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adult growth & development
- developental tasks of young adults:
- establish self a functional & capable of living independantly
- choose career
- establish long term goals
- commit to relationships
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adult growth & development
- 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
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emotional development
- 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
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intellectual development
- 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"
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social development
- 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
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parenting
- 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
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common problems of adulthood
- 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
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personal identity
(internal problems)
- 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
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intrapersonal relationship
(internal problems)
- 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
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Guiding next generation
(internal problems)
- 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
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economics
(internal problems)
- 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
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educations
(external problems)
- 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
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lack of support
(external problems)
- 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
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AIDS
- 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
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interventions
- 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
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