12 - 17 Year Well Child Visit
We generally do not have patients change into gowns
at checkups. Please wear loose clothing so that we may
perform an optimal physical exam. T-shirts and loose
draw-string pants work well. For girls, we prefer that
the camisole tops with built-in bras NOT be worn
(regular bras are fine).
Next Visit:
__ at 13 years of
age
__ at 14 years of
age
__ at 15 years of
age
__ at 16 years of
age
__ at 17 years of
age
Immunizations:
____ yearly
influenza vaccine
____ at age
14 or college pe meningicoccal vaccine
____
females starting age 12, HPV vaccine
NUTRITION
¨
Eat something for breakfast each morning.
¨
Make your snacks healthy ones. (Click
here for a list.)
¨
Try to eat 5 servings of fruits and vegetables
each day.
¨
Eat at least 3 low fat dairy servings
per day.
¨
Ask about calcium supplements if you
can’t drink milk.
¨
You need 1200 – 1600 mg of calcium
daily.
¨
Find time to share meals as a family
each week.
¨
A healthy diet is a balanced diet.
HEALTHY HABITS
¨
Exercise regularly. Make sure you are
stretching adequately before athletic activities and
wear appropriate safety gear.
¨
Make healthy choices against smoking and
chewing tobacco. Be a leader among your peers. Most
chronic adult smokers began in their teens and thought
they could always quit.
¨
Practice regular self-examination of
breasts or testicles monthly and notify your physician
of any abnormalities or concerns.
¨
Don’t skimp on sleep.
¨
See your dentist every 6 months. Floss
and brush regularly.
SAFETY
¨
Wear your seat belt. Don’t ride with
someone who has been drinking. Parents should set
good examples for their children.
¨
Wear a helmet when you bike, roller
blade or skateboard.
¨
Learn how to swim. Never swim alone.
Don’t combine swimming/boating and alcohol…a deadly
combination.
¨
Guns are dangerous. Every 2 hours in
the U.S. a gun kills someone’s child. Guns in the
home substantially increase the risk of suicide and
homicide. If you have a gun in your home, we strongly
encourage you to get rid of it. If this is not an
option, make certain that the gun is securely locked
and stored separately from the ammunition and have
family members learn gun safety. Terrible accidents
can happen quickly.
¨
Sunscreen! (SPF 15 or above). Tanning
beds may cause early wrinkles and skin cancer. They
are not safe.
BEHAVIOR/DEVELOPMENT
¨
Try out different types of sports, jobs,
hobbies, and clubs. Your experience with a variety of
activities and people energizes you and makes you a
more interesting person.
¨
If someone you know has discussed
suicide or has violent intentions, be sure to tell
someone who can help.
¨
Make rules for yourself ahead of time
about lifestyle issues (alcohol, sex, drugs, smoking)
and stick to them. Talk with your parents about
these.
¨
Having sexual feelings is normal. Learn
ways to say NO to sex. Abstinence
is the only certain way of not becoming pregnant or
contracting sexually transmitted diseases.
¨
If you need information about sex,
sexually transmitted diseases, or contraception, talk
to your parents or a trusted adult. Feel free to ask
us questions confidentially about these issues in the
office or call us on the telephone.
¨
At this time in your life, you are
becoming responsible for your own healthcare. Never
hesitate to call us with your questions and concerns.
FUTURE VISITS
We encourage
adolescents to begin assuming responsibility for their
health. We will often perform part of the interview
and examination with the parents out of the exam room.
A chaperone is available upon request. It is most
helpful if we know of parental concerns, if any, in
advance. We maintain confidentiality regarding our
discussions with adolescent patients. We will inform
parents if an adolescent is posing a threat to
him/herself or someone else. We encourage parents to
maintain open communication with their adolescent.
SUGGESTED READING
Your Ten to Fourteen Year Old,
by Louise Bates Ames, Ph.D.
Raising a Thoughtful Teenager,
A Book of Answers and Values for Parents, Kamin,
Ben
Get Out Of My Life, But First
Could You Drive Me And Cheryl To The Mall?,
Anthony E. Wolf, Ph.D.
Ties That Stress, David
Elkin, M.D.
You And Your Adolescent,
Laurence Steinberg, Ph.D. and Ann Levine
How To Talk So Kids Will
Listen and Listen So Kids Will Talk, Adele Faber
and Elaine Mazlish
Altered Loves, Mothers and
Daughters During Adolescence, Terri Apter
Sons, A Mother’s Manual,
Elyse Zorn Karlin
The Family Crucible,
Augustus Y. Napier, Ph.D. and Carl Whitaker, M.D.
Stop Struggling With Your Teen,
Evonne Weinhaus and Karen Freidman
Raising Good Children,
Thomas Lickona
Raising a Child Conservatively
in a Sexually Permissive World, Sol Gordon, Ph.D.
and Judith Gordon, M.S.W.
Gettting Your Kids To Say No
in the 90’s When You Said Yes in the 60’s, Victor
Strasburger, M.D.
Parenting Your Teenager in The
90’s, David Elkind, M.D.
Teen Addiction, Marti
Heuer
Reviving Ophelia, Mary
Pipher, Ph.D.
The Shelter of Each Other,
Mary Pipher, Ph.D.
Surviving An Eating Disorder,
Strategies for Family and Friends, Siegel, Brisman
and Weinshel
|
To parents:
listen…really listen to your teen.
To teens: if
you want your parents to trust you, be
responsible.
Mutual respect
is the key to a good relationship. |
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