PRESENTED BY

SHANAVAS .P.H
MSC NURSING ,
GOVT DISTRICT HOSPITAL ,PALAKKAD
ADOLESCENT HEALTH
 ADOLESCENCE
• Stages-Early Adolescence(10 to 13yrs),
Middle Adolescence(14 to 16 yrs), Late
Adolescence (17 to 19 yrs).
 Pubertal events

• The average age at which external pubertal changes begins,

• 10½ -11 yrs in girls and 12½ -13 yrs in boys.
 CHANGES
• Physical
• Emotional
• Social
• Sexual Development
 PHYSICAL CHANGES-BOYS
• Ht & Wt Increases
• Voice changes
• Muscles development
• Hair growth in face,axilla & pubic area
• Penis and testes enlarge
• Shoulders broaden
• Acne
 PHYSICAL CHANGES-GIRLS
• Ht & Wt Increases
• Breast enlargement
• Hair growth in axilla & pubic area
• Menstruation
• Enlargement of the pubic bone
• Acne
 EMOTIONAL CHANGES
• Rapid mood changes, Emotional instability
• Abstract thinking
• Day dreaming
• Attention seeking behavior
• Conflicts with family over control
 SOCIAL CHANGES

• Peer group
• Formation of new relationship
• Establish own identity
 SEXUAL DEVELOPMENT
• Sexual organs enlarge and mature
• Erection in boys
• Sexual desire & sexual attraction
• Menarche, ovulation
• Sperm production, ejaculation
 Physical Changes
Changes during Adolescences Health Implication

• Normal growing-up • Undue anxiety and tension

• Increase in height and weight • Increase nutrition requirement - if

inadequate, under nutrition and
anemia

• Breast Development • Stooping of shoulders, poor posture,

back pain

• Skin becomes oily • Acne

• Protein-energy malnutrition,
• Desire to be thin, have a good anemia, stunting
figure
NORMAL GROWING UP-ANXIETY AND
TENSION
 Increase in height and weight-
Increase nutrition requirement
 NUTRITIONAL PROBLEMS
• Anaemia
• Under nutrition
• Obesity
• Eating disorders
Breast Development- Stooping of
shoulders, Poor posture
Skin becomes oily -Acne
Desire to be thin, have a good figure-
Protein-energy malnutrition, anemia
 Emotional changes and Social
development
• Changes during Adolescence • Health Implications

• Development of Identity • Confusion, moodiness,

irritation
• Very curious
• Experimentation, Risk taking
• Peer pressure behavior
• Effect on lifestyles
Unhealthy eating habits and
life styles leading to obesity •
Smoking and alcohol use
leading to ill health • Speed
driving, accidents • Risk taking
behavior
Development of identity-
Confusion,mood Changes
Very Curious-Experimentation,risk
taking behavior
Peer Pressure-Effect on life styles
 SEXUAL DEVELOPMENT
• Changes during • Health Implications
Adolescence
• Unsafe sex leading to
• Desire to have sex unwanted pregnancy, STIs,
HIV; Need of health
education and services

• Ejaculation • Fear, guilt, myths -

emotional problems

• Dysmenorrhea,
• Menstruation Menorrhagia - Anemia, RTI
(Menstrual Hygiene)
Desire to have sex -Unsafe sex leads
to
 AIDS
Human Immune Virus
HIV Transmission
HIV-SYMPTOMS
 HIV-PREVENTION
• Safe Sex
• Do not share needles & syringes
Ejaculation- Fear, guilt, myths ,
emotional problems
Menstruation- Dysmenorrhea,
Menorrhagia , Anemia, RTI
 CHILD SEXUAL ABUSE
When any adult engages in sexual activity with
child
 TYPES OF SEXUAL ABUSE
• Touching & Non Touching
• Touching(Penetrating & Non Penetrating)
 Non penetrating
• Touching a child`s genitals
• Making a child touch someone else`s genitals
 Non Touching
• Showing a pornography to child
• Exposing a persons genitals to a child
• Online enticement of a child for sexual
purposes
• Watching a child undress
PERSONS WHO ABUSES CHILDREN
• Family members
• Step-parents
• Grand parents
• Parents
• Neighbors
• Teachers etc
 SETTINGS
• Family setting
• Neighborhood & Community setting
• Institutional abuse etc
 EFFECTS
SHORT –TERM EFFECTS
• Sleeping & Eating Disorders
• Depression
• Anger
• School Problems
 LONG –TERM EFFECTS
• Increased risk for Depression
• Anxiety
• Substance Abuse
• Sexual Dysfunction
• Poor self esteem
• Self destructive Behavior
• Future Abuser
 PHYSICAL INDICATORS
• Bruises, bleeding or irritation of external
genitalia
• Bloody underclothing
• Pain, Swelling & Itching of genital area
• STD
• Difficulty in walking & sitting
• Recurrent UTI
• Presence of semen
• Pregnancy
 SELF PROTECTION FROM SEXUAL
ABUSE
• Safety
• Body awareness
• Communication
• Touching
• Secrets
• Healthy relationships
• Assertiveness training
• Self-Defence
 PREVENTION OF CSA
• POCSO Act
• Child Line
 HEADS assessment

 An acronym for:
 H- Home
 E- Education/Employment/Eating
 A- Activity
 D- Drugs/Depression
 S-Sexuality/Safety/Suicide.
ANY QUESTIONS?