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Adulthood:Early-Mid
Middle Adult
Question | Answer |
---|---|
Early Adult Age Range | 18-40 |
Physical Development | Minimal-depends on diet and exercise; Changes with pregnancy and lactation |
Psychosocial Development | Stresses are great with new roles and role conflict; Erikson—intimacy vs. isolation |
Cognitive, moral, spiritual development | Can move into postconventional level of moral |
Middle Adults Experience stability in: | Finances, personal freedom, social relationships |
Erickson's Theory: Generativity vs. Stagnation | Tasks: Establish and guide the next generation; adjust to needs of aging parents; reevaluate one's goals and accomplishments; Non-completed Tasks-Result in the middle adult focusing on their physical |
Havighurst's Theory | Tasks are learned behaviors arising from maturation, personal motives and values, and civic responsibility |
Havighursts Theory- Tasks | Accept and adjust to physical changes; Maintain satisfactory occupation;Assist children in becoming responsible adults; Adjust to aging parents; Relate to one’s spouse /partner as a person |
Levinson's Theory-Tasks | Task: to choose to either continue an established lifestyle or to recognize one's life in a period of midlife transition. |
Gould's Theory | The middle adult years are for looking inward |
Gould's Theory- Tasks | Accept their life span as having boundaries; Have special interests in spouse, friends, and community; Increase their feeling of self satisfaction; Value spouse/partner as a companion; Increase awareness of health |
Midlife Transitions are NORMAL | Employment, spousal/partner relationships, Relationships with children & aging family members. |
Major Health Problems of Middle Adulthood | Cardiovascular Disease, Pulmonary Disease, Cancer, Rheumatoid Arthritis, Diabetes Mellitus, Obesity, Alcoholism, Depression |
Educative/Supportive Role of the Nurse | Risk Identification, Prevention, Health Screening |
Risk Identification of Middle Adulthood | Lifestyle behaviors, Developmental or situational crisis, Family history, Environmental factors |
Health Management Middle Adult-Prevention | Diet low in fat & cholesterol, Regular exercise, Alcohol in moderation (if at all),Do not smoke |
Health Screenings | Physical Exam, Mammography & Breast Exam (self), Cervical Cancer, Pap Smear, Testicular Exam (self), Prostate Exam, Colonoscopy or Sigmoidoscope, Bone Density |
Menopause | When menses cease, marking the end of reproductive abilities; Age (median) 51.3 yrs old; Due to decrease of estrogen levels below the level needed to sustain menstruation |
Perimenopause | Time before menopause—approximately 2-8 years; Ovarian function wanes; Hormonal deficiencies begin to produce symptom; Contraception still a concern during this period |
Change of Life- Climacteric: Physical Changes | Ovulation stops 1-2 years before complete menopause;Atrophy of the ovaries;Atrophy changes in vag,vulva, urethra & trigonal area of the bladder;Uterine cavity constricts; |
Change of Life- Climacteric: Physical Changes....continued | Atrophy of fallopian tubes;Vag mucosa smooth, thin & loss of elasticity;Vag pH + - dryness & itching |
Change of Life Climacteric: S&S Short Term | Hot flashes lasting 3-5 minutes often 20-30 times a day (vasomotor disturbance), Dizzy spells. Palpitations, Weakness |
Change of Life Climacteric: S&S Long Term | Low estrogen levels = Risk for coronary artery disease & Osteoporosis |
Clinical Therapy: Hormone Replacement Therapy (HRT) | Supplement of estrogen with/without progestin to “help” w/ s/s of menopause;Used for 1-2 years (maximum) due to long term use being associated with high risk of breast cancer, thromboembolic disease, and stroke. |
Clinical Therapy: Hormone Replacement Therapy (HRT)....continued | Can be prescribed orally, transdermally (patch), intramuscularly, topically, or vaginal ring;Require thorough history and physical exam prior to initiating HRT |
Complementary Alternative Therapy | Diet/Nutrition;High fiber, low fat diet & supplement with Vit. D & E, calcium;Phytoestrogens;Natural plant sterols w/ “estrogen like effects” such as soy milk & tofu;Weight bearing exercises (to prevent osteoporosis): |
Complementary Alternative Therapy...Continued | Walking, jogging, tennis, & low impact aerobics to help increase bone mass; Homeopathic & Herbal Remedies;Medications:Fosamax, Actonel,Selective estrogen receptor modulators (SERMs)--Evista,Calcitonin,Parathyroid hormone |
Nursing Management: Things to Consider | The patient is an individual;Menopause is an adjustment to change;Patient’s need support and understanding;Patient education and information is important BEFORE menopause begins |
Nursing Diagnosis | Risk for Injury;Risk for imbalanced nutrition: more than body requirements;Risk for care giver role strai;Readiness for self-health management |
Adulthood: Developmental Changes | Age:26-64; Physiologic, Cognitive, Psychosocial |