Common adolescent health conditions
NSG6440 Weekly Discussion Papers
NSG6440 Weekly Discussion Papers
Week 1 Discussion Questions
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-year-old adolescent patent for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son is also hanging out with a group of kids that she has concerns about. The mother has concerns for what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame). What are the components of an annual exam for an adolescent patient? Is the mother required to be present during your exam? Describe 1 health promotion idea that you would discuss with your middle adolescence patient. Why is this idea important? What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here?)
NSG 6440 Week 2 Discussion
This week you learned about common conditions in the adolescent client. Please review the following case study and answer the following questions.
A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.
- What is the chief complaint?
- Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?
- What treatment plan would you consider utilizing current evidence based practice guidelines?
NSG6440 Weekly Discussion Papers Week 3
In week 3 you learned about other common adolescent health conditions. Review the following case study and answer the following questions:
An 18 year old white female presents to your clinic today with a 2 week history of intermittent abdominal pain. She also is positive for periodic cramping and diarrhea as well as low grade fever. She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease. Based on the information provided answer the following questions:
- What are the top 3 differentials you would consider with the presumptive final diagnosis listed first?
- What focused physical exam findings would be beneficial to know?
- What diagnostic testing needs completed if any to confirm diagnosis?
- Using evidence based treatment guidelines note a treatment plan.
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
NSG6440 Weekly Discussion Papers Week 4
This week’s content addressed common chronic diseases. Please review the case study below and answer the following questions:
A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can’t do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke, and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination, she is in no acute distress. Her blood pressure is 160/100, and her pulse is 100. She is afebrile, and her respiratory rate is 16. With auscultation, she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination, the S1 and S2 are distant and an S3 is heard over the apex.
- What is the chief complaint?
- Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?
- What treatment plan would you consider utilizing current evidence based practice guidelines?
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
NSG6440 Weekly Discussion Papers Week 5
Reference:
Centers for Disease Control and Prevention. (2013). Youth risk behavior surveillance
system (YRBSS). Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm
NSG6440 Weekly Discussion Papers Week 6
Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).
- What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
- What additional testing should you consider if any?
- What are treatment options to consider with this patient?
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
NSG6440 Weekly Discussion Papers Week 7 Assignment 1 Discussion
This week’s content addressed common techniques and testing that can be prescribed by the Nurse Practitioner. Review ONE of the following videos and post for the class what you have learned this week:
Watch the following video on suturing
Suture Skills Course – Learn Best Suture Techniques
Watch the following video on EKG rhythms
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
NSG6440 Weekly Discussion Papers Week 8
Complete The Growth and Development APEA module. Pick one of the following topics that were reviewed: Newborn assessment, Nutrition, Child, Adolescent, or Immunization. Please choose on that has not been previously covered by a peer. What is an area that you may have forgotten? Explain the specific growth and development concept in detail and describe strategies that you will undertake to assist in retaining that information?
Week 9 Discussion
This week’s content addressed professional and legal issues, state boards of nursing, advanced practice licensure, regulations, scope of practice, and national certification as an advanced practice nurse. It is your responsibility to look at your individual board of nursing and remain up to date with the changes that are carried out in your state. For this week’s discussion review your states scope of practice and address 3 areas that you were not aware you can do as a licensed provider in your state.
Week 10 Discussion Evidence-Based Clinical Intervention
By the due date assigned, submit your Evidence-Based Clinical Intervention to the Discussion Area.
Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:
- The medical problem/diagnosis/disease.
- Typical presenting signs and symptoms including:
- Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
- Concomitant disease states associated with the diagnosis
- The pathophysiology of the problem.
- Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
- Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
- The expected outcomes of the intervention.
- Algorithms if available.
- A typical clinical note in SOAP format.
Common adolescent health conditions
There are a number of common adolescent health conditions that can cause significant problems for young people as they go through puberty. Some of these conditions are physical, while others are mental or emotional. Physical health problems that are common in adolescence include acne, obesity, and eating disorders. Mental health problems include anxiety, depression, and psychosis. These conditions can have a major impact on a young person’s life, so it’s important to be aware of them and get help if necessary. In this blog post, we will take a look at some of the most common adolescent health conditions and what you can do to get help if you or someone you know is affected by one of them.
Puberty
Puberty is a time of change for adolescents, both physically and emotionally. It is during puberty that many common adolescent health conditions first develop or become more pronounced.
Conditions such as acne, obesity, eating disorders, and depression are all common among adolescents, and can often be traced back to changes in hormone levels during puberty. It is important for parents and guardians to be aware of these potential health problems so that they can be addressed early on.
Acne is one of the most common skin conditions among adolescents, affecting up to 85% of teenagers. The cause of acne is hormonal, as increased levels of testosterone stimulate the production of sebum, which can then block pores and lead to inflammation. Acne is often treated with topical medications or antibiotics, but can also be controlled through diet and lifestyle choices.
Obesity is another common condition among adolescents, affecting up to 21% of teenage boys and 16% of teenage girls in the United States. Obesity is caused by a number of factors, including genetics, lifestyle choices, and hormone imbalances. Treatment for obesity often includes lifestyle changes such as diet and exercise, but in some cases may also require medication or surgery.
