1 / 21

Young people’s health

Young people’s health. Adolescents and General Practice Based on Maggie Eisner, January 2011, Modified Heather Naylor October 2014. Teenagers!. http://www.bvtv.co.uk/kevin-becomes-a-teenager-bbc-comedy/. Aims of today.

veronica-norman
Télécharger la présentation

Young people’s health

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Young people’s health Adolescents and General Practice Based on Maggie Eisner, January 2011, Modified Heather Naylor October 2014

  2. Teenagers! • http://www.bvtv.co.uk/kevin-becomes-a-teenager-bbc-comedy/

  3. Aims of today • 1. To recognise the barriers adolescents may face in accessing primary care services • 2. To highlight areas of clinical concern in adolescent health • 3. To consider issues and challenges around consultations with young people • 4. To discuss how GP practices can be made more teenage friendly

  4. Young people in our societyThere are 6 million aged 10-19 in UK

  5. Why is adolescent health important? • Death rates in 15-19 year olds now exceed those in 1-4 year olds. Main causes • Accidents • Violence • Suicide • 25% of young people have seen their GP in the last 3 months, but there is evidence that some young people find it difficult to access health services appropriately.

  6. Young people’s point of view

  7. Your teenage experience • Think about when you were a teenager (or a teenager you know well). • What health concerns did you/they have? • What contacts did you/they have with health professionals? • What did the health contacts feel like? • What made/ may make these contacts more difficult than for adults?

  8. Barriers for teenagers in accessing primary care • Concern about confidentiality • Embarrassed about symptoms • Lack of information about services • Appointment system • Geography/ transport

  9. Young people’s health agendas • Sexual health – c/c, pregnancy (TOP/parenthood), STDs, sexual orientation • Mental health – self esteem, exam stress, adolescent adjustment, home and school relationships • Appearance – skin, body image, size • Minor illness – not minor to them, not familiar with it • Chronic illness – may express resentment by non compliance

  10. The GP’s point of view

  11. Your medical experience • Think about consultations with teenage patients • In any context – not just GP • What were the issues? • How did the consultations differ from adult or child consultations?

  12. Issues in the consultation • Communication/rapport • Confidentiality • Consent • Access • 3 way consultations • Presenting problem vs hidden agenda vs health promotion

  13. In the consultation • Relate directly to young children so they’re used to it by the time they’re teenagers • Extra explanation time for common problems (flu, cystitis) • Be very patient centred esp with non compliant teenagers with chronic diseases • Health promo sensitive to young people’s agendas • Don’t make assumptions • Get their mobile phone number

  14. A scheme for assessing troubled teenagers (HEADSS) • Home – can you talk to your parents? • Education – ask about actual school performance • Activities– what do you like doing? Do you have friends you can trust? • Drugs(incl smoking and alcohol) – explain why you want to know • Sex – ask permission to ask the questions • Suicide risk – if consultation makes you feel you should ask

  15. Contrasting agendas Health professionals Lifestyle issues – smoking, alcohol, drugs, diet, exercise Sexual health – c/c, STDs, pregnancy Mental health – suicide prevention, behaviour in school Young people • Sexual health – c/c, pregnancy (TOP/parenthood), STDs, sexual orientation • Mental health – self esteem, exam stress, adolescent adjustment, home and school relationships • Appearance – skin, body image, size • Minor illness – not minor to them, not familiar with it • Chronic illness – may express resentment by non compliance

  16. Consultations with young people • 1 Evie • 2. Ruth

  17. Organising primary care for young people

  18. Improving access • What can a practice do to provide a service which teenagers will use? • Resources: • RCGP “Getting it right for teenagers in your practice” 2002

  19. In the practice • Confidentiality made clear • Staff trained to be welcoming • Accessibility – advance appts don’t work well for young people • Health promotion sensitive to young people’s concerns

  20. Useful resources • For teenagers: • www.teenagehealthfreak.org • www.brook.org.uk • www.likeitis.org • For parents: • www.familylives.org.uk • (Choose “Advice”,“teenagers”)

More Related