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7/24/2019 Report Ncm Adolescents
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ADOLESCENTS(12 TO 18 YEARS)
ESPINOSA, DENISE M.
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Adolescence is the period in whih the person !eo"ph#si$%%# $nd ps#ho%o&i$%%# "$t're $nd $'ires $ identit#. At the end o this riti$% period in de*e%op"e
person sho'%d !e re$d# to enter $d'%thood $nd $ss'"responsi!i%ities. The %en&th o $do%esene is '%t'r$%%deter"ined to so"e e+tent.Puberty is the rst st$&e o $do%esene in whih se+or&$ns !e&in to &row $nd "$t're. Menarche(onset o
"enstr'$tion) o'rs in &ir%s. Ejaculation(e+p'%siono'rs in !o#s. -or &ir%s, p'!ert# nor"$%%# st$rts !etw$nd 1/ #e$rs0 or !o#s, !etween 12 $nd 1 #e$rs. The$do%esent period is oten s'!di*ided into three st$&e$do%esene ro" $&es 12 to 130 "idd%e $do%esene ero" 1/ to 1 #e$rs0 $nd %$te $do%esene e+tends ro18 or 2 #e$rs. 5$te $do%esene is $ "ore st$!%e st$&
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PHYSICAL DEELOPMEN
D'rin& p'!ert#, &rowth is "$r6ed%# $e%er$ted o"pto the s%ow, ste$d# &rowth o the hi%d. This period, "!# s'dden $nd dr$"$ti ph#si$% h$n&es, is reerred the adolescent !ro"th # the !ro"th s$urt. In !o#s,
&rowth sp'rt 's'$%%# !e&ins !etween $&es 12 $nd 10 &ir%s, it !e&ins e$r%ier, 's'$%%# !etween $&es 1 $nd 1/7e$'se the &rowth sp'rt !e&ins e$r%ier in &ir%s, "$n#s'rp$ss !o#s in hei&ht $t this ti"e.
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Physical Growth
Ph#si$% &rowth ontin'es thro'&ho't $do%esene. row$stest or !o#s $t $!o't 1/ #e$rs, $nd the "$+i"'" hei&oten re$hed in $!o't 18 or 19 #e$rs. So"e "en $dd 1 otheir hei&ht d'rin& their 2s $s the *erte!r$% o%'"n &r$ontin'es to &row. D'rin& the period o 1 to 18 #e$rs o"$%e do'!%es his wei&ht, &$inin& $!o't 32 6& (42 %!), $nd$!o't /1 "(1 in.). The $stest r$te o &rowth in &ir%s o$!o't $&e 120 the# re$h their "$+i"'" hei&ht $t $!o't
#e$rs. D'rin& $&es 1 to 18, the $*er$&ee"$%e &$ins $!(:: %!) $nd &rows $!o't 2/ " (9 in.)
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% &rowth d'rin& $do%esene is &re$t%# in;'ened !# $ n'"!er#, n'trition, i%%ness, ph#si$% $nd e"otion$% en*iron"ent, $"i%#%%#, peop%e in the =nited St$tes h$*e &rown t$%%er in reent #e$hei&ht is tho'&ht to !e d'e to "$n# o the preedin& $tors.
is noted rst in the "'s'%os6e%et$% s#ste". This &rowth o%%ow The he$d, h$nds, $nd eet $re the rst to &row to $d'%t st$t'sheir $d'%t si$w!ones de*e%op.
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Glandular Changes
The erine $nd $porine &%$nds inre$se their seretions $nd !e'%%# 'ntion$% d'rin& p'!ert#. The eccrine !lands#o'nd o*er "the !od#, prod'e swe$t. The a$ocrine !landsde*e%op in the $+the $n$% $nd &enit$% $re$s, in the e+tern$% $'ditor# $n$%s, $nd $rthe '"!i%i's $nd the $reo%$ o the !re$sts. Aporine swe$t is re%
onto the s6in in response to e"otion$% sti"'%i on%#. Sebaceous !l$%so !eo"e $ti*e 'nder the in;'ene o $ndro&ens in !oth "$%ee"$%es. The se!$eo's &%$nds, whih serete se!'", !eo"e "o$ti*e in the $e, ne6, sho'%der, 'pper !$6, $nd hest $nd $re othe $'se o $n inre$sed inidene o $ne.
