14047856
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| 1. How does puberty interact with chronic conditions? A. Always a predictable response B. Relates to developmental stage C. Considering psychosocial factors is important D. Age of diagnosis is not significant E. All of the above | B, C, D. Need to consider context of diagnosis, family factors, stage of adolescent development and intrinsic illness factors in assessing impact. |
| 2. Why is it important to consider and address sexual and reproductive health (SRH) issues? A. All paediatric clinicians are well trained and comfortable to address these issues B. Young people and families are well informed around SRH issues C. Young people are reluctant to ask their clinical team D. Young people with chronic conditions do not engage in risk taking E. SRH concerns will emerge during the consultation | C. A, E are false. Most clinicians need specific training around addressing SRH issues which will not emerge unless young person seen alone and assured of confidentiality and privacy. B, D are false. Aadolescents with chronic conditions are increasingly vulnerable and often engage in risky behaviours at the same rate as their peers and reluctant to ask their team however expect their team to address the issues. |
| 3. What are the most important factors in supporting effective transition to adult care? A. Providing adult services information when the young person reaches 18 years of age B. Supporting the development of self management skills from 12 years onwards C. Visiting the adult service or providing written information D. Addressing parental concerns around transition E. Ensuring comprehensive referral information for adult services are provided well before the first appointment | B, C, D, E. A is false. Needs preparation and planning throughout adolescence not crisis driven transfer. |
| TRUE/FALSE 4A. Self-management skills ought to be encouraged in adolescents from the age of 16 years. | False. Self-management skills ought to be encouraged throughout childhood and particularly through the adolescent years from the age of 12 years onwards. |
| TRUE/FALSE 4B. Adherence to a treatment regimen may wane over time. | True |
| TRUE/FALSE 4C. Age, gender and severity of disease as well as knowledge about the illness are all predictors of adherence to management plans. | False. Age, gender, severity of disease and knowledge about the illness have not been associated consistently with increased adherence to treatment. |
| TRUE/FALSE 4D. Complexity of the treatment regimen affects adherence to treatment. | True |
| TRUE/FALSE 4E. Denial, regression and intellectualisation can all be adaptive responses to illness. | True. Denial, regression and intellectualisation can all be adaptive responses to illness however excessive use of these psychological coping mechanisms can become problematic |
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