Nursing Health Promotion: Case Study Monica
Monica is a 17-year-old African-American female with dangerous lifestyle choices. There are several major health concerns with the patient, including the fact that she has turned to prostitution and has a family history of Type II Diabetes and coronary artery disease. As such, Monica needs obvious interventions to help prevent any serious conditions in her health from getting out of control. Thus, the interventions can be broken up based on her individual characteristics, such as age, gender, family history, and lifestyle choices. The following analysis is a break down of what interventions would ultimately prove most successful.
Monica is at a very tumultuous age. At 17 years old, she is in the middle of her teenage years, which is ultimately a stage of great crisis as the adolescent tries to break through into young adulthood. Thus, there is a higher risk for suicide and depression, as seen in the context of Erikson's developmental stages. During adolescence, teenagers often experience "reduced ego strength and the occurrence of physical and psychological symptoms" which can place them in greater danger of mental illness and even possibly suicide (Kidwell et al., 1995). During the stage of adolescent crisis, it is crucial that teens like Monica have a support system to help them get through any tough times. Thus, the most effective intervention would be to get her into counseling services that can help support her and monitor her mental health during this crucial time period.
As a female, Monica is also at risk for low iron intake which could ultimately result in anemia. During adolescence, "girls first encounter menstrual blood loss," which can ultimately make the situation for iron deficiency even worse (Marx, 1997). This only increases their potential where iron deficiency would become a major issue. This is only augmented with the fact that Monica is African-American as well because there is increased rate of anemia. Here, the research suggests that "menstrual blood loss accounts for a median additional need of absorbed iron between 0.5 and 1mg per day" (Marx, 1997). This creates a situation...
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