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Sexual Characteristics
D'rin& p'!ert#, !oth pri"$r# $nd seond$r# se+h$r$teristis de*e%op. Pri%ary se&ual characterisre%$te to the or&$ns neess$r# or reprod'tion, s'h testes, penis, o*$ries, *$&in$, $nd 'ter's. Secondary
se&ual characteristicsdi?erenti$te the "$%e ro" the"$%e !'t do not re%$te diret%# to reprod'tion. E+$"$re the p'!i h$ir &rowth, !re$st de*e%op"ent, $nd *oh$n&es
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The rst notie$!%e si&n th$t p'!ert# h$s !e&'n in "$%es$ppe$r$ne o p'!i h$ir $nd the en%$r&e"ent o the sro
testes. The "i%estone o "$%e p'!ert# is onsidered to !ee>$'%$tion, whih o""on%# o'rs to $!o't 1/ #e$rs o -erti%it# o%%ows se*er$% "onths %$ter. Se+'$% "$t'rit# is $!# $&e 18.Oten the rst notie$!%e si&n o p'!ert# in e"$%es is the$ppe$r$ne o the !re$st !'d (the%$rhe), $%tho'&h the
$ppe$r$ne o h$ir $%on& the %$!i$ "$# preede this. The"i%estone o e"$%e p'!ert# is the "en$rhe, whih o'1 @ to 2 #e$rs $ter the !re$st !'ds $ppe$r. At rst, "enperiods s$nt# $nd irre&'%$r $nd "$# o'r witho't o*'%$O*'%$tion is 's'$%%# est$!%ished 1 to 2 #e$rs $ter "en$ro*'%$tion, $nd pre&n$n#, howe*er, $n o'r on%# in "en
$s $n i""edi$te pre'rsor to $ &ir%s rst "enstr'$tion. -
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PSYBCOSOBIA5
DEE5OPMENTAordin& to Eri6son (193), the ps#hosoi$% t$s6 o the $do%is the est$!%ish"ent o identit#. The d$n&er o this st$&e is ro%on'sion. The in$!i%it# to sett%e on $n o'p$tion$% identit#o""on%# dist'r!s the $do%esent. 5ess o""on%#, do'!ts $!se+'$% identit# $rise. 7e$'se o $do%esents dr$"$ti !od#
h$n&es, the de*e%op"ent o $ st$!%e identit# is di?i'%t. Eri6s$#s th$t $do%esents he%p one $nother thro'&h this identit# or"in& %i'es $nd $ sep$r$te #o'th '%t're. These %i'es oe+%'de those who $re di?erentF in s6in o%or, '%t'r$% !$6&$spets o dress, &est'res, $nd t$ste.
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D'rin& $do%esene, $eer !rou$s$ss'"e &re$ti"port$ne. The peer &ro'p h$s $ n'"!er o 'nIt pro*ides $ sense o !e%on&in&, pride, soi$% %e$$nd se+'$% ro%es. Most peer &ro'ps h$*e we%%Gdese+ spei "odes o $ept$!%e !eh$*ior. In
$do%esene, the peer &ro'ps h$n&e in $&e. The$s sin&%e se+ &ro'ps, e*o%*e to "i+ &ro'ps, $nd n$rrow to o'p%es who sh$re $ti*ities.
