TITLE: Physical and Psychosocial Effects of the Changes in Adolescence Period

BIBLIOGRAPHY: Ozdemir, A., Utkualp, N. & Pallos, A. (2016). Physical and

Psychosocial Effects of the Changes in Adolescence Period. International Journal of
Caring Sciences. Retrieved September 17, 2019 from
http://internationaljournalofcaringsciences.org/docs/39_Ozdemir_special_9_2.pdf

SUMMARY
The adolescence stage is an imperative period to a teenager because it marks
many changes in his/her life such as developing physical, emotional, cognitive, and
social changes. Puberty is a part of the adolescence stage which involves changes in
biological development, rapid growth in skeletal system and sexual development.
Failure of the adolescent to adapt to these changes leads to negative health behaviors.
Preventable morbidity and mortality cases are observed as a result of these negative
health behaviors.
Physical changes during puberty are the increase in height and the weight, the
development of secondary sex characteristics, the change in the amount and
distribution of fat and muscle tissues and changes in circulation and respiratory system.
For the boys, the development of their secondary sex characteristics involve the growth
in testes and penis, pubic, axillary and facial hair starts to grow, as well as breaking of
the voice and spermatic formation occurs. For girls, it begins with development of
breasts and continues with pubic and axillary hair development and menarche. These
said changes causes a big difference physically and also affects them biologically and
psychosocially. Therefore, the article emphasized to distinguish these changes during
puberty from pathological cases and anomalies in physical and psychological
development to safeguard the health of these young people.
REACTION:
With the data presented, I strongly agree with the article. Although, gastric
bypass guarantees the patient the treatment they desire, it is still imperative to take in
consideration the long-term effect and risks of a certain surgical procedure. Since
gastric bypass is a very invasive procedure, it may include skeletal unloading due to
weight loss and calcium malabsorption after the surgery which can cause fracture at the
hips, pelvis or wrists. I agree how the author emphasized the need for long-term
management because it becomes an eye-opener for patients who are interested in
bariatric surgery to choose the best procedure with low rate of risks in the body
especially the bones.
I realized that there is an increasing number of people interested in bariatric
surgeries because it gives more satisfactory treatment for severe obesity but little did
we know that these surgeries could weaken their bones and causes fracture. Most of
the patients for this surgery are older adults wherein their bone health is already
deteriorating, which makes them more at risk for this kind of surgery. With this, I
realized that it is really important to educate the clients about how high the risk for
fracture is after RYGB, so that they will consider other bariatric surgeries that will not
decrease their bone density and cause harm like fractures.
I find the article giving a positive impact to the readers because it gives
awareness and information for a possible risk of a certain procedure that is
commonly done in the past few years. I only read one negative impact of the
article and this is the selection of the comparator. As what the author mentioned
in the article, he suggested to use a more salient comparison rather than a rapidly
declining procedure which is the AGB. The article would have been a lot better
when the procedure used for comparison would be the procedure that could be
the best alternative for RYGB.
*This article is significant to the nursing practice because it concerns the
wellness of a patient emotionally and physically. It is our responsibility to keep the
patient holistically satisfied. If a bariatric surgery patient has undergone the best surgical
procedure without causing fractures then we have achieved our goal of giving holistic
care.
In nursing education, since the article suggests alternatives of bariatric surgery, this
helps nurses what to include and not to include in their care plans to prevent clients
from fractures.
Also, it calls for a nursing research about alternative supplementations or surgeries that
could decrease the risk for fracture in RYGB patients.