Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the t
Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.
Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.Reply to at least two other student posts with a reflection of their response.
Discussion # 1 :
The Health of Young Adults
Transitioning from childhood to young adulthood can be challenging as the degree of independence increases. Fusar-Poli et al. (2021) explain that in this stage of development, the concepts of individualism, self-realization and personal expression have increased, leading to a change in behavior, the excitement to try on new things hence the increased rate of health-damaging behaviors and higher rates of mortality. Many young adults follow the path of destruction because they lack personal, family and social resources to navigate the initial stages of adulthood, resulting in unconventional behaviors that most have permanent consequences. Advanced practice nurses can play a critical role in improving the lives of young adults as part of the healthcare resources available to them. This can be done through awareness creation as a preventive intervention, providing comprehensive treatment during primary care visits, including screening and advocating for policy changes to include preventive health measures for young adults.
Advanced practice nurses can improve the health of young adults by creating awareness of the available preventive screening and intervention resources available to them. The US Preventive Services Task Force includes recommendations for preventive services for different populations, including young adults. For example, the USPSTF recommends behavioral counseling for all sexually active adolescents and adults to reduce the risks of STIs and unwanted pregnancies (Reynolds et al., 2019). Thus, the nurse can use the recommendation provided by such agencies to create social media content, organize health-youth campaigns and meetings at school and at the community level and other platforms where the nurse interacts directly with the young adults. During such interactions, the nurse can discuss the adverse consequences of some of the risky behaviors this population is often involved in, including substance use abuse as a prevention intervention.
During primary care visits, the advanced practice nurse can ensure that young adults receive comprehensive care, including preventive services. Krist et al. (2020) explain that most young adults are treated for what has taken them to the hospital with little concern for preventive measures similar to the ones provided for the elderly, women, children and adults. Providing preventive services is important to this population because their health problems are largely preventable. Some preventive services that the nurses can advocate include counseling services that remind the individuals of the delicacy of their stage of development, for example, high risks of peer pressure to drug abuse or unsafe sexual activities. Krist et al. (2020) explain that these services are often included in various medical plans as recommended by the USPSTF and the Affordable Care Act. Therefore, instead of just treating them with the ailment that brought them to the hospital, the nurse can ensure they go the extra mile by recommending counselors and providing flyers and other educational material as part of preventive services.
Consequently, advanced practice nurses can improve the health of young adults through policy advocacy. Having laws and policies supporting preventive services for young adults will prompt relevant healthcare stakeholders to provide the services and interventions. Some effective policies associated with young adults' health include extending eligibility to continue using their guardian's healthcare plan to ensure they receive comprehensive healthcare services. Further, the nurse can advocate for schools to ensure that young adults receive counseling services as a school prepares them for adulthood.
References
Fusar‐Poli, P., Correll, C. U., Arango, C., Berk, M., Patel, V., & Ioannidis, J. P. (2021). Preventive psychiatry: a blueprint for improving the mental health of young people. World Psychiatry, 20(2), 200-221. https://scholar.google.com/scholar?output=instlink&q=info:nQWrWgalpLgJ:scholar.google.com/&hl=en&as_sdt=0,5&as_ylo=2019&scillfp=7733612173890780592&oi=lle
Krist, A. H., Davidson, K. W., Mangione, C. M., Barry, M. J., Cabana, M., Caughey, A. B., … & US Preventive Services Task Force. (2020). Screening for unhealthy drug use: US Preventive Services Task Force recommendation statement. Jama, 323(22), 2301-2309. https://jamanetwork.com/journals/jama/fullarticle/2766873
Reynolds, B. W., Basso, M. R., Miller, A. K., Whiteside, D. M., & Combs, D. (2019). Executive function, impulsivity, and risky behaviors in young adults. Neuropsychology, 33(2), 212. https://www.researchgate.net/profile/Michael-Basso-2/publication/329955604_Executive_Function_Impulsivity_and_Risky_Behaviors_in_Young_Adults/links/644059bd2eca706c8b6d4ab3/Executive-Function-Impulsivity-and-Risky-Behaviors-in-Young-Adults.pdf
Discussion # 2 :
By taking a comprehensive and diligent strategy for medical care, the advanced practice nurse (APN) might have a significant role in enhancing the well-being of adolescents through preventative screening and intervention. Using wellness outreach and training, APNs may enhance young people's healthcare and reduce the higher death rate they experience. APNs can actively participate in programs aimed at adolescents for wellness promotion and training. APNs may enable young adults to take control of their health by supplying them with scientifically supported knowledge on positive habits, substance misuse avoidance, sexual wellness, and secure driving techniques (Alegría et al., 2021). If APNs collaborate closely with the community to assist them in guiding young adults for a wider outreach, this practice may be improved.
APNs play a significant role in supporting the wellness of young people through preventive assessment, and they may conduct routine exams for a variety of health issues, such as substance addiction, chronic illnesses, STIs, and mental health issues (Medina-Martínez et al., 2021). APNs can enable prompt treatments and stop the spread of illnesses by spotting potential problems sooner. Patients have a better chance of survival and experience fewer drug side effects when illnesses are discovered early. Additionally, APNs can recognize adolescents who might be more susceptible to participating in medical-damaging activities including drug misuse, self-harm, and suicide or suffering negative health consequences via thorough risk assessments. These evaluations can assist in shaping therapy sessions to target certain hazards and encourage healthier options. APNs can evaluate a person's social and familial relationships, particularly for teens, to ascertain their likelihood of participating in self-destructive behaviors.
APNs can offer psychological care, including psychotherapy and treatment, given that the height of psychological problems occurs throughout early adulthood. Clinicians can also assist people with learning coping mechanisms and stress-reduction tactics to enhance their general well-being. APNs can also be quite helpful in detecting and treating adolescents with drug misuse problems (Alegría et al., 2021). This involves giving support during the rehabilitation procedure, encouraging participation in therapies, and providing psychotherapy. APNs can also provide birth control, reproductive therapy, and instruction on secure sexual behavior, among other perinatal medical services. APNs may additionally supply STI testing and offer the necessary therapies. APNs may help maintain the well-being of young people with chronic illnesses by offering training, medication administration, and lifestyle guidance to enhance their standard of existence and lessen the burden of the illness on daily tasks.
To guarantee that adolescents receive access to complete and integrated treatment, APNs can work closely with other healthcare professionals and neighborhood groups. They can direct people to experts or other assistance organizations as needed. APNs can now campaign for young adults' well-being in personal and legislative settings as a result of their partnership (Medina-Martínez et al., 2021). They may take action to advocate preventative measures, increase consciousness of young adult medical concerns, and speak out in favor of laws that promote this demographic category's overall well-being.
In summary, by emphasizing preventative screening and intervention, advanced practice nurses may play a significant role in enhancing the well-being of youngsters. APNs may help improve medical results for youths by tackling a variety of health issues that are particular to this demographic. They can also assist them to arrive at wise decisions that will benefit their general well-being.
References
Alegría, M., Frank, R. G., Hansen, H. B., Sharfstein, J. M., Shim, R. S., & Tierney, M. (2021). Transforming Mental Health And Addiction Services: Commentary describes steps to improve outcomes for people with mental illness and addiction in the United States. Health Affairs, 40(2), 226-234.
Medina-Martínez, J., Saus-Ortega, C., Sánchez-Lorente, M. M., Sosa-Palanca, E. M., García-Martínez, P., & Mármol-López, M. I. (2021). Health inequities in LGBT people and nursing interventions to reduce them: A systematic review. International Journal of Environmental Research and Public Health, 18(22), 11801.
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