Growth and development - Early and middle adulthood: Nursing

Notes

GROWTH AND DEVELOPMENT - EARLY AND MIDDLE ADULTHOOD

KEY POINTS
NOTES
DEFINITION
  • Adulthood
    • Longest stage of life
    • Early: 20-40
    • Middle: 40-65
    • Late: 65+
  • Jean Piaget
  • Erik Erikson
  • Lawrence Kolberg
  • Growth
    • Physical changes
  • Development
    • Acquisition of complex motor, cognitive, and social skills

GROWTH
  • Minimal physical growth
  • Peak physical abilities
  • Poor lifestyle habits increase risk for future illness or chronic conditions
  • Aging process begins in early adulthood
    • Presbyopia
    • Presbycusis
    • Hair thins
    • Skin dries and becomes less elastic
    • Wrinkles appear
    • Reproductive capacity declines
    • Basal metabolic rate decreases
    • Fat accumulates

DEVELOPMENT
  • Remains relatively steady
  • Cognitive 
    • Formal operational stage
      • Look at ideas from multiple angles
      • Problems can have more than one answer
      • Rational thinking
      • More pragmatic
      • Less reckless
  • Psychosocial
    • Early - intimacy vs isolation
      • Form long-term relationships and friendships
      • Marriage and parenthood decisions
      • If unsuccessful in forming relationships, intimacy does not develop
    • Middle - generativity vs stagnation
      • Engage with next generation
      • Fulfill obligations to society
      • Preoccupation with oneself can lead to stagnation
  • Moral and spiritual
    • Postconventional stage
      • Develop moral compass and moral reasoning
      • Identify political affiliation
      • Commit to religious traditions

PATIENT AND FAMILY TEACHING
  • Provide guidance on physical changes
  • Encourage regular physical activity
  • Diet high in fresh fruits, vegetables, and fiber; low in sodium, saturated fats, and added sugar
  • Seven hours of sleep
  • Review relaxation techniques
  • Limit consumption of alcohol and caffeine 
  • Avoid nicotine and tobacco
  • Refer to counseling or support services

Transcript

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Adulthood is the longest stage of life, spanning from 20 years of age until the end of life. Adulthood is further divided into three consecutive phases: early adulthood, between 20 and 40 years old; middle adulthood, between 40 and 65 years old; and late adulthood, from age 65 and onward.

Now, developmental psychologists involved in studying development early and middle include Jean Piaget, Erik Erikson, and Lawrence Kohlberg.

First, it’s important to note that growth and development are two different concepts. Growth refers to physical changes in height, weight, and the appearance of the body; whereas development refers to the acquisition of complex motor, cognitive, and social skills.

Alright, now compared to other stages of life, adulthood is a time of minimal physical growth. By this point, physical maturation is complete, although height and weight can increase slightly. Young adults are at their peak in terms of physical abilities, including muscle strength, endurance, reaction time, and cardiac function; though poor lifestyle habits, such as smoking, as well as an unhealthy diet, or lack of exercise can increase the risk for future illnesses or trigger the onset of chronic conditions at an early age.

The aging process actually begins during early adulthood, although very slowly, and continues through middle adulthood. Around the age of 30, the lens of the eye begins to stiffen and thicken, affecting the ability to focus on close objects, a condition known as presbyopia.

Hearing can start to decrease as well, called presbycusis. Hair can start to thin out and become gray as early as the age of 35; the skin becomes drier and less elastic, wrinkles start to appear, and reproductive capacity starts to decline.

Later, the basal metabolic rate decreases, so it’s more difficult to gain muscle mass, while at the same time, fat tends to accumulate, particularly on the abdomen and lower body.

Now, cognitive development remains relatively steady throughout early and middle adulthood. According to Piaget, early and middle adults continue from adolescence in the formal operational stage.

During this stage, individuals begin to look at ideas from multiple angles and understand that problems can have more than one right or wrong answer. They also develop the ability to think rationally, meaning they can use logic to solve concrete as well as abstract problems. Compared to previous stages of life, young adults are more pragmatic when solving problems and making life-changing decisions and tend to be less reckless than in their teenage years. This is usually the time where they may choose to pursue additional education or identify their chosen career, which further enhances problem-solving skills and the capacity for creativity.

Sources

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