a presentation on working with adolescents

1. ADOLESCENT
POPULATION
ANASTASIA MCCLOUD
RENE HODGES
RAVEN DARNELL

2. DEFINITION
• Adolescents range from ages 10-19 and account for
approximately 21 percent of the population in the United
States.
• Established behavioral patterns during this period of
development help determine their current health status
and risk for developing chronic diseases later in life.

3. DEVELOPMENTAL TASKS
• The main developmental task facing adolescents is to create a stable identity and become complete
and productive adults.
http://
public.health.oregon.gov/HealthyPeopleFamilies/Youth/AdolescentGrowthDevelopment/Documents/adoldevstages.pdf

4. COMMUNITIES
• An adolescent’s community consists of their
parents, service providers, community members,
and social institution workers.
• Such people in the adolescent’s life help to
promote their development and help them learn to
cope with pressures in their childhood and
adulthood successfully.
• During this time the adolescent’s community is the
key in helping the adolescent transition from
childhood to adulthood.
• When problems arise, the adolescent’s community
will need to intervene effectively.

5. ECONOMICS
• Community Action Partnership of Western Nebraska (CAPWN)
•-Teen outreach program
•-Youth Shelter
•-Group home
•-Housing programs (Transitional Supportive Housing Program and
Permanent Housing Program)
•-Youth Leadership Council and Project Everest
•Supplemental Nutrition Assistance Program (SNAP) - formerly known
as the Food Stamp Program
•Medicaid but a fee may be required
•Social Services for Families, Children, and Youth (SSCF)
•Transitional Living (Cirrus House)
•Monument Family Connections

6. INFORMATICS
• Online
• There are 93% of teens ages 12-17 are online
• Mobile Phone
• 75% of all teenagers have a mobile phone
• “Patient Centered applications”
• Social media
• Gaming
• Internet voice calls
• Home Telehealth
• Text messaging

7. SAFETY
Adolescents are generally healthy, however several important health and social problems begin to peak
during these years. Examples include:
•Homicide
•Suicide
•Motor vehicle crashes
•Substance use and abuse
•Smoking
•Sexually transmitted infections
•Teen pregnancies
•Homelessness

8. SYSTEMS
• Many adolescents encounter serious health problems due to risky behavior and poor health habits.
Most adolescents do not seek advice about prevention which leads to increase in morbidity and
mortality rates in their age group.
• Schools can create safe and supportive environments through policies and procedures that ensure safe
physical environments. These approaches can help students adopt lifelong attitudes and behaviors that
support overall health and well-being.
• Nurses work in schools and can help assist with policies through health and developmental screening
and education prevention.
• Nurses also work in community services such as family planning which help educate and provide
resources to keep teens safe and healthy.

9. PREVENTION
• Beliefs that affect Preventative Care
• Cultural and religious beliefs can affect preventative care such as other population.
• Peer pressure can influence adolescents to take risks without taking preventative measures.
• “Personal fable” is the belief that nothing bad will happen to oneself which leads to increased risk taking.
• Early Detection Services
• Family planning offers cervical screenings for women and STI screenings
• Family Practice physicians offer general health screenings
• School screenings offer vision, dental, and hearing screenings
• Rehab Services
• Adolescent substance abuse programs
• Juvenile detention center

10. LEADERSHIP

11. VALUES
• Most adolescents don’t seek out their own value system, but instead
base their values off of their communities’ and family’s values
• Although the adolescent may not make their own values, they will
experiment with and question the values that they have grown up
with
• Way to exert independence and individuality
• Remember that the adolescent still lacks the mental and emotional
maturity to make wise decisions constantly so educate the
adolescent and family

12. EVIDENCE-BASED PRACTICE
• It is estimated that 70% of adolescents have a preventative health visit every 4 years, therefore primary
care physicians are well suited to discuss risks and offer interventions.
• Evidence supports routinely screening for obesity, depression, offering testing for HIV and screening
for other sexually transmitted infections in some adolescents.
http://www.aafp.org/afp/2012/1215/p1109.html

13. HOW ARE ADOLESCENTS VULNERABLE?

14. • Unintentional Behaviors
• Intentional Behaviors
•-Tobacco Use
•-Alcohol Use
•-Drug Use
•-Sexual Behaviors
•-Teenage Pregnancy
•-Anoxeria
•-Bulemia
•-Inactivity (Obesity)
•Suicide
•Dependent on parents
•No Money
• Diabilities
•-Mental health
•-Down Syndrome
•-Handicapped

