Community Nursing on Adolescence

Raden Ahmad Dedy Mardani, Ners., MNS

Adolescence
 Transitional period of childhood to adulthood
According to WHO adolescence is ranging between 12 to 24
y.o., married is not included.

 Stage of life which is identified by its change in:

1. Physical anatomy
2. Behavior
3. Cognitive
4. Biological needs
5. Emotional
Adolescence Phase
 Early adolescence (11-14 y.o)
 Change of primary puberty& its responses
 Middle adolescence (15-17 y.o)
 Transition of orientation where those are
more dominant than others
 Late adolescence (18-20 y.o)
 Transition of adult, where they starting to
look for suitable jobs
(Crockett and Peterson, 1993)
Physical Transition
 Weight
 Height
female, approx. at 17-18 y.o
male, approx. at 19-20 y.o
 Body Proportion
 Internal Organs
 Sexual Organs
maximum size reached, but still yet mature up ‘till late
adolescence.
Transitional characteristics
Female Male
•Breastdevelops •Growth of testical
•Pubichairgrows •Pubichair
•Bodygowth •Bodygrowth
•Menarche •Transitional of penis,
•Axillarhair prostaticglands
• First ejaculation
•Beard, mustache, hairy face
•Axillahair
Piaget’s Cognitive Transition
1. Abstract
Using ideas and critical thinking in solving
problems
2. Idealistic
Ideally think of their selves, others also their social
everyday
3. Logic
analyzing method taken after their critical thinking trial
Emotional changes
The main differences between this community and the
younger identified in its type of stimulus and its level of
quality.

Findings: anger, fear, jealousy, curiosity, sadness & happiness

expression, passion and compassion expression.
Psychosocial Findings (Ericsson)
 Identity vs Role
developmental task: to be independent with his/her own
identity
 Problems:
Moody
Decision making
Identity taking
Havighurst’s Psychosocial tasks
1. Adapting changes physically & psychologically.
2. Learning in socializing as men or women
3. Having their emotional independency
4. To be good and responsible citizen
5. Having their independency and certainty in
economic status
 Grouping
1. Close friends : 2-3, same sex, same in interest
2. Small group : consist of 2 groups, possibly heterosex
3. Large group : some groups, low intersocial
interaction
4. Organized group : made by formal consideration
5. Gang : rejection by antisocial attempt group
Acceptance and Rejection in Group
criterias
1. First impression
2. Reputation
3. Performance suitability
4. Social behavior, which identified by cooperation,
responsibility, mindful, wisdom,
5. Emotional maturity
Interests
 Social interest
 Educational interest
 Religion and worship interest
 Sexual interest
Social interest
 Vacation
 Party
 Curiosity to new items
(drugs, sexual activity,
alcoholism)
 Problem sharing
 Helping others
 Critics
 Surrounding consideration
 Educational interest
Affected by means of workfields

Religion interest
Exploring religion as an emotional and intellectual impulse

Sexual interest
As an improvement in sexual needs they start to gather more
information from sources elsewhere
Problems
Because of their interest improvement, somehow it may
brings problems, especially their wellbeing
 Developmental
 Nutritional
 Reproduction
 STD & HIV/AIDS
 Drugs and alcoholism
 Sexual harassment, adultery, pornography, etc.
Expanding Nurse’s Role
 Assessing
 Diagnosing
 Planning
 Implementing
 Evaluating
Assessing teenagers
 Age
 Education status
 Social/extra campus activity
 Health problem finding (past and present illness)
 Spare time activity
 Local habit
Planning
1. Health Promotion
2. Health Prevention
3. Curative level
4. Rehabilitative level
Implementing
1. Not to be in formal terms
2. Not in teaching performance
3. Give them the real evidence
Evaluating
 Cognitive
 Affective
 Psychomotor
through…
 Structure
 Process
 Output/outcome