
12 Developmental and Acquired Disabilities in Adolescence
I. The Impact of Disabilities in Adolescence
II. The Developmental Sequence
III. Major Handicapping Conditions
IV. Conclusion
References
13 Learning Disabilities in Adolescence
I. History and Overview
II. Clinical Presentation of the Learning Disabled Adolescent
III. Comprehensive Evaluation
IV. Treatment of the Learning Disabled Adolescent
References
Part 5 Sexuality
14 Sexuality: A Continuum from Early Childhood through Adolescence
I. Introduction
II. Sexualization
III. Postnatal Socialization
IV. Sexual Rehearsal Play
V. Sex Education in Schools
VI. Adolescence
VII. Summary
References
15 The Use of a Sexual History with Adolescents
I. Introduction
II. Adolescent Sexuality
III. The Functions of the Sexual History
IV. The Use of a Sexual History
V. The Content of the Sexual History
VI. Summary
References
16 Counseling the Adolescent about Sexuality
I. Introduction
II. Changing Social Values and Role Confusion
III. Adult Capacity to Deal with Adolescent Sexuality
IV. Changing Professional Values and Training Needs
V. Sexual Concerns
VI. Special Problems of Adolescent Sexuality
VII. Sexual Behaviors
VIII. Sexual Dysfunctions
IX. Core Skills for the Health Professional Working with Adolescent Sexuality
X. Considerations When Counseling the Adolescent about Sexuality
XI. Counseling Techniques
XII. A Model for Counseling
XIII. Referral Process
References
17 Adolescent Pregnancy and Childbearing
I. Introduction
II. Historical Perspectives
III. Definitions
IV. Dynamics of Adolescent Pregnancy
V. Services
VI. Conclusion
References
18 Unwanted Pregnancy in Adolescence
I. Introduction
II. Primary Prevention of Unwanted Pregnancies
III. Secondary Prevention
IV. Political Aspects
V. Morbidity and Mortality of Unwanted Pregnancy
VI. Diagnosis
VII. Techniques
VIII. Postabortion Insertion of Intrauterine Device (IUD)
IX. Postabortion Care and Counseling
X. Long-Term Complications
XI Repeat Abortions
XII. Conclusions
References
Part 6 Issues in Adolescent Gynecology
19 Pelvic Examination in the Adolescent
I. Introduction
II. Preparation for the Examination
III. Adolescent Sexuality and Contraception
IV. The Pelvic Examination
References
20 Contraceptive Update
I. Introduction
II. The Use and Nonuse of Contraception among Adolescents
III. Choice of Contraceptive Agent by Adolescent
IV. Contraceptive Alternatives
References
21 Common Menstrual Problems of Adolescence
I. Introduction
II. Amenorrhea
III. Dysmenorrhea
IV. Dysfunctional Uterine Bleeding
V. Endometriosis in Adolescence
References
22 Sexually Transmitted Diseases in Adolescence
I. Introduction
II. Laboratory Techniques
III. Common Infections and Complaints among Adolescent Females
References
Part 7 Counseling
23 Parent-Child Contracts: A Life-Span Perspective
I. Introduction
II. Parent-Child Contracts
III. Contracts across the Life Cycle
IV. General Considerations
V. Implications for Mental Health Professionals
References
24 Counseling the Adolescent in Crisis
I. Introduction
II. "Normal" Behavi…