Chapter 14 Problems of adolescence Adolescence provide from

Chapter 14 Problems of adolescence

• Adolescence provide from 11 – 18 , 12 -21 , teenagers, teens • physical and sexual growth and psychosocial development. • Prepare for assuming responsibility • Maturation is the process of attaining complete development.

Physical changes: • • 1. wieght 2. height 3. body size. 4. voice changes.

: Puberty • the stage during which an individual becomes physically capable of reproduction. • Puberty : girl : 8 -14 yrs. • menarche. • Breast development. • Body fat distribution.

• • • Boy 10 -12 yrs Testacle enlarge. Pubic hair develop Increase length of penis and width At 12 yrs old capable of fathering

psychosocial development : • cognitive development : abstract thinking judgment. • emotional development: day dream • social development : dress- musicdancing , peer group. • spiritual development:

• common problems of adolescence : • internal developmental problems. • external environmental problems.

● ● ● internal : due to effect of physical changes. dramatic emotional up and down introspection is the process of examining ones own, Thoughts, emotions, reactions, attitude , opinions, value, and behavior by looking at the inner self. ﻛﻴﻒ ﻳﻨﻈﺮ ﺍﻟﺸﺨﺺ ﻟﻨﻔﺴﻪ ﻛﻴﻒ ﺗﻜﻮﻥ ﻋﻼﻗﺘﻪ ﻣﻊ ﺍﻵﺨﺮﻳﻦ ﺍﻟﻤﺤﻴﻄﻴﻦ ﺑﻪ

• • • external "environmental problems" problems arise outside. family, social environmental. Family problems: Change toward independency. Seek for freedom

• • • Conflict with family member. Physical violence. Social problems: Peer group. Interest toward opposite gender Environmental development: Dirty air of cities Quality, quantity of food eaten Exposure to drug, crime, prostitution , corruption.

Mental health problems: • dysfunction : an impairment in early day life when facing problem. • Focous on • promoting positive life skills. • prevention of dysfunction.

: Behavioral disorders • • • divide to ADHD need positive reinforcement Appropriate behavior at home or school. Behavioral theory Drug TCAD

Conduct disorder : • • Aggressive behavior to word other. Clp : fighting temper tantrum. running away from home. Substance abuse.

Treatment: • Therapeutic home care. • Improve family interaction. • School involvement. – Emotional disorder: • Anxiety disorder • Over stress , panic, phobia, OCD, PTSD

Affective mood disorder: • depression. • hyperactivity. • Box 14 -2 s and s of depression.

: Eating disorder • sever disturbance of eating behavior can result in below or above ideal weight • Obesity : body weight 20% or more above the average weight , chronic over eating is not mental health problem

• • More in teen age female, with athlete It can lead to death 9% Aneroxia nervosa : Is prolong refusal to eat to keep body weight at minimum • Characterized by ;

• Intense fear of becoming fat , & relentless pursuit of thinness • Girl: 12 yrs -14 yrs up to 18 yrs • Characteristic : • Cooperative achievement oriented girl • See herself overweight • Positive family history • Mood disorder • Obsessive thought to be thin • Her behavior concerning to be thin • Exercise excessively

• • • Restrict calories Induce vomiting Use laxative Use diuretics Diet pills Use drug to prevent smallest weight gain Avoidance of friends, cut back on her social activities Anxious , irritable , depressed She deny her problem Signs of starvation Enter in life threatening complication , need medical intervention

: Bulimia • • is cycle of bing eating followed by purging Occur after 17 yrs Difficult to be diagnose Collage Intense interesting in diet Struggles with food Bing eating episode

• Consume 5000 -20000 calories high CHO diet • Guilt & depression feeling after bing eating • Vomiting , exercise as substitute method to decrease wt gain • Self induce starvation , used drug • Body weight become within normal • Aware of their behavior • Bing eating comes after stressful life event

; Complication of bulimia • • Erosion of tooth , enemal, gastric dilation , inflammation of pancreas electrolytes abnormality

treatment of eating disorder ; • 1 -manage medical disturbances as ( metabolic disturbances, cardiac problem , dehydration ) • 2 -restore normal nutrition • 3 -establish eating pattern • -need psychiatric treatment for client & family • -re-feeding program • -consult with dietion • -psychotherapy

Example of nursing diagnosis ; • -activity intolerance • -imbalance nutrition ( more or less than body requirement ) • -disturbed thought process • - disturbed body image • -chronic low self steam • -defect of family coping

Chemical dependency • Alchol & drug addiction • Substance abuse • state in which one physical & psychological require drug • Stages of chemical dependency ; • @experimentation • @active seeking • @preocupation • @burn out

• • Signs may be ; Change in habits & mood Avoid contact with family members need psycho & behavioral therapy

: personality disorder • an enduring pattern of inner experience & behavior that deviate markedly of individual culture which lead to distress & impairment

Sexuality disorder : • ccc by significant distress & impaired ability to function • @ gender identity disorder : • Wearing clothes of other gender • Interest of opposite gender • They seek Hormonal therapy , Surgery • RX: medical & mental health therapy

psychosis : • • • schizophrenia loss of contact with reality bizarre activity delusion , illusion, hallucination impairment of judgment RX: psychotherapy , antipsychotic drug , personal care

suicide • • ( box 15 - ) girle attempt , but more sucssful with boy factors predispose to suicide : 1 - exposure to abuse or neglect Instability with family Presence of depression Increase use of alcohol or drugs Have mental health problem

Thanks