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Caring for an adolescent with a chronic illness.

U Buhlmann, S B Fitzpatrick

|March 1, 1987

Summary

Primary care physicians play a crucial role in supporting adolescents with chronic illnesses. Regular assessment of psychological development aids in managing care and enhancing adaptation to illness.

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Area of Science:

Pediatrics
Adolescent Medicine
Psychology

Background:

Adolescence involves mastering distinct psychological phases crucial for development.
Chronic illnesses can disrupt or delay these developmental phases in teenagers.
Primary care physicians (PCPs) require strategies to address these challenges.

Observation:

PCPs have continuous family contact and understand family dynamics.
This relationship allows for early identification of control struggles impacting care.
PCPs can foster adolescent participation in healthcare and psychological task completion.

Findings:

Regular psychological reassessment by PCPs is vital for adolescents with chronic conditions.
PCPs can alleviate control struggles and promote healthcare engagement.
Supportive relationships enhance adaptation for both the adolescent and their family.

Implications:

PCPs are uniquely positioned to support adolescent psychological adaptation to chronic illness.
Interventions can improve treatment adherence and quality of life.
PCPs can provide crucial end-of-life support, helping adolescents find meaning and dignity.

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