There are major differences between pediatric, adolescent, and adult rheumatology care provision. These are summarized in Table 3, and many are discussed in other chapters of this book. Only when these differences are acknowledged by rheumatology professionals will adolescent rheumatology become truly established.
The key principles of adolescent health care in rheumatology are listed in Table 4.
To consolidate personal identity (including sexual) To establish relationships outside the family To achieve interdependence with parents To find a vocation
Table 3 Differences in Pediatric, Adolescent, and Adult Rheumatology Care
Growth and development Consultation dynamics Communication skills Role of parents/family Role of peers
Generic health issues, e.g., sexual health, substance use
Consent and confidentiality issues
Different disease spectrum and manifestations
Impact of disease
Tolerance of immaturity
Procedural pain management
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