15. HOW ARE DISABLED
ADOLESCENTS TREATED?

17. 17
Mitchell offers Basketball
Scottsbluff YMCA offers Gymnastics
Ogalla offers bowling
WNCC offers assistance
-Auxiliary Aids and Services (Notetakers, Scribes, Electronic
textbooks, Readers, Interpreters, alternate media)
-Modifications (Extended test time, Distraction-free
environments, Formats, Delivery methods)
-Assistive Technology (Electronic devices, Physical
modifications of an environment)
Disability Rights Nebraska
Disability Rights Nebraska is a private not-for-
profit organization established to assist people
with disabilities and their families in protecting
and advocating for their rights. Disability Rights
Nebraska is the protection and advocacy
system in Nebraska, serves people throughout
the State. It operates federally funded
protection and advocacy (P&A) programs and is
part of a nationwide network of congressionally
created disability rights organizations. Disability
Rights Nebraska takes a four-tier approach to
advocacy through legal advocacy, public policy,
self-advocacy and citizen advocacy.
• Buckboard Therapeutic Riding Academy offers therapeutic equine-assisted
activities and pleasure horseback riding to disabled children. The horseback
riding helps people of all disabilities, including autism, cerebral palsy, mental
retardation, down syndrome and emotional disturbance, in improving and
developing balance, coordination, self-esteem, self-awareness, muscle tone and
strength, and attention span. It combines instruction in tradition horsemanship
skills with concepts of physical therapy to improve the strength, balance and
self-esteem of physically and mentally disabled children.
The horse’s walk provides sensory input through movement,
which is variable, rhythmic and repetitive. The resultant movement
responses in the patient are similar to human movement patterns of
the pelvis while walking. The variability of the horse’s gait enables the
therapist to grade the degree of sensory input to the patient, and then
use this movement in combination with other treatment strategies to
achieve desired results. Patients respond enthusiastically to this
enjoyable experience in a natural setting.

18. 18
SUMMER PROGRAM FOR HANDICAPPED CHILDREN (CAMP
SCOTT)
The Summer Program for Handicapped Children, also known as
Camp Scott, provides a social and recreational program for
developmentally disabled children and adolescents, ages 7-21.
The program is the only one of its kind in the Panhandle and
enables approximately 40 youngsters to have a fun and
stimulating summer experience. The Camp consists of one 5-
week session running Monday through Friday from 9:00 a.m. to
2:00 p.m. beginning the first part of June and running through the
second week in July (tentative). Camp is held at the Valley View
Activity Center, at the Seventh Day Adventist Church on 31st
in
Scottsbluff. Activities include arts/crafts, life skills, music, water
activities, therapeutic horseback riding, large/small motor
activities, field trips, volunteer guest presentations, a family picnic,
an overnight experience for older campers and a 4-H picnic and
horse show. Transportation and lunch are provided. Scholarships
are available. A Board of Directors oversees the Camp and hires
a highly qualified staff recruited from our local communities.
Camp Scott has benefited from being a United Way agency for
many years. Call 308-436-7304 for additional information.

19. 19
WHAT STIGMA’S DO YOU
PERCEIVE ABOUT
ADOLESCENTS?

20. 20

21. 21

22. • Lazy
• Don’t work hard
• Not as smart
• Bad drivers
• Disrespectful
22

23. MAIN ROLE OF NURSE
• Be patient
• Build trust with the adolescent
• Try to find common ground
• Educate on the changes happening to the body
• Watch for any signs of abuse
• Evaluate the adolescent’s lifestyle choices
• Sex
• Drugs
• Alcohol
• Puberty changes
• https://www.youtube.com/watch?v=Rsj6dW6qKRc

24. WHAT IS THE MAIN NURSING
CONCERN/PRIORITY WITH ADOLESCENTS?

25. 25
Advocate and Educate

26. COMMUNITY RESOURCES
• Community Action Partnership (CAPWN) Services
Offer:
• Preventative Health
• HIV Counseling and Testing
• Dental
• Mental Health
• Substance Abuse
• Family Planning/Reproductive Health
• Homeless Prevention
• DOVES Services Offer:
• Dating Violence
• Sexual Assault
• Stalking
• Support Groups
• Community Awareness and Education

27. NCLEX #1
An important consideration for the school nurse planning a
class on injury prevention for adolescents is that:
a) Poor nutrition habits causes fragile bones which break more easily
b) Adolescents are risk takers because of their feelings of indestructibility
c) Adolescents learn from risk taking behaviors
d) Peer-pressure does not influence risk taking behaviors

