Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how


Middle Adult

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
Created by: nglidden