usefull for gnm 2nd year

1. ADOLESCENT HEALTH
Mr. Bhargav mehta
M.Sc. Nursing

2. Adolescent
Youth
: 10 – 19
: 15 - 24
Young people : 10 -24
Adol Health Com FOGSI - 2009-11

3. • Physical maturing
• Psychological maturing
• Social maturing
Adol Health Com FOGSI - 2009-11

4. Importance of Adolescent
Health
• Developing Countries
• Parents of next generation.
• Early menarche
• Late marriage
• Urbanisation, migration
• Less family influence
• Exposure to mass media

5. Changes in social and sexual behaviour
Adol Health Com FOGSI - 2009-11

6. Adolescence is characterized by
conflicts of values, emotional
stress and readiness to extreme
attitudes, which invariably leads to
several psycho-social problems of
adolescents.

7. • Puberty is the stage of the lifespan in
which a child develops secondary sex
characteristics.
• The average age for girls:- 10-12
The average age for boys 12-14.
Adol Health Com FOGSI - 2009-11

8. Am I Normal ?
• Rapid growth. . .Cause of Concern!
Adolescentshavea
fundamentalhuman
righttoaccurateand
comprehensive
reproductiveand
sexualhealth
information.

9. Problems Encountered in Adolescents
• Personal and social problems.
• Problems of health and
physical self-esteem.
• Sex and reproductive health
problems.
• Home and family related
problems.

10. REPRODUCTIVE
HEALTH
• Organs
• Changes developing
• Proper Hygenic practices.
Adol Health Com FOGSI - 2009-11

11. Health implications of sexual dev.
• Reproductive tract infections
• Sexually transmitted infections
• Pregnancy
• Sexual abuse
• Early sexual involvement
• Criminal abortions
• Menstrual disorders

12. Adol Health Com FOGSI - 2009-11

13. STI
• Awareness about STI is essential
monas
Girls- Chlamydia , Neisseria
gonorrhoeae, syphilis, HSV, Tricho
vaginalis
• Complication : PID→ Infertility
Boys- urethritis .
• HIV awareness too is needed

14. Nutritional Health
• The fastest growth periods of a
person's life.
• Nutritional health during
adolescence
- important for supporting the
growing body
-for preventing future health
problems.
Adol Health Com FOGSI - 2009-11

15. Increased nutritional needs
Calories : boys- 2500-2800
Calories /day
girls- 2200 Calories/day
Protein- 45-60g
Calcium- 1200 mg/day
Iron boys- 12 mg/day
15 mg/day

16. Anaemia ~ How to deal with it?
• Repeated Haemoblobin measurements
• Diet rich in iron containing food
• Iron supplements to make up for deficit
(as advised by your doctor)

17. Adol Health Com FOGSI - 2009-11
KISHORI SAKTI YOJNA
Adolescent girls 11-18 years.
500 Calories + 20-25 g protein

18. Two Important vaccines for young girls
Vaccine to prevent
• Rubella infection (thereby
avoiding birth of a child with
defect) CERVIX
•Cervical Cancer (Cervix is the mouth of
the organ-uterus. Its cancer prevalence is
increasing & is the top most killer for women)

20. F r o m
S m i l e to
A g o n y
Cancer Cervix

21. HPV Vaccine is available
to fight against cervical cancer
• Two vaccines have been licensed globally for
adolescent girls aged 9-26 yrs
• Quadrivalent vaccine.
• Bivalent vaccine.
Quadrivalent vaccine Bivalent vaccine
Preventi on of: HPV related
–Cancer Cervi x
–Vulvar & Vagi nal cancers
–Ano -Geni tal warts
–Recurrent Respi ratory
Papi lomatosi
Preventi on of
HPV related
–Cancer Cervi x

22. PROTECTION-LEGAL
ASPECTS
• Age of consent to sexual activity -16 years
-reduces the incidence of
*STI
*teenage pregnancy
* sexual abuse&exploitation
• Convention on the Rights of the Child in 1989
(children defined as under 18)-against
unchecked child labour, child prostitution
and pornography.

23. PROTECTION OF
ADOLESCENTS• STI & HIV prevention and pregnancy prevention
information
• Encouraging health care providers to make their
services youth friendly
ADOLESCENT FRIENDLY HEALTH
SERVICES
(AFHS)

24. ADOLESCENT FRIENDLY
HEALTH
SERVICES
• WHO consultation 2001- AFHS
• piloting under Adolescent District
Health Project
• Target population- youngpeople
• Key elements: Confidentiality
Flexibility
Well staffed
Information
Partnershipapproach

25. MENTAL
DISORDERS
•
•
•
•
•
•
Conduct and behavioural
disorders
Learning disorders
Anxiety disorders
Teen depression
Juvenile delinquency
Adjustment problems

26. DELINQUENCY
PREVENTION
• broad term for all efforts aimed at preventing
youth from becoming involved in criminal, or
other antisocial, activity.
• CHILD GUIDANCE CLINIC
•Prevention services include activities
:- substance abuse education and
treatment, family counseling, youth
mentoring,
•
•

27. ADOLESCENT
COUNSELING
• School Avoidance
• Separation Anxiety
• Coping With Chronic Illness
• Building Social Competence
• Managing Powerful Peer Personalities
• Minimizing Family Conflict
• Working Through Divorce & Separation
• Avoiding Drug & Alcohol Use
• Transitioning - High School to College
• Accepting Imperfection