Eating disorders are a serious concern for many adolescents, particularly girls. Anorexia nervosa and bulimia nervosa are the two most common types of eating disorders, and both can have devastating effects on a person’s physical and mental health. Eating disorders are often caused
Eating disorders
There are a variety of eating disorders that commonly present themselves during adolescence. Some of the most common include anorexia nervosa, bulimia nervosa, and binge eating disorder.
Anorexia nervosa is characterized by a severe restriction of food intake, leading to extreme weight loss. Individuals with anorexia often have a distorted body image and see themselves as overweight, even when they are dangerously underweight. Bulimia nervosa is similar to anorexia in that it is also characterized by an unhealthy relationship with food. Individuals with bulimia engage in binge eating followed by purging behaviors, such as self-induced vomiting or excessive exercise. This can lead to serious medical complications, such as dehydration and electrolyte imbalances. Binge eating disorder is another common eating disorder among adolescents. It is characterized by episodes of uncontrolled overeating, followed by feelings of guilt and shame. Unlike bulimia, individuals with binge eating disorder do not attempt to compensate for their bingeing through purging behaviors.
If you or someone you know is struggling with an eating disorder, it is important to seek professional help. Eating disorders can be very serious and even life-threatening conditions.
Substance abuse
Substance abuse is one of the most common adolescent health conditions. It can lead to a host of problems, including addiction, mental health issues, and even death.
There are many different types of substances that can be abused, including alcohol, drugs, and cigarettes. Each substance has its own unique set of risks and dangers.
Alcohol is the most commonly abused substance among adolescents. It can lead to liver damage, brain damage, and death.
Drugs are another common type of substance abuse among adolescents. They can cause serious health problems, including addiction, overdose, and death.
Cigarettes are also commonly abused by adolescents. They can cause cancer, lung disease, and other health problems.
Mental health disorders
Mental health disorders are some of the most common adolescent health conditions. According to the National Institute of Mental Health, nearly 1 in 5 adolescents aged 12-17 experiences a mental health disorder in any given year.
There are many different types of mental disorders, but some of the most common ones include anxiety disorders, depression, and conduct disorders. Many teens with mental health disorders also have other issues, such as substance abuse or learning disabilities.
Mental health disorders can have a big impact on a teen’s life. They can interfere with school, work, and relationships. They can also lead to problems with drug and alcohol use. If left untreated, mental health disorders can be debilitating or even deadly.
If you think your teen may be struggling with a mental health disorder, it’s important to get help right away. Talk to your doctor or another trusted adult about your concerns. You can also contact a mental health professional, such as a therapist or counselor, for help.
Body image issues
Body image issues are extremely common among adolescents, and can be hugely detrimental to their health and wellbeing. There are a number of different factors that can contribute to body image issues, including media images, peer pressure, and family dynamics.
adolescent girls are especially susceptible to developing body image issues, as they are bombarded with images of impossibly thin and perfect models in the media. This can lead them to develop unrealistic standards for their own bodies, and feel shame or inadequacy if they don’t meet these standards.
Peer pressure also plays a role in body image issues among adolescents. If all of your friends are dieting or talking about how they hate their bodies, it’s easy to start feeling like you need to do the same. This can lead to dangerous behaviors like crash dieting or overexercising, which can seriously harm your health.
Finally, family dynamics can also contribute to body image issues. If you have parents or other relatives who are constantly critiquing your appearance or making negative comments about your weight, it’s easy to start believing that there’s something wrong with the way you look. This can be extremely damaging to your self-esteem and lead to a lifetime of struggles with body image.
Sexual health
Sexual health is an important part of overall adolescent health. It includes both physical and emotional aspects, and encompasses sexual orientation, identity, behavior, and relationships.
There are a number of common adolescent health conditions that can impact sexual health. These include sexually transmitted infections (STIs), pregnancy, eating disorders, and body image issues.
STIs are a major concern for adolescents. According to the Centers for Disease Control and Prevention (CDC), one in four sexually active teens will contract an STI each year. The most common STIs among adolescents are chlamydia, gonorrhea, and HPV.
Pregnancy is another common adolescent health condition. In the United States, about 750,000 teenage girls become pregnant each year. While some pregnancies are planned and wanted, many are unplanned and unwanted. Unplanned pregnancies can lead to a number of negative outcomes, including poorer educational attainment and increased risk for poverty.
Eating disorders are also common among adolescents. Anorexia nervosa and bulimia nervosa are the two most common types of eating disorders in this population. Both can have serious implications for sexual health due to the effects of malnutrition on the body.
Finally, body image issues can also impact sexual health. A negative body image can lead to decreased sexual desire and activity, as well as problems with self-esteem and body confidence.
Conclusion
There are a number of common adolescent health conditions that can affect teens during this crucial time in their lives. It’s important for parents to be aware of these conditions and to know how to identify the signs and symptoms so they can get their teen the help they need. With early intervention and treatment, many of these conditions can be managed successfully so teens can continue on with their lives and reach their full potential.
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