Adolescent Health Care - 1st Edition - ISBN: 9780127880808, 9781483277387

Adolescent Health Care

1st Edition

Clinical Issues

Editors: Robert W. Blum
eBook ISBN: 9781483277387
Imprint: Academic Press
Published Date: 28th January 1981
Page Count: 320
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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.

Table of Contents




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


2 Health Concerns of Youth: Multiple Perspectives

I. Introduction

II. Adolescent Perspectives

III. Utilization

IV. Minnesota Youth Poll

V. Synthesis and Conclusion


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


Part 2 Physical Development: Normal and Abnormal

4 The Comprehensive Health History and Physical Examination

I. Introduction

II. Methodology

III. Conclusion


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


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


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


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


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


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


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


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


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


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


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


17 Adolescent Pregnancy and Childbearing

I. Introduction

II. Historical Perspectives

III. Definitions

IV. Dynamics of Adolescent Pregnancy

V. Services

VI. Conclusion


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


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


20 Contraceptive Update

I. Introduction

II. The Use and Nonuse of Contraception among Adolescents

III. Choice of Contraceptive Agent by Adolescent

IV. Contraceptive Alternatives


21 Common Menstrual Problems of Adolescence

I. Introduction

II. Amenorrhea

III. Dysmenorrhea

IV. Dysfunctional Uterine Bleeding

V. Endometriosis in Adolescence


22 Sexually Transmitted Diseases in Adolescence

I. Introduction

II. Laboratory Techniques

III. Common Infections and Complaints among Adolescent Females


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


24 Counseling the Adolescent in Crisis

I. Introduction

II. "Normal" Behavior in Adolescence

III. Themes of Adolescence

IV. Crises Young People Experience

V. Reactions to Crisis

VI. Counseling Approaches during Crisis

VII. Guidelines for Working with Youth in Crisis


Additional Readings

25 Psychosomatic Problems in Adolescent Medicine

I. Introduction

II. Historical Perspectives

III. Recent Literature

IV. Psychosomatic Correlates

V. The Psychosomatic Family

VI. The Role of Pain

VII. General Principles


26 Approaching the Abused Adolescent

I. Introduction

II. Definitions

III. The Nature of the Abuse

IV. Discussion

V. The Reporting Process


27 Adolescent Murder

I. Introduction

II. Case Studies

III. Discussion




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© Academic Press 1982
Academic Press
eBook ISBN:

About the Editor

Robert W. Blum

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