By Gail B. Slap, MD, MS (Auth.)
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The American Dietetic Association recommends that nutrients for healthy adolescents should come from food rather than supplements. The American Academy of Pediatrics (AAP) agrees, with the exception of fluoride supplementation for children living in areas with nonfluoridated water. The AAP recommends that additional supplementation be considered for adolescents who are neglected or abused, pregnant, chronically ill, and deficient in specific food groups or nutrients. The following general recommendations can be used to guide the nutritional counseling of most adolescents who are seen in the primary care setting: l l l Nutritional Counseling Nutritional counseling ranges from brief endorsements of healthy eating habits to lengthy discussions of malnutrition or disordered eating.
A meta-analysis of 32 studies involving children and adolescents with asthma demonstrated that interventions designed to enhance skill as well as knowledge related to asthma improved Sexual and Reproductive Health Care Sexuality and reproductive health present specific c hallenges for adolescents with chronic conditions. Cognitive, motor, or social limitations may result in less exposure to peer- and school-based education about the development of secondary sex characteristics, menstruation, and personal hygiene.
The tasks apply broadly to all chronic health conditions and consider current and future developmental needs. Disease-specific management goes hand-in-hand with these broader goals and may fall within the purview of the PCP and/or subspecialist. For example, the PCP may choose to manage asthma alone and co-manage cystic fibrosis. Regardless of the delineation, common goals should be the coordination of disease-specific care and the provision of comprehensive primary and preventive care. The PCP can help prevent duplications and omissions by clarifying the responsibilities of involved providers.
Adolescent Medicine by Gail B. Slap, MD, MS (Auth.)