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Health Promotion of young adult 20-40 years

Health Promotion of young adult 20-40 years.

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Health Promotion of young adult 20-40 years

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  1. Health Promotion of young adult20-40 years https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=ZlH8W7qvAoWNsAGBnoqQDQ&q=Young+adult+role+in+the+community+&oq=Young+adult+role+in+the+community+&gs_l=img.12...47978.60209..62605...0.0..0.367.6363.0j34j2j1......0....1..gws-wiz-img.......0.jEyV7WugLMk#imgrc=3Sxr6Ef3EqLikM:

  2. Learning objectives • By the end of this lesson you will be able to: 1- Describe physical development of young and middle- age adult 2- Discuss psychosocial, cognitive, moral, and spiritual development of young and middle age-adult 3- Explain health risks associated with young and middle adulthood 4- Discuss health promotion guidelines for young and middle age-adult Suhaila Halasa RN, PhD, CIMI,CPT

  3. Adulthood divided into three phases: 1. Young adult (20-40)years 2. Middle-age adults ( 40-65) years 3. Older adult (over 65) years

  4. Young adult (20-40)years • Adult phase of development involves the years from the adolescence to death https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=ZlH8W7qvAoWNsAGBnoqQDQ&q=Young+adult+role+in+the+community+&oq=Young+adult+role+in+the+community+&gs_l=img.12...47978.60209..62605...0.0..0.367.6363.0j34j2j1......0....1..gws-wiz-img.......0.jEyV7WugLMk#imgrc=3Sxr6Ef3EqLikM: Suhaila Halasa RN, PhD, CIMI,CPT

  5. Young adult (20-40)years • Young adult are busy people who face many challenges: A. Expected to assume new roles at work, in home, and community B. They develop interest, values, and attitudes towered their role. C. Maturity is the maximal function and integration, or the state of being fully developed. https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=flL8W_HjKImtsgHEv7_IAg&q=Young+adult+athletic+%2Fdrawing&oq=Young+adult+athletic+%2Fdrawing&gs_l=img.3...22883.30268..31505...1.0..0.191.2956.0j18......0....1..gws-wiz-img.yIQ8aCpoMxA#imgrc=Ki37_-Yxiw-97M:

  6. Young adult (20-40)years • Physical development: • The musculoskeletal system is well developed and coordinate (athletic reach its peak). • All other system of the body are functional at peak efficiency Suhaila Halasa RN, PhD, CIMI,CPT

  7. Young adult (20-40)years • All body systems (e.g., cardiovascular, visual, auditory, reproductive ) are function at peak efficiency. • Physical change are minimal in this age, but, muscle mass may change as a result of diet and physical exercise https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=n1L8W-_ZLoysswGC8qTwCg&q=Young+adult+All++body+systems+%28e.g.%2C+cardiovascular%2C+visual%2C+auditory%2C+reproductive+%29+are+function+at+peak+efficiency.&oq=Young+adult+All++body+systems+%28e.g.%2C+cardiovascular%2C+visual%2C+auditory%2C+reproductive+%29+are+function+at+peak+efficiency.&gs_l=img.12..0l3.221405.229057..230634...0.0..0.409.3966.0j8j6j2j1......1....1j2..gws-wiz-img.5dY93DnvIug#imgrc=CIUaL9TDURSWfM: Suhaila Halasa RN, PhD, CIMI,CPT

  8. Young adult (20-40)years • Health outcomes in middle- age and older adulthood may have their beginning in younger adult behavior • Extensive physical and psychosocial changes occur in pregnant and lactating women https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=h1P8W569KsSosAGPoI3AAw&q=Young+adult+Health+outcomes+&oq=Young+adult+Health+outcomes+&gs_l=img.12...227343.230474..231682...0.0..0.169.329.0j2......0....1j2..gws-wiz-img.......0.yaeez-gRkQA#imgrc=jxJDTehwBOshxM: Suhaila Halasa RN, PhD, CIMI,CPT

  9. Young adult (20-40)years • Psychosocial development of the young adult is great See (Box : 22-1 R2 page 400) The intimacy versus isolation phase of Erickson's stage of development. The basic developmental task is establishing or very closed friendship https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=cFT8W6ufJYGZsgGa5KiYDA&q=Young+adult+Psychosocial+development+of+the+young+adult+&oq=Young+adult+Psychosocial+development+of+the+young+adult+&gs_l=img.12...261419.272925..274447...0.0..0.170.331.0j2......0....1j2..gws-wiz-img.......0.6a6GhN4YHQo

