1. Problems of adolescence
Chapter 14
Problems of adolescence

3. 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 .

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

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

6. Boy  yrs
Testacle enlarge.
Pubic hair develop
Increase length of penis and width
At 12 yrs old capable of fathering

8. psychosocial development :
cognitive development : abstract thinking judgment .
emotional development: day dream
social development : dress- music- dancing , peer group.
spiritual development:

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

10. 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

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

12. 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.

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

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

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

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

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

19. 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

21. 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 ;

23. 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

24. 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

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

27. 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

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

29. 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

30. 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

31. 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

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

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

35. 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

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

39. 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

41. Thanks