Chadi Nicholas, Amaria Khush, Kaufman Miriam
Hospital for Sick Children, Toronto, Ontario.
Paediatr Child Health. 2017 Mar;22(1):23-25. doi: 10.1093/pch/pxw007. Epub 2017 Mar 30.
Adolescence can be a particularly challenging period for individuals with a chronic health condition or disability. We present a new mnemonic, THRxEADS ( for Transition, for Home, for Medication and Treatment, for Education and Eating, for Activities and Affect, for Drugs and for Sexuality), which can be used as a complement to the adolescent HEADS (ome-ducation-ctivities-rugs-exuality) assessment. THRxEADS may serve as a clinical tool to explore key issues that are often not covered in subspecialty clinic visits such as transition, coping, adherence and understanding of illness, as they apply to youth with special health care needs. THRxEADS may be used as a vehicle to highlight successes and to promote resilience. It may also be used as an educational tool with medical trainees to allow a deeper understanding of the realities of adolescents with chronic health care needs. A short list of sample chronic illness and disability-specific questions is provided.
对于患有慢性健康问题或残疾的个体而言，青春期可能是一个特别具有挑战性的时期。我们提出了一种新的记忆法，即THRxEADS（分别代表过渡、家庭、药物与治疗、教育与饮食、活动与情感、毒品和性取向），它可作为青少年HEADS（家庭 - 教育 - 活动 - 毒品 - 性取向）评估的补充。THRxEADS可作为一种临床工具，用于探索在专科门诊就诊时常常未涉及的关键问题，如过渡、应对、依从性以及对疾病的理解，因为这些问题适用于有特殊医疗需求的青少年。THRxEADS可作为一种突出成功之处并促进恢复力的手段。它还可作为一种教育工具供医学实习生使用，以便更深入地了解有慢性医疗需求青少年的实际情况。本文提供了一份针对特定慢性病和残疾的简短示例问题清单。