  10. Young adult (20-40)years • Choice of lifelong partner and • consideration of childbearing • depending on successful • negotiation of intimacy https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=cFT8W6ufJYGZsgGa5KiYDA&q=Young+adult+Psychosocial+development+of+the+young+adult+&oq=Young+adult+Psychosocial+development+of+the+young+adult+&gs_l=img.12...261419.272925..274447...0.0..0.170.331.0j2......0....1j2..gws-wiz-img.......0.6a6GhN4YHQo Suhaila Halasa RN, PhD, CIMI,CPT

  11. Young adult (20-40)years • Young adult face a number of new experiences and changes in lifestyle as they progress toward maturity Young adult makes choices about: • Education and employment • Whether to marry or remains single • Starting home, and rearing children https://www.google.com/search?q=Young+adult+makes+choices+about:++education+and+employment&tbm=isch&tbs=rimg:CQc3UwXmLGR-IjgLaRhSsMz1cd8i0ly0K3i-NxXpF9IqzGhod68RbgaQC9leyNM9-WNFwLVsh5qsBaOtjnx7HehjZioSCQtpGFKwzPVxERx7337Zdh_1wKhIJ3yLSXLQreL4RkUo3MyT_1DzsqEgk3FekX0irMaBEF3Hrxt3B1WioSCWh3rxFuBpALERCyIa9T-WuhKhIJ2V7I0z35Y0URgoAuE7Wro-QqEgnAtWyHmqwFoxG8pQbb9ebTSyoSCa2OfHsd6GNmEUY7icb-WVIf&tbo=u&sa=X&ved=2ahUKEwj1l8KZ8_LeAhUwsKQKHe6ZCOAQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgdii=FfFK9neAlrG_NM:&imgrc=n4DJC1POh9-DmM: Suhaila Halasa RN, PhD, CIMI,CPT

  12. Young adult (20-40)years • Social responsibility include forming new friendship and assuming community activities • Education enhances employment opportunities and usually insure economic survival https://www.google.com/search?q=Young+adult+makes+choices+about:++education+and+employment&tbm=isch&tbs=rimg:CQc3UwXmLGR-IjgLaRhSsMz1cd8i0ly0K3i-NxXpF9IqzGhod68RbgaQC9leyNM9-WNFwLVsh5qsBaOtjnx7HehjZioSCQtpGFKwzPVxERx7337Zdh_1wKhIJ3yLSXLQreL4RkUo3MyT_1DzsqEgk3FekX0irMaBEF3Hrxt3B1WioSCWh3rxFuBpALERCyIa9T-WuhKhIJ2V7I0z35Y0URgoAuE7Wro-QqEgnAtWyHmqwFoxG8pQbb9ebTSyoSCa2OfHsd6GNmEUY7icb-WVIf&tbo=u&sa=X&ved=2ahUKEwj1l8KZ8_LeAhUwsKQKHe6ZCOAQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgrc=_ Suhaila Halasa RN, PhD, CIMI,CPT

  13. Young adult (20-40)years The women role is changed, many women now choose to assume active careers and civic role in the society in addition to their role as mother and/or wife https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=lVn8W9GCNc3LsAGBt6mwBQ&q=The+women+has++careers+&oq=The+women+has++careers+&gs_l=img.12...19257.20856..22309...0.0..0.186.354.0j2......0....1..gws-wiz-img.V10UQm8rWRM#imgrc=A125miPK6B5wEM: Suhaila Halasa RN, PhD, CIMI,CPT

  14. Young- age adult has the following developmental tasks: • Selecting a mate • Learning to live with a partner. • Starting family. • Rearing children. https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=YVr8W46vL4HXsAHhpaqIBg&q=young+adult+starting+family%2Fdrawing&oq=young+adult+starting+family%2Fdrawing&gs_l=img.3...4483.7843..8955...0.0..0.1406.5481.0j2j2j6-1j3......0....1..gws-wiz-img.66skVIjTUOI#imgrc=hzAO4_XRIqRfpM: Suhaila Halasa RN, PhD, CIMI,CPT

