TY  - CHAP
M1  - Book, Section
TI  - The Adolescent and Young Adult Visit
A1  - Irwin, Jr., Charles E.
A1  - Ozer, Elizabeth M.
A2  - Kline, Mark W.
Y1  - 2018
N1  - 
T2  - Rudolph's Pediatrics, 23e
AB  - The  pediatrician  or  child  health  practitioner  has  a  formidable  task  in  establishing  herself  or  himself  as  the  primary  care  clinician  for  an  adolescent  and  young  adult  patient.  A  transition  interview  with  patients  and  their  families  at  approximately  10  years  of  age  is  an  effective  approach  for  developing  a  new  relationship  with  the  adolescent  and  the  family.  During  this  interview,  the  clinician  must  inform  the  parents  and  the  patient  about  the  changing  nature  of  the  relationship  with  the  practitioner—the  need  for  the  clinician  to  have  time  alone  with  the  patient  and  query  the  young  person  directly,  and  for  the  patient  to  be  examined  alone  and  be  encouraged  to  generate  his  or  her  own  questions  for  the  clinician.  These  changes  are  best  done  through  a  discussion  of  normal  adolescence  and  the  need  for  adolescents  to  begin  to  make  some  decisions  in  a  more  independent  manner  with  guidance  and  support  from  their  families.  During  this  transition  interview,  the  clinician  may  want  to  provide  the  adolescent  and  family  with  some  general  information  regarding  the  normal  physiological  and  psychosocial  changes  of  adolescence.  Depending  on  the  age  and  psychosocial  functioning  of  the  adolescent,  the  clinician  may  want  to  encourage  the  young  person  to  come  to  the  next  visit  alone.  As  the  patient  completes  the  second  decade  of  life,  the  young  adult  needs  to  have  developed  the  skills  to  assume  primary  responsibility  for  his  or  her  own  health  care.  At  18  years  of  age,  young  people  have  the  legal  right  to  assume  full  responsibility  for  their  care  even  though  they  will  often  continue  to  receive  significant  emotional  and  financial  support  from  their  family.  Given  these  changes,  the  clinician  will  need  to  have  a  discussion  with  the  patient  and  family  focusing  on  clarifying  how  the  young  adult  wants  health  information  shared  with  the  family.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1182922609
ER  -