mental health

• developental tasks of young adults:
• establish self a functional & capable of living independantly
• choose career
• establish long term goals
• commit to relationships

• physical growth 4 men is by 21yr, women by 17yr
• begin to show aging by 30yr, but if live in healthy way will have good health later

• learning 2 function when under stress, stress could help some to achieve goals
• caregivers should be able 2 explore inappropiate feelings w/ them
• assessments: include pt perception of how their emotions affect their ability to have good relationships or ahieve their goals
• when they have coped w/ life's problems they also adjust well to aging
• fear of bad health, death, financial problems lead anxiety which them leads 2 illness or behavior problems
• 15% are depressed but <1/3 get help

• focus on ability 2 solve intellectual or abstract problems
• learn new skills
• flexablitiy
• broaden horizons
• willingness to take risks
• ppl who exercise intellects have few losses of mental ability

"USE IT OR LOSS IT"

• commitments- focuses on interactions & relatioships w/ others, careers
• communications- srong impact on employment, relationships, goals
• habits learned in childhood become life long
• establishing intemacy, when strong sense of personal identity have long relationships, when struggleing w/ identity seek relatioship that fill their unmet psychosocial needs

• forces women to focus on others
• creates anxiety, feeling inadequacy, isolation & helplessness, women that work & parent more vulnerable, once kids grow they find themselves
• they have to redirect themselves from parent to partner, redefine marriage, they explore commiment, communication, & compromise (no one wins or losses) to each other, the marriage has a strong foundation, they have effective communication
• build better spiritual dimension
• adults that can'tfind meaning to their life become stagnant, slef-absorbed, isolated
• they devolope ability to solve problems, have reasonable expectations, set priorities

• internal problems- stressful situations or anxious situations
• external problems- important role in determining opportunities (lack of education, poverty, homelessness, substance abuse, HIV, AIDS, lack of social support

• starts @ childhood, can lead to mental health problems
• problems of personal indentity affects: how they solve problems, makes decisions, & interprets stress

nurses offer emotional support & encouragement to solve problems, act as valued source, directing to support groups

• theraputic intervention: ASSIST
• define life dream
• making choices or making goals
• health determine own spiritual needs
• determine relationship choices, marriage, single
• assess how their emotions influence ability to acheive goals, & have relationships

• when discovering unique nature they still search 4 relationship that meets their needs & fill personal growth
• usually look 4 relatioship that will make them escape unhappy situations
• some choose marriage, cohabitat either opposites gender or same gender which then cause mental health problems b/c of stigma & discrimination
• violant relationships can happen to all genders especially women
• caring 4 parents & children they are called "sandwich generation''
• gender roles conflict- when b/c of stereotyping one can' do or work as what they want b/c of critisism
• ppl that dont see how their attitudes or behaviors affe others have trouble in relationships

• nursing care:
• role of preventing mental illness by identifying those w/ intrapersonal problems by educating, support, & giveing resources

• having kids is like a package deal comes w/ responsibility, fatique, self-doubt, love, & joy
• making choice of terminating preg. single parenting, or marrying b/c of child
• most base their parenting on how they were raised,

• factors of child-rearing practices:
• family relationship
• financial status
• health practices
• housing, living arrangements, safety
• socialization of other
• spiritual beleifs
• type of discipline

• when they loss their jobs, they also loss sel-esteem, & self-worth
• downward spiral include: poverty, physical illness, phychosocial disorders,
• children get negleted, abused, maltreated

nurses help by support & retraining services

inner strength- b/c of hard changes many adults grow & learn to cope

• training & education is linked w/ economics
• ppl w/ an education leads to more money & they can deal w/ stressful situations better
• lack of education limits abitlity & fosters disabilities
• result of unemplyment is poverty leadin 2 unstable home, poor education, higher risk 4 becoming a victim, & have kids that suffer 2 & have bad education 2
• homeless are usually men

• social isolation
• no meaningful interactions w/ other

• friends help w/ all aspects of life, makes it less hard to deal w/ problems
• makes differance between mental health & illness
• nurses need to assess pt social support systems

• S/S- could take long to show, but some are cough, fever, nightsweats, wt loss, others are ear, nose, throat, or stomach complaints, & skin changes
• some get depression, anxiety, lapses of memory
• more likely got get at this age
• Dr. have to educates pt bout AIDS
• has many physical consequences but psychosocial & emotional effects can b equally devestating

• therapeutic interventions:
• prevention & asissting to cope

• Health care interventions:
• nurses use assessment skills to uncover pt descriptions & their difficulties, work w/i pt reality, learn pt conitions, cultural differances, give written instructions

• preventing mental illness:
• remember itz the whole person who recieves our care