  15. Young adult (20-40)years 5. Managing home. 6. Getting started in occupation. 7. Taking on civic responsibility. 8. Finding a congenial social group. https://www.google.com/search?q=young+adult+congenital+social+group+/drawing&tbm=isch&tbs=rimg:Cbi65fUuZb-OIjg-ArJucw9nak4HsAXoHSiZdOF2QXPdP1BDX5orjS67frBkK6RPu3_1KSH1jEWaBWlkNDcgtCq3lwyoSCT4Csm5zD2dqES9gSirY4JOpKhIJTgewBegdKJkRGm1PEumKNLMqEgl04XZBc90_1UBEW6JGytV56yioSCUNfmiuNLrt-ER0hqL9OLpyIKhIJsGQrpE-7f8oR7HL-QotSPdEqEglIfWMRZoFaWRG3Dta2VMVH_1ioSCQ0NyC0KreXDEQBXh37h0-cA&tbo=u&sa=X&ved=2ahUKEwjmyMWy9vLeAhVE2KQKHbBhCZIQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgrc=aHN2ypxWtRg29M:

  16. Young adult (20-40)years Cognitive development: • Piaget believes that cognitive structures are complete during the formal operations period. • It characterized to think abstractly and employ logic https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=WVv8W42XJcb9swGu4qZw&q=young+adult+cognitive+development++%2Fdrawing&oq=young+adult+cognitive+development++%2Fdrawing&gs_l=img.12...140963.153010..155464...0.0..0.215.5665.0j33j2......0....1..gws-wiz-img.aLU-_CqKaQE#imgrc=JqlnJ9c1RtvRYM:

  17. Young adult (20-40)years They are able to: • Generate hypotheses about what will happen, and do not have to engage in trial –and-error behavior • Post formal thought include creativity, intuition, and ability to consider information in relationship to other ideas https://www.google.com/search?q=young+adult+creativity+++/drawing&tbm=isch&tbs=rimg:CUhLe-qjhX70Ijh45KwXgFqq93QQq72K8nYaagRUy1ABVPQ4_1skWNmeXdvoT1xaXepNigV8yeP-huDU_1aVgqNLeXTCoSCXjkrBeAWqr3EfAVOLHbTszdKhIJdBCrvYrydhoR-nHKqAhwJSEqEglqBFTLUAFU9BHvoT4FdNoToioSCTj-yRY2Z5d2ERmKs_1jqpgBnKhIJ-hPXFpd6k2IReJALKzfEjToqEgmBXzJ4_16G4NRHxTpYzTBJfPioSCT9pWCo0t5dMEdoKgmEJIi_1y&tbo=u&sa=X&ved=2ahUKEwj80uPo9_LeAhUJ2aQKHf-bBNcQ9C96BAgBEBk&biw=1366&bih=657&dpr=1#imgrc=SEt76qOFfvTv0M: Suhaila Halasa RN, PhD, CIMI,CPT

  18. Young adult (20-40)years • They aware that most problems have more than one cause and more than one answer and some solutions will work better than others Suhaila Halasa RN, PhD, CIMI,CPT

  19. Young adult (20-40)years • Moral development: • young adult who have mastered the previous stages of Kohlberg's theory of moral development now enter the post conventional level • The person is able to define morality in terms of personal principles https://www.google.com/search?q=young+adult+Moral+development+++/drawing&tbm=isch&tbs=rimg:CZylyre7d0EaIjg8DsbJIh5EIl7_1kxkuZeQ3XC8muNx5kzSf0MDiNceoApOFzZCuvwVjcTv7nMaigOu145DAxoUIdyoSCTwOxskiHkQiERz9gpgXxim0KhIJXv-TGS5l5DcRP0JzVy6HHFEqEglcLya43HmTNBFdi0PjldyvtioSCZ_1QwOI1x6gCEaX4jiR_1QkF-KhIJk4XNkK6_1BWMRXfOqMth5C0IqEglxO_1ucxqKA6xH4r1SS5Pzk2ioSCbXjkMDGhQh3EaDpjbe8n0Ys&tbo=u&sa=X&ved=2ahUKEwjdxPTp-PLeAhVBy6QKHbiSBJIQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgdii=yfuo5UuLNngd7M:&imgrc=qQTyX-eLr4YSVM:

