📖 Chapter 13 – Young and Middle Adults
Fundamentals of Nursing, 11th Edition
👩🎓 Young Adults (Late Teens → Mid-30s)
- Emerging adulthood: late teens → mid-20s
👩🦳 Middle Adults (35–64 Years)
- Known as the “sandwich generation” (care for children + aging parents)
👵 Older Adults (65+ Years)
- Wide variability in physiological, cognitive, and psychosocial health
- Focus on independence, chronic conditions, and functional ability
👩🎓 Young Adults (Late teens → mid-30s)
- Emerging adulthood: late teens → mid-20s
⚙️ Changes
- 🧍 Physical: full physical maturity
- 🧠 Cognitive: continued development, critical thinking, decision-making
💬 Psychosocial Changes
- 🏡 Lifestyle choices
- 💼 Career development
- ❤️ Sexuality
- 👶 Childbearing cycle
- 👨👩👧 Types of families (singlehood, parenthood, alternative structures)
- 😊 Emotional health
⚠️ Health Risks
- 🧬 Family history (genetics)
- 💀 Violent death & injury
- 🚨 Intimate partner violence
- 💉 Substance abuse
- 🛑 Human trafficking
- 🤰 Unplanned pregnancies
- 🦠 STIs
- 🏭 Environmental/occupational hazards
🩺 Health Concerns & Care for Young Adults
⚠️ Health Concerns
- 🌱 Health promotion & prevention
- 😥 Psychosocial health → job stress, family stress
- 🧬 Infertility
- ⚖️ Obesity
- 🏃 Exercise & activity
🏥 Care Needs
- Acute Care Causes:
- 🚗 Accidents
- 💉 Substance abuse
- 🏭 Environmental/occupational exposures
- 😓 Stress-related illnesses
- 🦠 Infections → respiratory, GI, influenza, UTI
- 🔪 Minor surgery
- Restorative/Continuing Care:
- 🚙 Motor vehicle accidents
- 🩸 Trauma from violence
- ♾ Chronic conditions (e.g., MS, RA, AIDS, cancer)
🤰 Pregnant Woman & Childbearing Family
- Prenatal care
- Physiological changes
- Postpartum period
- Needs: education + psychosocial support
- Maternal + family health concerns
👩🦳 Middle Adults (35–64 years)
- Known as the “sandwich generation” (caring for children + aging parents)
⚙️ Changes
- 🧍 Physical: perimenopause, menopause, climacteric
- 🧠 Cognitive: stable unless illness/trauma occurs
💬 Psychosocial Changes
- 📝 Expected life events
- 💼 Career transitions
- ❤️ Sexuality shifts
- 👨👩👧 Family transitions:
- Singlehood
- Marital changes
- Parenting/adult children transitions
- Caring for aging parents
🩺 Health Concerns
- 🌱 Health promotion & stress reduction
- ⚖️ Obesity
- 📘 Positive health habits (health literacy)
- 🧠 Psychosocial: anxiety, depression, early-onset dementia
🏥 Middle Adult Care
- Community health programs → prevention & wellness
- Acute Care: illness recovery takes longer
- Restorative/Continuing Care: chronic illnesses → impact roles & responsibilities
✅ Key NCLEX Points:
- Young adults: focus on risk prevention, reproductive health, mental health
- Middle adults: focus on stress management, chronic illness prevention, family/career transitions