Barrett R.K., 1998. Sociocultural Considerations for Working with Blacks Experiencing Loss and Grief. In Living with Grief: How We Are—How We Grieve, K Doka (ed.). Washington DC: Taylor & Francis Publishers, Inc., 83-96.[Return to International Perspectives] Cross T.L., Bazron T.J., Dennis K.W., Isaacs M.R., 1998 Towards a Culturally Competent System of Care. Vol. 1. Washington, DC: Child and Adolescent Service Systems Program Technical Assistance Center, Georgetown University. Georgette, Thank you for sharing your post. Obtaining a health history is an initial component of patient assessment (Lamoreux, 2012). The white pregnant teenager living in an inner-city neighborhood has a high chance of being associated with health-related risk based on her age, gender, ethnicity, and environmental setting. It is true that teenagers are prone to engaging in risk-taking behaviors. Very serious health-related problems during the teenage years occur because of decisions that they have made that have placed them at high risk for those health problems; for example, they tend to drive drunk often and use seatbelts, bike helmets, and condoms less frequently (Stein et al., 2010). Also, sexual risk-taking behaviors have been associated with depression in adolescence and teenagers have a high incidence of experiencing depressive symptoms accompanied by feelings of hopelessness, and even suicidal ideations (Testa & Steinberg, 2010). Therefore, a clinician who is building a health history for a teenager must be aware that the patient may report feelings of hopelessness, and that the patient may be at jeopardy for engaging in several health-related risk-taking behaviors. Clinicians should develop their approach, interview and communication skills to ensure that their teenage patients feel comfortable with them. One of the challenges clinicians face is to obtain the necessary information they need to be able to assess and diagnose the teenagers’ health issues and consequently, for the teenagers (patients) to receive the information they need to deal with their health-related problems effectively (Sacks& Westwood, 2003). During a clinic visit with a teenager, maintaining confidentiality is very crucial. One the ways to ensure a teenage patient’s confidentiality is to have the interview in a room where the patient feels comfortable and where their privacy is being maintained (Richard Ricciardi (2008). References Lamoreux, D. (2012). Health histories: Beyond the questionnaire. ProQuest. Retrieved from (13).pdf Richard Ricciardi (2008). The First Pelvic Examination in the Adolescent: An Update. The Journal for Nurse Practitioners, 4(5). 377–383. Retrieved from - org.ezp.waldenulibrary.org/10.1016/j.nurpra.2008.02.019 Sacks, D., & Westwood, M. (2003). An approach to interviewing adolescents. Paediatric Child Health. 8(9), 554–55 doi:10.1093/pch/8.9.5546.
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