YouTube – Identity vs. Role Confusion. YouTube – Broadcast Yourself. 17 Feb. 2010. Web. 10 Feb. 2011. <http://www.youtube.com/watch?v=BGD3krNEsJ4&feature=fvw>.
Child with Meningococcal. Photograph. The Meningitis Trust. Web. 13 Feb. 2011. <http://www.google.com/imgres?imgurl=http://www.meningitis-trust.ie/Images/septicaemia%2520baby%2520with%2520purple%2520toes.jpg&imgrefurl=http://www.meningitis-trust.ie/Meningitis.html&us>.
Before adolescent medicine was made into its own branch, adolescents were seen by the pediatric doctor or with one of their parents’ doctor. They were always accompanied by an adult and therefore did not always get the help they needed. Their views and questions were not taken in to account as much as their parents’ questions and concerns. Some teens may not want to ask certain questions in front of their parents or they may not admit to being sexually active in front of their parents. In 1951 when the first hospital was created for adolescents, these types of issues started to change. Teens could go to their doctor on their own and could discuss what they wanted to discuss (Adolescent Medicine). This changed many issues with teens. For example teen pregnancy was very common a long time ago because women’s first job was to be a mother. Also there were not many contraceptives so once girls had their first menstrual cycle they would soon get pregnant and get married or the other way around. Regardless it was not surprising for there to be teen mothers. I believe that once there was a branch of medicine that was specifically for teens that it changed the outlook of teen pregnancy. Society soon started to change where they thought it necessary to complete more years of schooling in order to be self-sufficient. There were studies done that showed that teen mothers were more likely to face poverty and need government help. It also showed that when girls became present at a young age that they would end up with more children, economic problems and sometimes even marital problems. I think that adolescent medicine gave teens a place where they could talk to their doctor alone about having sex and how to prevent pregnancy. It was somewhere that they could go with questions and without feeling embarrassed about asking in front of their parents. Society started to change a little bit more in that teen pregnancy isn’t acceptable and can be prevented. Obviously people have very different opinions on this issue and society has fluctuated over time; but I think everyone can agree that pregnancy can be prevented and that it would make life easier on teens if they waited before having sex or practiced safe sex in which they were less likely to get pregnant and have economic issues. I think that the addition of adolescent medicine provided great information and help to adolescents back when it was first created and still today.
Annotated Bibliography: Care of post-Pediatric Patients February 9, 2011
Kolb, Michelle. “Life After Pediatric Cancer: Easing the Transition to the Adult Primary Care Provider.” Clinical Journal of Oncology Nursing 13.6 (2009): E30-E40. Academic Search Premier. EBSCO. Web. 9 Feb. 2011.
This article is about pediatric cancer patients that survived and have trouble integrating back into a regular lifestyle. It is an academic article that analyzed numerous studies and cases looking at post-care of pediatric cancer patients. Most of the findings say that patients need more long-term, holistic care. All aspects of their care- home, primary care, and oncologist must work together to give the best possible care.
Since 1951 when the branch of adolescent medicine was first established, there has been much research on ways to gain more knowledge and specialize more in the field. Erikson’s stages helped do this. Also in 1991 adolescent medicine became approved as a board-certified subspecialty of Pediatrics. There has been specific training and research dedicated to adolescence. The training programs have been limited somewhat due to it being a young branch and confusing structure. Research usually entails studies on influenza, physical well-being, mental status and teen pregnancy. Recently doctors have wanted to explore and study HIV/HPV. These are sexually transmitted diseases that are relevant because during this stage in the adolescent life, teens are trying to figure out what they want to do (Fox). It also is important because teens are exploring their sexuality and they think that intimacy means sex. That being said, teens are more likely to get sexually transmitted diseases because they do not have all the information on safe sex. Adolescent doctors are trained to take care of these issues. One problem that this branch faces is that there is usually never enough funding to research everything they need to on trying to cure these diseases. They need to rework their program so that they can get more people involved and so they can have more money to help the teens (Fox). The article states that 70% of program directors believe that the budget will stay the same in the next year and another 25% think it will worsen (Fox). The programs rely on funding from numerous places and there is no consistent plan. This field needs a set plan so that they can get more funding to research important factors that will contribute to adolescent medicine. The training program also needs to be stronger because it is important for doctors to specialize in this field and complete all of the requirements for it. I believe that the necessary measures need to be taken in order to improve the field of adolescent medicine. It is a very important branch of medicine and adolescents need special attention in order for them to thrive.
Fox, Harriette and Margaret McManus. “Adolescent Medicine at Crossroad: A Review of
Fellowship Training and Recommendations for Reform.” Incenter Strategies: The
National Alliance to Advance Adolescent Health. Washington D.C. April 2008. Web. 8 Feb
This article goes into some detail over the history of adolescent medicine and how things need to be changed again. It goes into detail about the ways in which the program could be changed in order to make it more effective. This is a good article to use because it talks about what the branch of adolescent medicine does and ways in needs to improve.
In any medical field, funding is critical. This need includes research and treatment. Pediatric cancer is very much the same. There is no cure for cancer right now, yet since 2003, funding for pediatric cancer research has been decreasing annually (Jonsen n. pag.). According to Helen Jonsen of Forbes magazine, the reason for the lack of funding for pediatric cancer is the emotional toll the disease takes on the family. She explains, “children with life-threatening diseases exhaust their families emotionally and often financially; even after recovery, neither the children nor their parents find it easy to advocate for themselves…Unlike other health care lobbies, they do not have the energy to march in the streets and call for action” (Johnsen n. pag.).
Jonsen speaks from experience. Her daughter was diagnosed with Osteosarcoma, a cancer of the bone. This diagnosis came at a very late stage in the disease and the cancer had increased to the size of a wine bottle. The doctor, therefore, had to do reconstructive surgery on Jonsen’s daughter and use a space age prosthetic to replace the knee. Only in July of 2008, did congress decide to pass a bill that gave 30 million dollars to funding pediatric cancer. This is the first major bill that was passed for pediatric cancer. The Bill was sponsored by Rep. Deborah Pryce (R-Ohio), whose child had been diagnosed with cancer in 1999. Unfortunately, her daughter passed away (Jonsen n. pag.). Deborah Pryce went through so much pain, but it is a shame that that is what it took for congress to make positive changes for others.
Jonsen makes a comparison of the eradication of polio in the U.S. Polio was eradicated through philanthropic efforts. Like polio, cancer needs more money and campaigning in order to find a cure soon. It should not take the loss of more lives in order for us to realize the breadth of the situation.
We must push for funding; push for research; and, push for treatment. These children need us. Like Jonsen mentions, these families cannot always speak for themselves, so let us help their voices be heard.