1. The document provides teaching guidelines for various health topics including preventing STDs in adolescents, relaxation techniques for pregnant women, contraceptive education for couples, and conducting rape prevention classes. 2. Screening tests mentioned include the Denver Developmental Screening Test for assessing developmental disorders in children. Impending suicide warning signs include sudden mood changes and giving away possessions. 3. Freud's psychosexual stages of development are outlined moving from oral, anal, phallic, latency, and genital phases from infancy through adolescence. His structural model of the id, ego, and superego and their functions in personality development are also summarized.

1. I. Primary
Objective: PROMOTION & PREVENTION
A. Client and Family Teaching (Health Teaching)
1.Teaching adolescent in preventing contracting STDs
CHLAMYDIA: #1 STD in the U.S.
#1 Sign: Greenish & purulent urethral discharge
PID (Pelvic Inflammatory disease) #1 cause of sterility in women
#1 Drug of choice Erythromycin
2nd drug of choice Cephalosporin
2. Teaching pregnant women relaxation techniques
Object (also can be prevented by Kegel’s exercise)
Stage I of labor (LAT-CAP)
L atent C chest breathing
A ctive A bdominal breathing
T ransitionalP ant blow breathing
3. Teaching couples on contraceptives BON (Barrier, Oral
Contraceptive, Natural)
Barrier - CONDOM
Oral - Artificial
Natural - not for M A M (Malnourished, Anemics & Menses irregular)
4. Conducting rape prevention classes is an example of primary level of prevention.ive:
to prevent complication in
B. Herbal Medicines
C. Psychosocial Support – family/friends/peers
Needs most support (ASA): Addicts, Suicidal, Alcoholics,
Suicide = Major depression, despair, hopeless, powerless
Prone: Male Age bracket prone for suicide
#1. Adolescent (identity crisis)
2. Elderly (ego-despair)
3. Middle age men (40 y.o. above) 4. Post partum depression labor, fetal distress, perineal
laceration
(7days/2-4 weeks)
D. Giving Vaccines
II. Secondary : Screening, Diagnosis & Immediate Treatment
A. Screening
> Denver Development Screening Test (DDST) #1 test for PDD
Pervasive Development Disorder (PPD)
1. Autism: Age of onset (3 y.o.)
2. ADHD: Age of onset (6 y.o.)
Diet: Finger Food (high caloric, high CHO)
Rx: Ritalin (Methylphenidate); dextroamphetamine (Dexedrine)

2. 3. Conduct disorder: Age of onset (6 y.o.) B. Suicide Prevention / Intervention
Impending signs of Suicide
1. Sudden elevation of mood/sudden mood swings
2. Giving away of prized possessions
3. Delusion of Omnipotence (divine powers)
Used by SS (Suicidal, Schizophrenia)
4. When the patient verbalizes that the 2nd Gen TCA is working.
less than 2-4 wks (telling a lie)h Suicide Interventions :
1. One-on-one supervision and monitoring
2. No suicide contract – 24 hrs monitoring
Growth, development, & self-actualization
(by Maslow) which includes fully functioning person” (by Rogers)
Autonomy:
Involves self- determination, self- responsible for decisions, balance between dependence
and independence, and acceptance of the consequences of one’s action
Positive attitudes
toward self; includes self-identity, self-acceptance, self-awareness, belongingness,
security and wholeness
STAGES OF PSYCHOSOCIAL DEVELOPMENT:
S PSYCHOSEXUAL (PSYCHOANALYTICAL) THEORY OF SIGMUND
FREUDC Infancy: Oral Phase; Stage of the IdF Toddler: Anal Phase; Stage of the
EgoU Preschooler: Phallic Phase; Stage of the Superego (conscience)
E Attachment of the child to the parent of the opposite sex and jealousy toward the
parent of the same sex
p Oedipal Complex: Attachment of the son to his mother and jealousy toward the father.
p Electra Complex: Attachment of the girl to her father and jealousy toward the mother.
p Schooler: Latency phase; Stage of the Strict Superegod Adolescent: Genital phase
p FREUDIAN THEORY COMPONENTS:
1. LEVELS OF AWARENESS:
1 Conscious
– Composed of past experiences, logical and governed by REALITY PRINCIPLE;
are remembered and easily recalled or available to the individual.
–
– – the Preconscious; composed of material that has been deliberately pushed out
of conscious level; helps repress unpleasant thoughts or feelings and can
examine or censor certain desires or thinking; can be recalled with some effort
Unconscious
– – Composed of the LARGEST BODY OF MATERIAL- the thoughts, memories
and feelings that are repressed and not available to the conscious mind, not
logical and governed by PLEASURE PRINCIPLE – and since it is usually
painful and unacceptable to the individual, it cannot be deliberately brought

3. unacceptable to the individual, it cannot be deliberately brought back into
awareness unless in disguised or distorted form (dreams)
– – Three Elements of Personalityr IMBALANCE or ABNORMAL
FUNCTIONING OF THE THREE ELEMENT OF PERSONALITY
– ↑Id + ↓SE = Conduct Disorder and Antisocial Personality Disorder
– ↓Id + ↑SE = Obsessive Compulsive Disorder
– ID:
– Psychoanalytic term for that part of the psyche that is UNCONSCIOUS, the
reservoir of INSTINCTS, primitive drives governed by the PLEASURE
PRINCIPLE and is SELF- CENTERED. The Ids says, “I want, what I want, when
I want it”.
– EGO:
– Psychoanalytic term for that part of the psyche that is CONSCIOUS, The “I” that
is shown to the environment and most in touch with REALITY and the
MEDIATOR between the primitive, pleasure- seeking, instinctive drives of the ID
and the self- critical, prohibitive forces of the SUPEREGO and is directed by
REALITY PRINCIPLE. This is the thinking- feeling part of personality. The Ego
says, “I would want to have it if only I can afford it;” “Not now, I am not yet
ready; perhaps next week.”
– SUPEREGO:
– Psychoanalytic term for that part of the psyche that RESTRAINS, controls,
inhibits and prohibits impulses and instincts, is self- critical, and is called the
CONSCIENCE or EGO IDEA