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CO'NITIE DEELOPMEN
Bo&niti*e $!i%ities "$t're d'rin& $do%esene. 7etween the $&es 11:, the $do%esene !e&ins Pi$&ets or"$% oper$tion st$&e o o&nde*e%op"ent. The "$in e$t're o this st$&e is th$t peop%e $n thin!e#ond the present $nd !e#ond the wor%d. Ado%esents $re hi&h%#i"$&in$ti*e $nd ide$%isti. The# onsider thin&s th$t do not e+ist !'
!e $nd onsiders w$#s thin&s o'%d !e or o'&ht to !e. This t#pe o re'ires %o&i, or&$ni
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MO(AL DEELOPMENT
Aordin& to oh%!er&, the #o'n& $do%esent is 's'$%%the on*ention$% %e*e% o "or$% de*e%op"ent. Most sti%$ept the &o%den r'%e $nd w$nt to $!ide !# soi$% ord$nd e+istin& %$ws. Ado%esents e+$"ine their *$%'es,
st$nd$rds, $nd "or$%s. The# "$# dis$rd the *$%'es thh$*e $dopted ro" p$rents in $*or o *$%'es the# on"ore s'it$!%e.
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Jhen $do%esents "o*e into the post on*ention$% or pr%e*e%, the# st$r to 'estion the r'%es $nd %$ws o soiet#.thin6in& $nd ri&ht $tion !eo"e $ "$tter o person$% *opinions, whih "$# on;it with soiet$% %$ws. Ado%esonsider the possi!i%it# o r$tion$%%# h$n&in& the %$w $ne"ph$si
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SPI(IT)AL DEELOPMEN
Aordin& to -ow%er, the $do%esent or #o'n& $d'%t rethe s#nthetiGon*ention$% st$&e o spirit'$% de*e%op"
As $do%esents eno'nter di?erent &ro'ps in soiet#, t$re e+posed to $ wide *$riet# o opinions, !e%ies, $nd
!eh$*iors re&$rdin& re%i&io's "$tters. The $do%esentreoni%e the di?erenes in one o the o%%owin& w$#s
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Deidin& $n# di?erenes $re wron&
Bo"p$rt"ent$%i
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Oten the $do%esents !e%ie*e th$t *$rre%i&io's !e%ies $nd pr$ties h$*e "si"i%$rities th$n di?erenes. At this stthe $do%esents o's is on interperso
r$ther th$n onept'$% "$tters.
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N'rsin& $ti*ities re%$ti*e to this st$&e o spirit'
de*e%op"ent in%'de
Presentin& $n open, $eptin& $ttit'de to $do%e'estions $nd st$te"ents re&$rdin& spirit'$% "$nd their i"p%i$tions or he$%th.
Arr$n&in& or $do%esents to see $ "e"!er o tre%i&io's $ith i so desired, or to t$%6 with "e"their h'rh peer &ro'p o s'pport.
Pro*idin& o o"ort$!%e en*iron"ent in whih
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Health (is*s
Ado%esents $e "$n# he$%th ris6s $s the# ne&oti$te with intrproess o !eo"in& #o'n& $d'%ts. Prinip$% $"on& these $reonse'enes o ris6# !eh$*ior, s'h $s in>'r# re%$ted to $idse+'$%%# tr$ns"itted dise$se, $nd teen pre&n$n#. Ps#ho%o&ie"otion$% h$%%en&es o $do%esene "$# %e$d to ps#ho%o&i
pro!%e"s. A%so, the de*e%opin& !r$in is s'septi!%e to $dditionthe rst "$niest$tion o shi
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The 23 Yo'th Ris6 7eh$*ior S'r*ei%%$ne reported the o%%owin& he$%thGris
