Complete The Assignment As Outlined On The Worksheet Include

Complete The Assignment As Outlined On The Worksheet Includingbiogra

Complete the assignment as outlined on the worksheet, including: Biographical data, past health history, family history, obstetrics history (if applicable), well young adult behavioral health history screening, review of systems. All components of the health history. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one "risk for" nursing diagnosis). Rationale for the choice of each nursing diagnosis. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Paper For Above instruction

The assessment and planning process for adolescent and young adult clients in nursing practice requires a comprehensive understanding of their unique developmental, physical, and psychological needs. This paper discusses the systematic approach to gathering health data, formulating nursing diagnoses, and creating wellness plans tailored specifically for this age group.

The initial step involves collecting thorough biographical data, which encompasses basic information such as age, gender, ethnicity, and socio-economic status. These details provide context to the health history and influence health behaviors and risks. Past health history delves into previous illnesses, surgeries, hospitalizations, allergies, immunizations, and medication use, offering insight into the client’s health trajectory and potential vulnerabilities (Gordon, 2016).

Family health history is vital for identifying genetic predispositions to conditions like cardiovascular diseases, diabetes, or mental health disorders. Understanding obstetric history, if applicable, helps assess reproductive health and any risks associated with pregnancy or childbirth (Johnson & Lewis, 2018). Equally important is the behavioral health history screening, which evaluates mental health status, substance use, and behavioral patterns affecting well-being. An example would be screening for depression or anxiety using validated tools suitable for adolescents and young adults (NIMH, 2020).

A comprehensive review of systems (ROS) involves questioning every bodily system to uncover symptoms that may not have emerged during the initial interview. The ROS ensures that subtle or overlooked health issues, such as fatigue, weight changes, or menstrual irregularities, are identified and addressed (Gordon, 2016).

Building from the collected data, three nursing diagnoses are formulated. An actual diagnosis might be "Impaired sleep pattern related to stress and poor time management." The rationale is evidenced by reported sleep disturbances, difficulty falling asleep, and daytime fatigue. A wellness diagnosis often encountered could be "Readiness for enhanced self-health management" indicated by the client’s expressed motivation to improve nutrition and physical activity habits. A "risk for" diagnosis may be "Risk for injury related to risky health behaviors such as unsafe sex or substance use." This precaution stems from identified risk factors and the client’s developmental stage that predispose them to high-risk behaviors (Johnson & Lewis, 2018).

Developing a wellness plan involves employing the nursing diagnoses as focal points. For the sleep impairment, interventions include sleep hygiene education, stress reduction techniques, and time management skills. For fostering self-health management, the plan emphasizes goal-setting, lifestyle modifications, and counseling for behavioral change. To mitigate the risk for injury, the plan involves health education about safe practices, contraception counseling if relevant, and screening for substance use. The collaborative goal of these interventions is to promote holistic health, empower decision-making, and prevent potential health problems (Gordon, 2016; NIMH, 2020).

In conclusion, adolescence and young adulthood represent critical stages for health promotion and disease prevention. A comprehensive health assessment guides targeted interventions addressing physical health, mental well-being, and risk reduction. Creating individualized wellness plans based on thorough data collection and nursing diagnoses ensures a supportive foundation for healthy development in this demographic (Johnson & Lewis, 2018).

References

  • Gordon, M. (2016). Manual of Nursing Diagnosis (13th ed.). Jones & Bartlett Learning.
  • Johnson, B. & Lewis, M. (2018). Pediatric and Adolescent Health Nursing: An Interprofessional Approach. Elsevier.
  • National Institute of Mental Health (NIMH). (2020). Mental Health Information. https://www.nimh.nih.gov
  • Orem, D. (2001). Nursing: Concepts of Practice (6th ed.). Mosby.
  • McKinney, E. S., James, S. R., & Berger, J. M. (2018). Foundations of Nursing (9th ed.). F.A. Davis.
  • Williams, L. S. (2019). Pediatric and Adolescent Health: Promoting Development and Well-being. Wiley-Blackwell.
  • Brunner, & Suddarth. (2018). Medical-Surgical Nursing (14th ed.). Wolters Kluwer.
  • American Academy of Pediatrics (AAP). (2020). Bright Futures Guidelines. https://brightfutures.aap.org
  • World Health Organization (WHO). (2019). Adolescent Health. https://www.who.int
  • Hockenberry, M. J., & Wilson, D. (2018). Wong's Nursing Care of Infants and Children (11th ed.). Elsevier.