28. NCLEX #1
An important consideration for the school nurse planning a class on
injury prevention for adolescents is that:
a) Poor nutrition habits causes fragile bones which break more easily
b) Adolescents are risk takers because of their feelings of indestructibility
c) Adolescents learn from risk taking behaviors
d) Peer-pressure does not influence risk taking behaviors

29. NCLEX #2
• Accompanied by her father, a primiparous 15-year-old client arrives for her
first prenatal visit at 30 weeks gestation. Her father refuses to leave the room,
stating that the girl is shy and he will answer the questions for her. Which
aspect of this situation should be of most concern to the nurse?
• 1. Lack of prenatal care until this visit
• 2.Possible child abuse or domestic violence
• 3.The possibility of preterm labor with an adolescent pregnancy
• 4.Difficulties of an overprotective parent in dealing with his daughter

30. NCLEX #2
• Accompanied by her father, a primiparous 15-year-old client arrives for her
first prenatal visit at 30 weeks gestation. Her father refuses to leave the room,
stating that the girl is shy and he will answer the questions for her. Which
aspect of this situation should be of most concern to the nurse?
• 1. Lack of prenatal care until this visit
• 2.Possible child abuse or domestic violence
• 3.The possibility of preterm labor with an adolescent pregnancy
• 4.Difficulties of an overprotective parent in dealing with his daughter

31. NCLEX #3
Q) You’re working in the pediatric clinic and one of your regular patients is coming in this afternoon. When
the adolescent and parents arrive the parents seemed very stressed and on edge. When you address the
family about what is going on, the parents come unglued. They state “Billy, is not the same child we raised.
He used to follow all of the rules and agreed with our beliefs and values, but now wants nothing to do with
us or be associated with us. What can we do?” What is your response?
A.“You should probably go speak with the local police, because that is where your child is headed. “
B.“Your parenting has been lacking lately so you two need to toughen up.”
C.“None of this is normal, you need to go get a psychiatric evaluation right now!”
D.“Your child is trying to express his independence and individuality, by experimenting with what he
knows. You should try to openly communicate with your child about his ideas and try to have an open
mind and keep calm while you are speaking with him.

32. NCLEX #3
Q) You’re working in the pediatric clinic and one of your regular patients is coming in this afternoon. When
the adolescent and parents arrive the parents seemed very stressed and on edge. When you address the
family about what is going on, the parents come unglued. They state “Billy, is not the same child we raised.
He used to follow all of the rules and agreed with our beliefs and values, but now wants nothing to do with
us or be associated with us. What can we do?” What is your response?
A.“You should probably go speak with the local police, because that is where your child is headed. “
B.“Your parenting has been lacking lately so you two need to toughen up.”
C.“None of this is normal, you need to go get a psychiatric evaluation right now!”
D.“Your child is trying to express his independence and individuality, by experimenting with what he
knows. You should try to openly communicate with your child about his ideas and try to have an open
mind and keep calm while you are speaking with him.

33. ACTIVITY
TIME!

34. SPIN THE BOTTLE WITH A TWIST OF
WITS

35. 1. Adolescents account for ___ of the population in the United states
2. The adolescent’s community is the _____ in helping the adolescent transition
from childhood to adulthood
3. There are ____ of teens ages 12-17 are online
4. Roughly 1 in ___ teens get pregnant by age 20
5. One of the stigmas for adolescents
6. One role of the nurse
7. Disability Rights Nebraska takes an approach to __ through legal __, public
policy, self-______, and citizen ______.
8. How many children are accepted to the summer program for handicapped
children?
9. What is a belief that nothing bad will happen to oneself
10.Adolescents are lacking mental and emotional ___ to make wide decisions
constantly

36. REFERENCES
• http://public.health.oregon.gov/HealthyPeopleFamilies/Youth/AdolescentGrowthDevelopment/Docum
ents/adoldevstages.pdf
• http://www.healthypeople.gov/2020/topics-objectives/topic/Adolescent-Health
• http://www.drugabuse.gov/publications/preventing-drug-abuse-among-children-adolescents-in-
brief/prevention-principles
• http://www.aafp.org/afp/2012/1215/p1109.html
• http://ojni.org/issues/?p=1199
• http://www.courierpress.com/columnists/the-importance-of-early-youth-leadership-development-ep-
443142483-325741941.html
• https://www.mentalhelp.net/articles/self-identity-and-values/