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By Gail B. Slap, MD, MS (Auth.)

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Close, ongoing communication between the PCP, specialty team, community providers, and family has been shown to reduce health care error and cost while improving patient satisfaction and outcome. In addition to coordinating effective care for the chronic condition, PCPs generally assume responsibility for general health care services. In the United States, adolescents as a group receive suboptimal preventive care. Although data are sparse, it appears that adolescents with chronic conditions are even less likely to receive needed preventive care than are those without chronic conditions, despite their more frequent health care contacts.

Adolescents with learning disabilities are eligible for support at school through the federal Individuals with Disabilities Education Act. Those with physical and mental health disabilities are eligible for reasonable accommodations of the school environment through Section 504 of the Rehabilitation Act. , risk behaviors, cardiovascular health, mental health, sexual health, immunizations, growth and development). Bibliography Bennett DS: Depression among children with chronic medical problems: A meta-analysis.

Adolescent athletes are aware that nutrition affects performance but are often misinformed about how to optimize their intake. Counseling athletes, families, and coaches about healthy and unhealthy nutritional practices therefore is an essential component of the sports examination. Caloric requirements vary widely by level of training and activity, as well as by gender, body size, body composition, and stage of growth. The energy recommendations shown in Table 4-3 account for some of these variables, but an adolescent athlete whose growth is delayed or whose weight deviates more than expected might require further adjustment of daily kilocalories.

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