Due Date Jan 19, 2017 Details In This Assignment You Will Be

Due Datejan 19 2017detailsin This Assignment You Will Be Completin

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following: Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may "practice" these skills with a patient, community member, neighbor, friend, colleague, or loved one. Complete the "Health History and Screening of an Adolescent or Young Adult Client" worksheet. Complete the assignment as outlined on the worksheet, including: Biographical data, past health history, family history (including obstetrics history if applicable), and behavioral health screening. Review of systems should include all components of the health history. Identify 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. Provide a rationale for the choice of each nursing diagnosis. Develop a wellness plan for the adolescent or young adult client using the three nursing diagnoses. Format the write-up to be easily read, neat, and free of spelling errors, using correct abbreviations when appropriate. While APA format is not required for the body, include in-text citations and references according to APA guidelines. Review the rubric prior to beginning to understand the expectations for success. Submission to Turnitin is not required.

Paper For Above instruction

The health and well-being of adolescents and young adults are critical areas of focus within nursing practice, given the unique physiological, psychological, and social changes experienced during these developmental stages. Conducting comprehensive health screenings and histories provides essential information that guides targeted interventions to promote optimal health outcomes. This paper describes the process of performing a health screening and history on a young adult client, including identification of pertinent health data, formulation of nursing diagnoses, and the development of a personalized wellness plan. The approach emphasizes a holistic understanding of the patient, encompassing biographical details, health history, family background, behavioral health status, and review of systems.

Selection of Client and Data Collection

A hypothetical adolescent client aged 18 years was selected for this assessment. The client is a college student who reports generally good health but expresses concerns about occasional anxiety and sleep disturbances. Data collection included biographical information such as age, gender, ethnicity, and lifestyle factors. The health history encompassed past medical conditions, immunizations, medication use, and previous hospitalizations. Family history revealed a mother with hypertension and a father with depression. Obstetric history was non-applicable, and behavioral health screening identified occasional anxiety symptoms related to academic pressures.

Review of Systems and Components of Health History

The review of systems covered multiple body systems. Cardiovascular health appeared unremarkable, with no chest pain or palpitations. Respiratory examination revealed no shortness of breath or cough. Gastrointestinal and genitourinary systems functioned normally, with no complaints of nausea, vomiting, or urinary issues. Musculoskeletal, neurological, and integumentary systems did not present any significant concerns. The mental health assessment indicated feelings of stress and anxiety, especially during exam periods, but no history of psychiatric hospitalization or treatment.

Nursing Diagnoses and Rationale

Based on the comprehensive health history and screening, three nursing diagnoses were identified:

1. Actual Nursing Diagnosis: Anxiety related to academic pressures as evidenced by reported feelings of stress, difficulty sleeping, and occasional irritability.
2. Wellness Nursing Diagnosis: Readiness for enhanced sleep hygiene as indicated by acknowledgment of poor sleep patterns and motivation to improve sleep routines.
3. Risk for Nursing Diagnosis: Risk for depression related to family history of depressive disorders and current stress levels.

The rationale for these diagnoses stems from observable symptoms, family background, and the client's expressed concerns. Anxiety is an immediate issue affecting mental health, while sleep hygiene is an area where health promotion can be effective. The family history of depression places the client at increased risk, necessitating preventive interventions.

Development of a Wellness Plan

A wellness plan tailored to these diagnoses involves multifaceted interventions. For anxiety, strategies include stress management techniques such as mindfulness, breathing exercises, and time management skills. Education on recognizing early signs of anxiety and when to seek help is essential. To enhance sleep hygiene, recommendations include maintaining a consistent sleep schedule, limiting caffeine and screen time before bed, and creating a relaxing bedtime routine. Regarding the risk for depression, the plan emphasizes ongoing mental health monitoring, encouraging open communication about mood changes, and referring to counseling services if symptoms develop. Support from family, friends, and campus resources can reinforce these efforts.

Conclusion

Performing a comprehensive health screening and history on young adults enables nurses to identify current issues and potential risks, facilitating early interventions. By linking health data to appropriate nursing diagnoses and developing targeted wellness plans, nurses can empower adolescents and young adults to adopt healthier behaviors, thereby promoting sustained well-being during this formative stage of life. Continued assessment and personalized education remain integral to fostering resilience and health literacy among young populations.

References

• American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. ANA.
• Hinkle, J. L., & Cheever, K. H. (2018). Brunner & Suddarth's textbook of medical-surgical nursing (14th ed.). Wolters Kluwer.
• Jarvis, C. (2016). Physical examination & health assessment (2nd ed.). Elsevier.
• Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2017). Fundamentals of nursing (9th ed.). Elsevier.
• World Health Organization. (2020). Adolescent health. WHO. https://www.who.int/health-topics/adolescent-health
• American Psychological Association. (2017). Stress in America: The state of our nation. APA.
• Hughes, M., & Funk, K. (2018). Sleep hygiene practices among young adults. Journal of Adolescent Health, 62(4), 487-491.
• National Institute of Mental Health. (2019). Report on depression in adolescence. NIMH.
• Snyder, H. W. (2014). Mental health issues in adolescents: Screening and early intervention. Pediatric Annals, 43(4), 153-157.
• Thomas, M., & Kinoshita, M. (2015). Strategies for stress and anxiety management in college students. College Student Journal, 49(2), 239-253.