GD Middle Adulthood

GROWTH AND DEVELOPMENT (MIDDLE ADULTHOOD)
In middle adulthood, the individual makes lasting contributions through involvement with others. Generally the middle adult years begin around the early to mid30s and last through the late 60s corresponding to Levinsons developmental phases of settling down and the payoff years. During this period personal and career achievements have often already been experienced. Many middle adults find particular joy in assisting their children and other young people to become productive and responsible adults. They may also begin to help aging parents. Using leisure time in satisfying and creative ways in a challenge that, if met satisfactorily, enables middle adults to prepare for retirement. Men and women must adjust to inevitable biological changes. As in adolescence, middle adults use considerable energy to adapt self concept and body image to physiological realities and changes in physical appearance. High self-esteem, favorable body image, and a positive attitude toward physiological changes are fostered when adults engage in physical exercise, balanced diets, adequate sleep, and good hygiene practices that promote vigorous, healthy bodies.
PHYSICAL DEVELOPMENT
Normal/Usual Major physiological changes occur between 40-65 years of age. The most visible changes are graying of hair, wrinkling of skin, and thickening of waist. Balding commonly begins in the middle years, but it may also occur in young male adults. Decreases in hearing and visual acuity are often noted during this period. Often these physiological changes have an impact on self-concept and body image. The most significant physiological changes during middle age are menopause in women and climacteric in men. The climacteric occurs in men in their late 40s or early 50s. regarding the musculoskeletal system, there is decreased muscle mass and decreased range of joint motion. Actual: The patient has few gray hairs and slight wrinkling of the skin in the face. The patient is married in her mid-20s and has 3 children. Her respiratory rate is in normal range. There is a decrease in her muscle mass because of lack of exercises and she is having episodes of weakness and dizziness. My client is experience pre-menopausal syndrome. She has decrease visual acuity, and our client uses eyeglasses. She can hear normally without any aid.
COGNITIVE DEVELOPMENT
Normal/Usual Changes in the cognitive function of middle adults are rare except with illness or trauma. The middle adult can learn new skills and information. Some middle adults enter educational or vocational programs to prepare themselves for entering the job market. Actual: Patient works in the government as a high school teacher in Siquijor. She is oriented to person, place, and time. She has not excibited any decrease in level of consciousness.
PSYCHOSOCIAL DEVELOPMENT
Normal/Usual The psychosocial changes in the middle adult may involve expected events such as children moving away from home or unexpected events. These changes may result in stress that can affect the middle adults overall level of health. In the middle adult years, as children depart from the household, the family enters the postparental family stage. Time and financial demands on parents decrease, and the couple faces the task of redefining their own relationship. It is during this period that many middle age adults begin to take on a healthier lifestyle. Although not advisable to wait until this stage in life to think about health promotion,better late than never does apply. Health promotion needs for the middle adult include adequate rest, leisure activities, regular exercise, good nutrition, reduction or cessation in the use of tobacco or alcohol, and regular screening examinations. The middle adults social environment includes relationship concerns; communication and relationships with children, grandchildren and aging parents; and caregiver concerns with their own aging or disabled parents. Actual: Client has stable family and their monthly income is enough to sustain the needs of the family. Like most middle adults, she began to take on a healthier lifestyle. She eats vegetables and eats a well-balanced diet. She exercise whenever she can. She and her husband have a good marriage and an intimate relationship. She has also developed fine friendship with her neighbors and other people in her community. By these relationships pointed out, there is enough evidence to say that she has achieved the developmental task of generativity. She verbalized that she is contented of her life as of the present time.

GD Middle Adulthood

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GROWTH AND DEVELOPMENT (MIDDLE ADULTHOOD)

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