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NR 577 (NR577) Final Exam | Primary Care Management of Adolescents and Adults Final Exam
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NR 577 (NR577) Final Exam | Primary Care Management of Adolescents and Adults Final Exam
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NR 577 (NR577) Final Exam | Primary CareManagement of Adolescents and Adults Final Exam |
The US has licensed 2 HPV vaccines. Both Guardasil (HPV4) and Cervarix (HPV2)
can be given to children as early as 9yo through 26yo. The HPV vaccine can be
given to adults older than 26. However, the HPV vaccine provides less benefit due to
high likelihood of people already being exposed to HPV. - ANSWER
HPV vaccine - gender - ANSWER The HPV vaccine is recommended for males and
females.
HPV vaccine dosing - ANSWER From the ages 11-12, two doses of the HPV
vaccine are recommended for all boys and girls. Dose #1 done around 11-12 years
and Dose #2 should be done 6-12 months after the first dose. The vaccine schedule
should be done only once in a lifetime. If the patient is 15 or older, then 3 shots
should be given over 6 months.
HPV vaccine - ANSWER You should not wait until the patient is sexually active.
The HPV vaccine is recommended for preadolescent and all sexually active women
who have not yet been exposed to any of the HPV strains.
Goals of Adolescence: - ANSWER Completion of puberty and growth
Social, emotional, and cognitive development
Development of abstract thinking
Establishment of independent identity
Preparation for career or life work
Did you notice a qualitative difference in the ways that different genders experienced
adolescence? - ANSWER Males and females experience growth through
adolescence differently. Specific areas of development are affected by gender
differences, including biological, psychological, and social experiences (Alarcon, et
al., 2018).
Did your home life or that of your peers affect the rate or ability to complete these
goals? - ANSWER Family structure and function play an integral role in the
development of adolescent emotional functioning and social development (Wikle &
Hoagland, 2020).
Twelve health promotion themes underpin the provision of care for the adolescent,
including: - ANSWER Life-long health of families and communities
Family support
Health for children and youth with special health care needs
Healthy development
Mental health
Healthy weight
Healthy nutrition
Physical activity
, Oral health
Healthy sexual development and sexuality
Healthy and safe use of social media
Safety and injury prevention
Assessment questions for Adolescent - ANSWER How do you stay healthy?
What do you and your friends like to do together?
What health problems, concerns, or questions do you have?
What are you good at?
What do you do to help others?
Assessment questions for Parent - ANSWER What questions do you have about
your child's physical well-being, growth, or pubertal development?
What have you and your child discussed about feelings and behaviors that are
contributing to his emotional well-being and a healthy lifestyle?
Tell me something your child does really well.
What questions or concerns do you have about your child's emotional well-being,
feelings, behavior, or learning?
What have you and your child discussed about avoiding risky behaviors?
Does your child have any behaviors that you are concerned about?
Morbidity - ANSWER Any physical or psychological state considered to be outside
the realm of normal well-being
Mortality - ANSWER The state of being subject to death.
Disability-adjusted life years - ANSWER A measure of the years of healthy life lost
due to ill health, disability or premature death. Estimates the gap between current
health status and an ideal health status, with the entire population living to an
advanced age free of disease and disability (WHO, n.d.).
Years lost to disability (YLD) - ANSWER Estimates based on prevalence data, real
or imputed, that quantify the burden of morbidity and facilitate comparisons of
various diseases and conditions (WHO, n.d.).
The top five causes of YLDs due to morbidity in individuals aged 10-19 years are
common across regions and between countries of various economic level and
include - ANSWER Unipolar depressive disorders
Iron deficiency anemia
Asthma
Back and neck pain
Anxiety disorders
Risky Behavior: Sexual Activity - ANSWER Adolescents who enter puberty early
are more likely to engage in risky sexual behaviors than adolescents who mature
later. Adolescents whose bodies mature earlier often end up socializing with an older
peer group, which can influence social and risk-taking behaviors putting them at risk
for early sexual activity, adolescent dating abuse, depressive symptoms, and
antisocial behavior (Maaks et all, 2020).
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