At age 25 the human body reached it most efficient functioning. The musculoskeletal system, cardiovascular, visual, auditory and reproductive system reached at its peak efficiency.
Weight and muscle mass may change as a result of diet and exercise. Extensive physical and psychosocial changes occur in pregnant women and lactating women.
1.
INJURIES: Motor vehicle crashes
3rd
leading cause of death among adolescents
5th leading cause of death among young adults
Results from a: problems with close relationships such as those with marriage partners or parents
from depression related to perceived
occupational, academic or financial failure
inability to cope with the pressures,
responsibilities and expectations of adulthood
Nurse Roles:
Identify behaviors that may indicate potential
problems: Depression physical complaints weight loss sleep disturbances digestive disorders decreased interest in social and work roles along with an increase in isolation
Common causes includes:
biologic inheritance Smoking Obesity high sodium diet high stress levels
Includes marijuana, amphetamines, and cocaine that bring about feelings of well being that is highly valued by people with adjustment problems.
Prolonged use can lead to physical and psychologic dependency and subsequent health problems.
teaching about the complications of their use changing individual attitudes towards drug abuse counseling regarding problems that lead to drug
abuse
Smoking another type of drug abuse that leads to lung cancer and cardiovascular disease.
Serve as role models by not smoking Provide educational information regarding the dangers of smoking
Help make smoking socially unacceptable e.g. posts a NO SMOKING campaign in offices suggest resources such as hypnosis, lifestyle training, and behavior modification to clients who desire to stop smoking
common infections among young adults includes genital herpes, AIDS, syphilis and gonorrhea. Chlamydia the most common prevalent infectious disease in the US
5. SEXUALLY TRANSMITTED INFECTION
Gonorrhea becomes resistant to multiple antibiotics Nursing Responsibility:
Provides health education on the use of
condoms
23% of adults age 20 and older are obese. The nurse needs to assess nutritional concerns and discuss diet and exercise patterns with the clients for subsequent development of an individualized wellness plan.
Homicide is the 2nd leading cause of death for persons age 15 -24 years
Stress can predispose families to abuse including financial problems, separation from family and community support and physical as well as social isolation.
familiarity with community resources e.g. Adult Protective Services, Shelters, Partners Anonymous etc«.for referral
Testicular cancer ² the most common neoplasm in men aged 20 to 34 years old.
Monthly testicular self- exam ²
recommended as an early identification of malignancy
9. MALIGNANCIES
Breast cancer ² leading cause of death in women
Annual breast exam is recommended for and annual mammography for women age 40 and above
Cervical cancer
Pap Test (Papanicolaou) ² done by obtaining
and examining cells from the uterine cervical os.
High Risk for Cervical Cancer :
sexual activity at an early age multiple sexual partner a history of syphilis herpes genitals or Trichomonas vaginitis
CAUTION
US !!!
SIGNS
Change in bowel or bladder habits
y
WHAT TO LOOK FOR:
Changes in the color, consistency, size, or shape of stools. (diarrhea, constipated) Blood present in urine or stool
y
A sore which does not heal
Sores that: y don't seem to be getting better over time y are getting bigger y getting more painful y are starting to bleed
Unusual bleeding/discharge
y y
Blood in urine or stool Discharge from any parts of your body, for example nipples, penis, etc.
Thickening or lump in breast or other part of the body
Any lump found in the breast when doing a self examination. Any lump in the scrotum when doing a self exam. Other lumps found on the body.
Indigestion and difficulty in swallowing
y
y
Feeling of pressure in throat or chest which makes swallowing uncomfortable Feeling full without food or with a small amount of food
Obvious change in warts or moles
Use the ABCD RULE y Asymmetry: Does the mole look the same in all parts or are there differences? y Border: Are the borders sharp or ragged? y Color: What are the colors seen in the mole? y Diameter: Is the mole bigger than a pencil eraser (6 mm)?
Nagging cough or hoarseness in voice
y y y
Change in voice/hoarsness Cough that does not go away Sputum with blood
Unusual bleeding/ discharge
y y
Blood in urine or stool Discharge from any parts of your body, e.g. nipples, penis etc.
Sudden weight loss
Awareness and monitoring of changes in body weight.
HEALTH TESTS AND SCREENINGS Routine physical examination (every 1 to 3 years for females, every 5 years for females) Immunizations as recommended such as tetanusdiphteria boosters every 10 years, meningococcal vaccine if not given in early adolescence and hepatitis B vaccine
HEALTH TESTS AND SCREENINGS
Regular dental assessments (every 6 months) Periodic vision and hearing screenings Professional breast examination every 1 to 3 years
Papanicolaou smear annually within 3 years of onset of sexual activity Testicular examination every year Screening for cardiovascular disease (e.g. Cholesterol test every 5 years if results are normal; blood pressure to detect hypertension; baseline electrocardiogram at age 35)
HEALTH TESTS AND SCREENINGS
Tuberculosis skin test every 2 years Smoking, history and counseling if needed
Motor vehicle safety reinforcement (e.g. using designated drivers when drinking, maintaining brakes and tires) Sun protection measures Workplace safety measures Water safety reinforcement (e.g. no diving in shallow waters)
Importance of adequate iron intake in diet Nutritional and exercise factors that may lead to cardiovascular disease (e.g. obesity, cholesterol and fat intake, lack of vigorous exercise)
Encourage personal relationships that promote discussion of feelings, concerns and fears Setting short and long term goals for work and career choices.
Family planning is sometimes used as a synonym for the use of birth control. is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of pregnancy or childbirth.
refer specifically to mechanisms which are
intended to reduce the likelihood of the fertilization of an ovum by a spermatozoon.
Barrier methods (e.g., condoms, diaphragm, spermicides) Sterilization (e.g., tubal ligation, vasectomy) Abstinence from sexual intercourse
5 MAIN CATEGORIES
Hormonal methods (e.g., birth control pills) Natural methods (e.g. Basal Body Temperature, Standard Days Method, Lactating Amenorrhea Method, Symptothermal Method, Two Days Method)