  20. Young adult (20-40)years • Spiritual development: according to fowler, the individual enters the individualizing-reflective period sometime after 18 years of age https://www.google.com/search?q=young+adult+spritual+development+in+Muslims+++/drawing&tbm=isch&tbs=rimg:CfAYzHGcJeOBIjg8HBB9ZLBzmLnIPrJzglaggrLb6TMhUMq3Ec-PAmUydV4cCIj1mXf-4GQyFmq-qHYLyN_1rpuF6ECoSCTwcEH1ksHOYEX3SM2vcNXmaKhIJucg-snOCVqARie7-UjdETX0qEgmCstvpMyFQyhE1iZCDoxUOWyoSCbcRz48CZTJ1EUk0ujbBe9V2KhIJXhwIiPWZd_14RZ-NMkk5OkKIqEgngZDIWar6odhFzL8hhFQlx6yoSCQvI3-um4XoQEXaLRVtJ6ZeZ&tbo=u&sa=X&ved=2ahUKEwi4ztOH-vLeAhVEzqQKHUorDhMQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgrc=5fPNmhDHUyZqiM:

  21. During this period the individual focuses on reality • The religious teaching that the young adult has a child may now be accepted or redefined https://www.google.com/search?q=young+adult+spritual+development+in+Muslims+++/drawing&tbm=isch&tbs=rimg:CfAYzHGcJeOBIjg8HBB9ZLBzmLnIPrJzglaggrLb6TMhUMq3Ec-PAmUydV4cCIj1mXf-4GQyFmq-qHYLyN_1rpuF6ECoSCTwcEH1ksHOYEX3SM2vcNXmaKhIJucg-snOCVqARie7-UjdETX0qEgmCstvpMyFQyhE1iZCDoxUOWyoSCbcRz48CZTJ1EUk0ujbBe9V2KhIJXhwIiPWZd_14RZ-NMkk5OkKIqEgngZDIWar6odhFzL8hhFQlx6yoSCQvI3-um4XoQEXaLRVtJ6ZeZ&tbo=u&sa=X&ved=2ahUKEwi4ztOH-vLeAhVEzqQKHUorDhMQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgrc=5fPNmhDHUyZqiM: Suhaila Halasa RN, PhD, CIMI,CPT

  22. Health Risks • Young adulthood is generally a healthy time of life • Health risks include: • Injury and violence • Suicide, hypertension, substance abuse, sexually transmitted infection, eating disorders, and certain malignancies. https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=CF_8W__9L5OVmgW3oYb4Bw&q=young+adult+health+risks+%2Fdrawing&oq=young+adult+health+risks+%2Fdrawing&gs_l=img.3...177782.187922..188953...1.0..0.202.3280.0j19j1......0....1..gws-wiz-img.Z3vC5y_BC8o#imgrc=Jm2J_ndN3WoEtM:

  23. Some problems such as Injuries, substance use and STDs are related to behaviors that could possibly be prevented through appropriate education and other primary preventive strategies • https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=CF_8W__9L5OVmgW3oYb4Bw&q=young+adult+health+risks+%2Fdrawing&oq=young+adult+health+risks+%2Fdrawing&gs_l=img.3...177782.187922..188953...1.0..0.202.3280.0j19j1......0....1..gws-wiz-img.Z3vC5y_BC8o#imgrc=Jm2J_ndN3WoEtM: Suhaila Halasa RN, PhD, CIMI,CPT

  24. Health Risks • Injuries Unintentional injuries : Motor vehicle crashes are the fifth leading cause of death for total population but the leading of death for people 1-44 years of age Education about safety precautions is major role of the nurse in promoting health of young adult https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=UGD8W7-JENHLsAGhjIfYDA&q=+%2Fdrawing%3A+motor+vehicle+crashes+&oq=+%2Fdrawing%3A+motor+vehicle+crashes+&gs_l=img.12...179269.193268..195222...0.0..0.218.1977.0j12j1......0....1j2..gws-wiz-img.......0i7i30.XyqAyLGMeqk

