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School-aged and Adolescent Patients

The customary method of systematic medical exam­ination is applicable. Children with cognitive defi­cit need to be approached according to their mental rather than chronologic age.

Children in this age group, particularly adolescents, are usually embar­rassed about walking in underwear in front of their parents. Shorts or a bathing suit is more acceptable. Adolescents need to be seen with and without their parents. Their concerns may be different from those of the family and should be addressed with respect for their privacy.

The scope of the examination is expanded to reflect the growing child's increasing functional needs in activities of daily living (ADLs) and other areas of competence. A comprehensive examination includes screening in educational achievements, reading, writ­ing, and arithmetic. Formal psychological or psycho- educational testing follows in case of deficits.

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Source: Alexander M.A., Matthews D.J.. Pediatric Rehabilitation: Principles and Practice. 4 th. åd. — New York: Demos Medical Publishing,2010. — 540 ð.. 2010
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