NSG6440 Adolescent Annual Exam Case Study
NSG6440 Adolescent Annual Exam Case Study: Annual physical health examinations are crucial at all stages of life, and most importantly in teenage due to the rapid body changes at this stage. The exam visits aim to monitor mental, emotional, and physical growth, identify developmental delays or anomalies, and plan action as soon as possible (Javris, 2019 NSG6440 Week 1 Discussion ). Based on the provided case study, this discussion presents the various aspects that would be included in an adolescent’s annual exam visit, health promotion, and screening tools. The case study involves a 14-year-old male patient brought by his mother to the clinic for an annual exam visit. The mother is concerned about his declining school performance and the recent company of friends with whom his son hangs out.
The American College of Preventive Medicine (n.d.) has developed guidelines on adolescent wellness exams. The guidelines recommend that annual adolescent exams include a comprehensive physical assessment that includes the patient’s blood pressure, height, and weight for BMI, gynecomastia, and genitalia, including sexual maturity, structural abnormalities, and any sexually transmitted infection (ACMP, n.d.). Additionally, it is essential to assess the patient’s overall physical health and address any concerns the parent and the patient have concerning the patient’s health. Lee and Bong (2022) note that adolescents require privacy during physical exams. Therefore, the parent should not be present in the examination room. However, the parent’s concerns about the adolescent’s health are considered.
According to McCarty et al. (2022), adolescent screening is the best health promotion opportunity for the population. One of the health promotion topics I would focus on with this patient is the prevention of risky health behaviors. At this age, an adolescent is beginning to explore life and may indulge in behaviors that may put their health at risk, including sexual activity and drug and substance use. The idea is specifically essential for this patient since the mother raised a concern about lousy company, which may influence the adolescent to these behaviors. Some screening tools that can be used in this situation include blood and urine tests to screen for suspected drug use.
Every adolescent should be encouraged to go for annual physical exams. These exams help the patient and the parent know the adolescent’s developmental progress, identify anomalies, and plan action. Annual exams should include the physical examination part and the health promotion part. Health concerns raised by the parent and adolescents should also be addressed.
Jarvis, C. (2019). Physical Examination and Health Assessment E-Book. 8th Edition. Elsevier Health Sciences.
Lee, M., & Bong, M. (2022). Patterns of motivation and learning during test-preparation of Korean adolescents: an experience sampling approach. Educational Psychology, 42(2), 200-221. https://doi.org/10.1080/01443410.2021.2016634
McCarty, C. A., Parker, E., Zhou, C., Katzman, K., Stout, J., & Richardson, L. P. (2022). Electronic screening, feedback, and clinician training in adolescent primary care: A stepped-wedge cluster randomized trial. Journal of Adolescent Health, 70(2), 234–240. https://doi.org/10.1016/j.jadohealth.2021.07.019
The American College of Preventive Medicine (n.d.). Adolescent Wellness Exam: Overcoming Reluctance On Both Sides by Building Rapport Using Every Opportunity to Promote Healthy Choices. Accessed March 22nd 2023 from https://www.acpm.org/media/Documents/adolescent_wellness_timetool.pdf
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, post an initial response to all questions in the Discussion Area by the due date assigned. You must respond to two of your classmates’ postings for this discussion.
Use your course, text readings, and the South University Online Library to support your work. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to your classmates’ postings as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning. Cite sources in your responses to other classmates. Complete your participation in this assignment by the end of the week.
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-year-old adolescent patent for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son also hangs out with a group of kids she has concerns about. The mother has concerns about what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles within a 3-5 years). Seek Week 2 Discussion here.
- What are the components of an annual exam for an adolescent patient?
- Is the mother required to be present during your exam?
- Describe 1 health promotion idea you would discuss with your middle adolescent patient. Why is this idea important?
- What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here? NSG6440 Week 1 Discussion )