If annual assessments and screenings are not being provided in another setting, it would be important to include them. The American Academy of Pediatrics recommend the following be included in a yearly exam for adolescents:Complete historyBMIVision/hearing screeningDevelopmental and psychosocial assessmentAlcohol/drug abuse screeningAssessment of immunizationsAPRN Response:The American College of Obstetricians and Gynecologists (AGOG) (2012) recommended teens ages 13 to 15 be seen for screening and reproductive guidance. Ball et al. (2015) reminded providers to see adolescents alone for at least part of the visit. In this situation, seeing each adolescent alone is vital in order to help decide if the adolescent is choosing to start on prescription contraception and to understand the apparent hesitancy. This time also gives the chance for the adolescent to (perhaps) morehonestly answer questions regarding sexuality, abuse, or mental health.Wyoming law does not allow minors to consent to health care unless emancipated; the exception is for care offered in Title X clinics (Wyoming Health Council, n.d.). Coleman and Rosoff (2013) discussed the growing uncertainty among providers of what age constitutes a mature minor who should be allowed to accept or refuse care. No age has been determined, but their research indicated most providers believe clients as young as 12 should have input into their medical care. Each provider needs tobe familiar with state laws. If this scenario were to take place in Wyoming, the best the APRN could offer is acting as an intermediary with the parent if one of the adolescents does not want to start contraception.Scenario #5 (17-year-old head injury)Required health assessment information:
The CDC has linked a copy of the Acute Concussion Evaluation (ACE)form (Gloia & Collins, 2006) to help providers complete the assessment for an individual with a head injury. This form provides a history of the injury, outlines current symptoms and risks for anticipating complicating factors.
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