  25. The new rules and regulation related to drive in Jordan !!!!!!!!!! https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=58v8W9-rNYXgkgXporvIDg&q=Dscussion&oq=Dscussion&gs_l=img.3..0i10i24.2083198.2090077..2091619...0.0..0.370.5352.0j20j9j2......0....1..gws-wiz-img.....0..0j0i67j0i24.FckyYUwdAzY#imgrc=u1TY0ybJOCZ8aM: Suhaila Halasa RN, PhD, CIMI,CPT

  26. Health Risks • Violence: • Violence threatens lives and well being of people of all ages • The youth are perpetrators مرتكبيand victims of violence • Homicides القتل is the second cause of death for young persons 15-24 years of age • Other violence includes work-setting violence, and random shooting https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=FGH8W5KkMoSlsgHVhZf4Aw&q=young+adult+violence+%2Fdrawing&oq=young+adult+violence+%2Fdrawing&gs_l=img.12...67498.83325..86142...0.0..1.541.8996.0j10j15j5j3j1......0....1..gws-wiz-img.....0..0j0i67.TdVGWL_C7Pg#imgdii=M5s-j8hNZ_2jpM:&imgrc=eo4wxwPiTWoFwM: Suhaila Halasa RN, PhD, CIMI,CPT

  27. Health Risks • Suicide: • Suicide is a leading cause of death in the young adult age group • Many suicides may actually be mistaken for accidental death. • It may result from the young adult's inability to cope with pressures, expectations, and responsibilities https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=w9T8W465HoTTkgWvvbCYBw&q=Suicide%3A&oq=Suicide%3A&gs_l=img.12..0l10.435351.438986..440627...0.0..0.382.1329.0j8j0j1......0....1j2..gws-wiz-img.....0..0i10i24.y4XZ2lgccIQ

  28. Health Risks • Suicide may result from problems with a. Marriage partner b. Depression related to perceived educational, academic or financial failure https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=w9T8W465HoTTkgWvvbCYBw&q=Suicide%3A&oq=Suicide%3A&gs_l=img.12..0l10.435351.438986..440627...0.0..0.382.1329.0j8j0j1......0....1j2..gws-wiz-img.....0..0i10i24.y4XZ2lgccIQ Suhaila Halasa RN, PhD, CIMI,CPT

  29. Health Risks The role of the nurse in prevention suicide include: • Identifying behaviors that may indicate potential problems like depression physical complaints including weight loss, sleep disturbance and digestive disorder, decrease interest in social and work role • Participating in educational programs that provide information about early signs of suicides https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=w9T8W465HoTTkgWvvbCYBw&q=Suicide%3A&oq=Suicide%3A&gs_l=img.12..0l10.435351.438986..440627...0.0..0.382.1329.0j8j0j1......0....1j2..gws-wiz-img.....0..0i10i24.y4XZ2lgccIQ

  30. A suicide threat should never be ignored • Young adult identified at risk of suicide should be referred to a mental health specialist https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=w9T8W465HoTTkgWvvbCYBw&q=Suicide%3A&oq=Suicide%3A&gs_l=img.12..0l10.435351.438986..440627...0.0..0.382.1329.0j8j0j1......0....1j2..gws-wiz-img.....0..0i10i24.y4XZ2lgccIQ Suhaila Halasa RN, PhD, CIMI,CPT

  31. Health Risks • Hypertension: Causes: • Biologic inheritance, contributing factor like smoking, obesity and high sodium diet and high stress level • Hypertension is the major risk of development of chronic heart disease or stroke (cerebrovascular accidents) • Blood pressure measurement every 2 years for young adult to screen for hypertension

  32. Health Risks • Substance abuse: • Alcohol, marijuana, cocaine • Prolonged use cause addiction or physical and psychological dependence, and health problems • addiction or physical and psychological dependence on a substance is related to: -- properties of the substance -- the individual user -- the social net work of the individual

  33. Health Risks • Examples of health problems: • Drug use during pregnancy lead to fetal damage • Prolonged use of alcohol can lead to • liver cirrhosis • cancer of the esophagus https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=bGH8W_L5DYfRsAGpk42gBg&q=young+adult+drug+use+%2Fdrawing&oq=young+adult+drug+use+%2Fdrawing&gs_l=img.3...111763.121576..122485...1.0..0.360.3415.0j11j4j2......0....1..gws-wiz-img.c7G5_pV-XXs#imgrc=mK5brkEo1JRXvM: Suhaila Halasa RN, PhD, CIMI,CPT