4.8K o $% de$ths in the 1 to 2/ $&e &ro'p res'%ted ro" o'r $'se Motor *ehi%e r$shes
Other 'nintention$% in>'ries Co"iides S'iides
D'rin& the "onth prior to the s'r*e#, hi&h shoo% st'dents en&$&ed in the o!eh$*iors
18.2K ne*er wore $ se$t!e%t
3K h$d ridden with $ dri*er who h$d !een drin6in& $%oho% 14K h$d $rried $ we$pon //.9K h$d dr'n6 $%oho% 22./K h$d 'sed "$ri>'$n$ 8.:K h$d $tte"pted s'iide in the pre*io's 12 "onths
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S'iide in $do%esents h$d de%ined in reent #e$ontin'es to !e $ si&ni$nt pro!%e". O%der $do%
"$%es. S'iide in $do%esents "$# !e reported $s$ident de$th. Motor *ehi%e $idents, dr'& $n$%oho% o*erdoses, re$r" $idents, $nd e*enho"iides $n !e dis&'ised s'iides. Ps#ho%o&i$nd ps#ho%o&i stressor $re $pp$rent $'ses or
risin& n'"!er o s'iides0 reent rese$rh indi$'se o $ntidepress$nt dr'&s in hi%dren is $ssoi$with $ s%i&ht inre$se o s'iide ris6. Other $do%ehe$%th pro!%e"s $re $rdio*$s'%$r dise$se, deprtooth de$#, &in&i*itis, "$%$%i&n"ent o teeth, ne
$nd $!'se.
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E$tin& Disorders
The hi&hest n'trient $nd ener de"$nds o'r d'rin&rowth sp'rt in $do%esene. The $ddition o sports $nother ph#si$% $ti*ities inre$ses these de"$nds. Cowthe desire to t inF oten %e$ds to 'nhe$%th# diet$r#
pr$ties. Bo""on pro!%e"s re%$ted to n'trition $nd estee" $"on& $do%esents in%'de o!esit#, $nore+i$ner*os$, $nd !'%i"i$. N'rses need to he%p $do%esentre$te $ we%%ness p%$n th$t $ddresses !od# i"$&e, diewei&ht onerns $nd e+erises.
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E N D
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L=I
1G2. The $nd &%$nds inre$se their seretion!eo"e '%%# 'ntion$% d'rin& p'!ert#. (Erine $nd Aporine
3. It is $ n'"!er o 'ntions th$t pro*ides $ sense o !e%on&inpride, soi$% %e$rnin& $nd se+'$% ro%es. (Peer ro'ps)
/. Re%$teHs to the or&$ns neess$r# or reprod'tion s'h $s th
penis, o*$ries, *$&in$ $nd 'ter's. (Pri"$r# Se+'$% Bh$r$teris
:. In this de*e%op"ent $do%esents $n thin6 !e#ond the prese!e#ond the wor%d o re$%it#, hi&h%# i"$&in$ti*e $nd ide$%isti.(Bo&niti*e)
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G1. i*e the : de*e%op"ent d'rin& $do%esents st$&e. (Ph#si$%, Ps#hBo&niti*e, Mor$%, Spirit'$%)
11. Ado%esents is the period d'rin& whih the person !eo"es ph#si$%%ph#sio%o&i$%%# "$t're $nd $'ires $ person$% identit#. TR=E OR -A5SE
'nder%ine the word th$t "$de it $%se $nd write the orret $nswer. (-$%sPs#ho%o&i$%%#)
12. In he$%th ris6s, there $re / "$>or $'ses o de$ths in the $&e 1G2/ $&ro'p. i*e one $'se. (Motor *ehi%e r$shes, 'nintention$% in>'ries, hos'iides)
13. di?erenti$te the "$%e ro" e"$%e !'t do not re%$te to reprod'tion. (Seond$r# se+'$% h$r$teristi)
1/. It is $ period "$r6ed !# s'dden $nd dr$"$ti ph#si$% h$n&es. (Ado&rowth sp'rt)
1:. In wh$t s#ste" o the !od# the &rowth noted rst.
$. M's'%os6e%et$% s#ste" !. Bentr$% Ner*o's S#ste" . Endorine S#stB$rdio*$s'%$r S#ste" (A)