1. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 22 School-Age Children and Adolescents

2. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Problems of School-age Children Chronic diseases –Asthma –Autism –Diabetes –Juvenile rheumatoid arthritis –Seizure disorders Childhood cancers (leading cause of death in children ages 1 to 14 yrs)

3. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Problems of School-age Children (cont.) Behavioral and learning problems –Learning disabilities –ADHD –Behavioral and emotional problems –Disabled children Problems associated with economic status (lead poisoning, iron deficiency anemia, increased susceptibility to illness)

4. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement true or false? Learning disabilities are a major chronic disease affecting children.

5. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False –Although learning disabilities can be life-long, they are considered a behavior or learning problem, not a chronic disease.

6. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Problems of School-age Children (cont.) Death from injuries –Motor vehicle/traffic injury, drowning, fire/burns: ages 1-9 yrs –Motor vehicle/traffic injury, drowning, poisoning: ages 10- 19 yrs –Suicides with firearms: ages 10-19 yrs Communicable diseases Head lice Other health problems: undernutrition, poor dental health, obesity, inactivity

7. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Adolescent Health and Health Problems Emotional problems and teenage suicide (third leading cause of death) Violence Substance abuse Teen sexuality and pregnancy Sexually transmitted diseases or infections Acne Poor nutrition and eating disorders

8. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Services for School-age Children and Adolescents Prevention programs –Immunizations –TB testing –Education and social services (basic services, parental support services, family planning services, STD services, risk reduction services, peer education)

9. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement true or false? Poisoning is a major cause of death in children between the ages of 1 and 9 years.

10. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False –In children ages 1 to 9 years, motor vehicle/traffic injury, drowning, and fire/burns are the leading causes of death. For those 10 to 19 years of age, the major causes of death include motor vehicle/traffic injury, drowning, and poisoning.

11. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Services for School-age Children and Adolescents (cont.) Health protection –Safety and injury prevention –Infectious diseases –Child protective services –Oral hygiene and dental care

12. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Services for School-age Children and Adolescents (cont.) Health promotion programs –Nutrition programs –Weight control programs

13. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement true or false? For teenagers, suicide accounts for few deaths.

14. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False –Suicide is the third leading cause of death for this age group.

15. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Internet Resources Child Behavior & How Parents Can Change Behaviors: http://familydoctor.org/online/famdocen/home/children/ parents/behavior/201.printerview.html Drug Abuse Prevention Guide: http://www.drugabuse.gov/pdf/prevention/RedBook.pdf http://www.drugabuse.gov/pdf/prevention/RedBook.pdf Food Allergies: http://www.cfsan.fda.gov/~dms/ffalrgn.html http://www.cfsan.fda.gov/~dms/ffalrgn.html Foundation for a Smokefree America: http://www.tobaccofree.org/ http://www.tobaccofree.org/ Injury Prevention Program (children 12 and under): http://www.aap.org/familoy/tippmain.htm http://www.aap.org/familoy/tippmain.htm