00:02
Now, let's talk about
the adolescent stage.
00:04
Now physically, there's a
tremendous rate of growth,
and there's going to be
some different bodily changes.
00:11
Sex specific changes of
distribution of muscle and fat
for male and females.
00:16
And also the development
of reproductive system.
00:20
Now, cognitively,
we're really increasing hear
about the ability
to think rationally,
and then working to develop
really strong communication skills
in lots of various situations.
00:31
Now,
psychosocially here,
we are searching here
for a personal identity.
00:36
Now, this can be a little bit of
a difficult time for adolescence.
00:40
So as a provider,
be cognizant of this.
00:43
Now, this is where the
adolescent may develop
their own ethical system,
and then they're
going to start considering
those things of the future.
00:52
Now, again, important here
to support development.
00:55
This is where some separation
from the parents may come up,
and encourage them to talk
with open-ended questions,
and do be really conscious
about listening to them carefully.
01:05
Now, try your best
to develop trust
and speaking at them
at appropriate level.
01:10
Now, at this age,
remember,
they have the cognitive ability
to think rationally.
01:15
so have a careful,
appropriate conversation.
01:19
And be careful
not to make assumptions.
01:22
Now, do your best about
not forcing conversation.
01:26
This can definitely cut down
the lines of communication here.
01:30
Now, of course, during this age,
there's a lot of pressures,
there's a lot of changes.
01:35
Expect some struggles
with self-identity and sexuality,
and offer non-biased
nonjudgmental support.
01:44
Also, just know
that understand hormones
at this particular age
can definitely make adolescence
emotionally labile.
01:53
Let's move into
the young adult stage.
01:55
This is where we're talking about
18 to about 30 years of age.
01:59
Now, physically here, they could
the growth and the fiscal changes
may get a little bit stable,
not as many increases here.
02:07
However, the young adult female
may become pregnant,
and that of course,
would be a marked physical change.
02:13
Now,
cognitively,
a lot of critical thinking habits
are going to increase
and also have to be
applicable
to their current
situation or their work.
02:23
Now, in the
psychosocial arena,
there's a lot of
maturation, socialization,
that's important.
02:29
Now, goal setting,
is really important here
as well as establishing
healthy adult relationships.
02:37
Now, there's a big drive here
to maybe even master the world
and go for future goals
in their workplace,
or their social life,
or just personally.
02:46
Now, again, important, of course,
to support development,
in that transition from
that adolescent to young adult.
02:54
That's definitely a big stressor
and a large change for that person.
02:58
Now, this is
a good time in nursing
to inquire about
relationship status,
don't forget about that
intimacy versus isolation stage,
their occupation, their goals,
and maybe their social goals.
03:10
Here's a good time to assess
for any barriers
and provide support as needed.
03:16
Now, looking at the stage
of middle adult.
03:19
This is defined about mid-30s,
through about late 60s.
03:23
Now physically, there can be
some changes that may impact
how someone may feel about
their body or their body image.
03:31
Now cognitively,
changes here are pretty stable,
but there are some significant
psychosocial changes.
03:38
One of those being what we call
the sandwich generation.
03:41
Meaning the middle adult
is kind of stuck in the middle here,
because many time
at this ages,
there could be children
that they're taking care of,
and also maybe even
parents or older adults.
03:53
So therefore, they're in the middle
as a primary caregiver.
03:56
And as you can imagine,
there's a lot of stressors
that come along with this.
04:00
Now, middle of the adulthood,
there can be
large career transitions,
sexuality, and family
psychosocial events to consider.
04:10
Now here, many individuals
are going to stress about
the ability
to support themselves.
04:15
Remember, they're going to be
in that sandwich generation.
04:18
So, they may have to support maybe
children or older adults as well.
04:23
Now, being a patient
and being ill in the hospital,
this can be a large stressor
for this particular generation,
because of what we
just talked about.
04:33
Independence
is being taken away.
04:34
And again, they may have
large responsibilities
with maybe
children or older adults.
04:41
Now, it's important here
at this particular stage
to assess for transitional changes,
developmental changes,
menopause may come on here,
prostate enlargement,
presence of disease.
04:53
So encouraged
disease-specific screening,
and prevention measures,
especially at this age.
05:00
Now, let's discuss
the mature adult.
05:02
Now, physically,
there is going to be
some physical decline here
that occurs naturally over time.
05:09
And we're talking about the adult
about 65 years and up.
05:13
And of course,
that physical changes
is going to vary a lot
amongst the individual.
05:19
And it's also
going to depend on
the patient's activity and exercise,
and health habits
before this stage.
05:25
Now cognitively,
there's a lot of
ongoing learning and support
that can be provided.
05:30
But now, there is a case
that the patient may experience
dementia or depression,
depending on the patient's
cognitive status.
05:39
Now, psychosocially,
this may be a stage
where they're able to retire.
05:44
There could be
some differences
in housing, their environment,
sexuality, the feeling of isolation,
and even illness and death.
05:54
Now, this is a
particular stage
where there could be
a lot of stressors
in accepting that the life
that they lived.
06:00
This could have to do
with being
proud of their accomplishments
throughout their lifespan,
or maybe even
a sense of failure.
06:07
Now, loss and grief is actually
prevalent in this stage.
06:11
This could be in regards to maybe
peer groups or support groups,
or even younger children.
06:17
Now, here's the big
importance on this stage,
there is sometimes
some declining independence
and the ability
to care for themselves.
06:26
And as you can imagine,
this puts a lot of
frustration and stress
on this particular
developmental stage.
06:32
Here's one key note to remember,
that pain and memory decline.
06:36
Those are actually
not normal signs of aging.
06:39
But many times
this particular age group
feels like this is
a normal natural part of aging,
but we need to assess,
and educate as needed.
06:49
Now,
at this particular age,
it's very important to recommend
disease-specific testing,
along with especially routine care
and prevention visits
to prevent any complications
with disease processes.