  34. Health Risks Nursing strategies related to drug abuse including: Teaching about the complication of their use Changing individual attitude towered drug abuse 3. Counseling regarding the problems that lead to drug abuse 4. Assessment of young adult for drug abuse 5. Assist young adult to access intervention services

  35. Health Risks Smoking is another type of drug abuse that lead to lung cancer and cardiovascular diseases The nursing role regarding smoking is: 1- serves as role model by not smoking 2- provide educational information regarding the dangers of smoking 3- help make smoking socially unaccepted 4- suggest resources hypnosis, life style training and behavioral modification to client who desire to stop smoking

  36. Health Risks Sexually transmitted infection (STIs) as AIDS, Syphilis and gonorrhea Nurses have a significant role in health education about Eating disorder: obesity Nurse should assess nutritional concern, discuss diet and exercises pattern Meet calcium requirement and proper nutrition for young women

  37. Health Risks • Malignancy • Testicular cancer is the most common neoplasm in men 15-35 • Monthly testicular-self examination for all men helpful for early identification • Lung cancer is the first cause of death among women

  38. Health Risks • Breast cancer is the second cause of death among women • American cancer society recommendations the following: • Breast-self exam (BSE) is an option for women starting in their 20s • Women in 20s and 30s should have a clinical breast exam (CBE) by care provider, perfectly every 3 years. • Women at high risk should get MRI andmammogram every year • Women age 40 and older should have screening mammogram annually as long as they are in good health https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=fdb8W5mcDZCasAfw0qbABg&q=breast+cancer&oq=breast+&gs_l=img.1.0.0l10.915381.919712..922218...0.0..0.413.2674.0j9j3j1j1......0....1..gws-wiz-img.....0..0i67.ofXmIvB-1uk Suhaila Halasa RN, PhD, CIMI,CPT

  39. Young adult women should also be screened for cervical cancer by having a routine Papanicolaou (Pap) test • Health promotion Guidelines for young adult Box 22-2 (page 404 ref 2 (Kozier) ) Group discussion ( very important)

  40. Middle-aged Adult(40-65 years) https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=52H8W-uxOMqKmgWThaSIDw&q=Middle+aged+adult%2Fdrawing&oq=Middle+aged+adult%2Fdrawing&gs_l=img.3...210181.219950..221697...0.0..0.240.3839.0j20j2......0....1..gws-wiz-img.......0i7i30j0i8i30.RL-4AGaFuzE

  41. Middle-aged Adult • The middle-aged adult (40-65 years) called the years of stabilityor consolidation. https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=mGP8W76CA6OSmgW2rJWADQ&q=the+middle+years+%28+menopause+%7B+menstruation+cease+&oq=the+middle+years+%28+menopause+%7B+menstruation+cease+&gs_l=img.12...2317.7095..8312...0.0..1.232.1123.0j5j1......0....1j2..gws-wiz-img.....0..0j0i67.rwa_JbtJoGE#imgdii=NWTORU1lAVy2GM:&imgrc=GiyLFnsJljB9AM:

  42. Middle-aged Adult Physical development: • Both men and women experience decreasing hormonal production during the middle years ( menopause) menstruation cease climacteric (andropause-) →↓ sexaul activity. https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=mGP8W76CA6OSmgW2rJWADQ&q=the+middle+years+%28+menopause+%7B+menstruation+cease+&oq=the+middle+years+%28+menopause+%7B+menstruation+cease+&gs_l=img.12...2317.7095..8312...0.0..1.232.1123.0j5j1......0....1j2..gws-wiz-img.....0..0j0i67.rwa_JbtJoGE#imgdii=NWTORU1lAVy2GM:&imgrc=GiyLFnsJljB9AM: Suhaila Halasa RN, PhD, CIMI,CPT

