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Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
Health promotion problem adolescence
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Health promotion problem adolescence

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  • 1. Presented by Angelique White-Williams, DNS, APRN-CNS, CCHC
  • 2. PROMOTING OPTIMUM GROWTH AND DEVELOPMENT Complex interplay of biologic, cognitive, psychologic, and social change, perhaps more so than at any other time of life  Change on multiple levels   Biologic maturation  Cognitive development  Psychologicdevelopment
  • 3. Adolescence Early—ages 11 to 14  Middle—ages 15 to 17  Late—ages 18 to 20   Transition into Adulthood
  • 4. Changes in Reproductive Hormones  Females  Menarche (average age 12)  Ovulation  Males  Change in penis size & function
  • 5. Physiologic Changes Growth spurts  Heart, blood volume, and systolic BP increase in size and strength  Heart rate decreases  Respiratory vital capacity increases 
  • 6. Adolescent Conceptions of Self Adolescent egocentrism  Self-absorption  Health-related beliefs   Imaginary audience (everyone is watching)  Personal fable (won’t happen to me)
  • 7. Adolescence  Moral Development  Moral reasoning r/t principles  Spiritual Development  Examine spiritual beliefs & ideas  Psychosocial Development  Identify achievement  Social forces shape sense of self
  • 8. Sexuality Hormonal, physical, cognitive, and social changes affect sexual development  Body image  Sexual identity  Sexual orientation 
  • 9. Romantic Relationships Are Important During Adolescence
  • 10. The Peer Group Influences Adolescent Development
  • 11. Work versus School Impact the life of adolescent  Positive or negative  May encourage development of intellectual and social skills, autonomy  May result in decreased interest in school, fewer extracurricular activities, and poorer grades 
  • 12. Technology as a Social Environment Internet chatrooms and social networking sites have created “virtual” communities  Try out identities and interpersonal skills with wider network of people  Anonymity  Risks 
  • 13. Health Concerns of Adolescence Parenting and family adjustment  Psychosocial adjustment  Intentional and unintentional injury  Dietary habits, eating disorders, and obesity  Physical fitness 
  • 14. Health Concerns of Adolescence— cont’d Sexual behavior, STDs, and unintended pregnancy  Use of tobacco, alcohol, and other substances  Depression and suicide  Physical, sexual, and emotional abuse 
  • 15. Health Promotion Among Special Groups of Adolescents Adolescents of color  Gay, lesbian, and bisexual adolescents  Rural adolescents 
  • 16. Acne More than 50% of adolescents affected  Etiology   Hereditary  Hormonal influence  Other influences (Diet, hygiene)  Psychosocial ramifications  Self-esteem issues
  • 17. Acne—cont’d  Pathophysiology  Involves hair follicle and sebaceous glands  Therapeutic management  General measures/overall health  Medications  Nursing considerations
  • 18. Menstrual Disorders Primary amenorrhea—no menses by age 17  Secondary amenorrhea—no menses for 6 months in previously menstruating female  Irregular menses common in adolescence  Dysmenorrhea 
  • 19. Adolescent Pregnancy Rates of teen pregnancy in United States  Physiologic aspects  Pregnancy risks associated with teen pregnancy  Nutritional needs 
  • 20. Infants of Adolescent Mothers Higher risk of prematurity  Higher incidence of low birth weight  Potential for developmental delay 
  • 21. Social and Economic Effects of Teen Pregnancy School/education disruption  Social relationship deprivation  Statistical risk of poverty  Emotional effect on infant and parents 
  • 22. Adolescent Fathers Changing social expectations  Emotional effects 
  • 23. Adolescent Abortion Counseling  Associated risks 
  • 24. Other Health Concerns Contraception  Rape  STDs  Gonorrhea  Chlamydia  HIV/AIDS 
  • 25. Nursing Diagnosis Health-seeking behaviors r/t normal growth & development  Self-esteem disturbance r/t facial acne  Painr/t uterine cramping from menstruation  Risk for injury r/t peer pressure to use alcohol/drugs  Anxiety r/t fear of contracting STD 
  • 26. Implementation Communication  Health teaching  Involve other teens 
  • 27. Summary Complex patient.  Don’t underestimate family influence but peer influence is greater.  Acceptance and honesty is important.  Communication & health teaching important to enhance health promotion. 

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