  43. Middle-aged Adult • It is said to have occurred when a women has not had a menstruation period for 12 months • The menopause usually occurs sometimes between ages 40-55, the average is about 47 years https://www.google.com/search?q=the+middle+years+(+menopause+%7B+menstruation+cease&tbm=isch&tbs=rimg:CUa3fZcziphUIjhDr5k3nzj_1_1YxAx26eF-DcwsDgcfFTd7Tynewxk_1F1gQleMtcqvhk1bQOzDy-7bXUldALqgFm0WyoSCUOvmTefOP_19EdmZ1TJgA_1kEKhIJjEDHbp4X4NwROisGOdR6SIUqEgnCwOBx8VN3tBE0jDKu_1z34syoSCfKd7DGT8XWBEbX1bhd6MMQOKhIJCV4y1yq-GTUR3r3j8_1atLscqEgltA7MPL7ttdRFl2Gc2eaRCWCoSCSV0AuqAWbRbEQ6NC-apWiP9&tbo=u&sa=X&ved=2ahUKEwjQ7-iD__LeAhXF0qQKHSf8APMQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgrc=fGo_2TY70Xql8M: Suhaila Halasa RN, PhD, CIMI,CPT

  44. Middle-aged Adult • Symptoms of menopause: • Common symptoms occur related to a decline in estrogen: • Hot flashes • Chilliness • A tendency of the breast to become smaller and less dense • Decrease in metabolic rate that may lead to weight gain • Insomnia and headache https://www.google.com/search?q=the+middle+years+(+menopause+%7B+menstruation+cease&tbm=isch&tbs=rimg:CUa3fZcziphUIjhDr5k3nzj_1_1YxAx26eF-DcwsDgcfFTd7Tynewxk_1F1gQleMtcqvhk1bQOzDy-7bXUldALqgFm0WyoSCUOvmTefOP_19EdmZ1TJgA_1kEKhIJjEDHbp4X4NwROisGOdR6SIUqEgnCwOBx8VN3tBE0jDKu_1z34syoSCfKd7DGT8XWBEbX1bhd6MMQOKhIJCV4y1yq-GTUR3r3j8_1atLscqEgltA7MPL7ttdRFl2Gc2eaRCWCoSCSV0AuqAWbRbEQ6NC-apWiP9&tbo=u&sa=X&ved=2ahUKEwjQ7-iD__LeAhXF0qQKHSf8APMQ9C96BAgBEBg&biw=1366&bih=657&dpr=1#imgrc=fGo_2TY70Xql8M: Suhaila Halasa RN, PhD, CIMI,CPT

  45. Middle-aged Adult Physical development ( see Developmental Assessment Guideline, table 22-1 page:405 Appearance: Hair ;thin, gray Skin; ↓ turgor, moisture, SC fat& wrinkle appears. Fatty tissue is redistribution mainly in abdominal areas. https://www.google.com/search?biw=1366&bih=657&tbm=isch&sa=1&ei=GNr8W9LgOsTgkgXexKOgBA&q=gray+hair+in+adults+&oq=gray+hair+in+adults+&gs_l=img.3...1055417.1065386..1066167...0.0..0.437.6892.0j14j7j6j3......0....1..gws-wiz-img.....0..0j0i67j0i8i30j0i24.1xAZ_ol8BWQ

  46. Middle-aged Adult Musculoskeletal system Skeletal muscle bulk decrease at about age 60s, Calcium loss from bone tissue common among postmenopausal women Thinning of the intervertebral discs lead to decrease in height about 1 inch Metabolism; Slow lead to weight gain Suhaila Halasa RN, PhD, CIMI,CPT

  47. Middle-aged Adult • Cardiovascular; blood vessels lose elasticity& becomethicker • Sensory perception; ↓taste sensation, • Vision: visual acuity decline by late 40s, especially for near vision (presbyopia) • Hearing:hearing acuity for high frequency sound decreased especially in men

  48. Middle-aged Adult • Gastrointestinal; gradual decrease in tone of large may predispose the individual to constipation. • Urinary system; nephron units are lost & glomerular filtration rate decreased . • Sexuality;hormonal changes in both sexes. Suhaila Halasa RN, PhD, CIMI,CPT

  49. Middle-aged Adult • Psychosocial development: • Most people become increasingly aware of gradual changes in their bodies that mark the ageing process • People usually accept the fact that they are aging • Some try to challenge the years by changing their dress and actions

  50. Middle-aged Adult • Psychosocial development: • Is in the generativity versus stagnation phase of Eriksson's stages of development. • According to Havighurst, has the following developmental task:see box 22-3 • page 406 Ref 2

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