Question

A 15-year-old female is admitted to the hospital with a concussion after a biking accident. During the admission assessment, the patient confides in the RN that she doesn’t wear a helmet when she rides her bike. A nursing care plan has been developed using the NANDA-I nursing diagnosis Deficient Knowledge related to insufficient information about hazards of biking as evidenced by patient statement, “I don’t wear a helmet when I bike.” The outcome: The patient will verbalize the importance of wearing a helmet when biking before discharge. • Describe safety concerns related to this developmental stage. • Identify three (3) interventions that would help this patient achieve the outcome. • Include your rationale for each intervention. • If the outcome is not met, how will you change the plan of care? Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Answer 1

Safety concerns in adolescents

1) Dangers of driving without safety measures.

2)Suicide tendencies due to emotional outbursts.

3)Risk of unwanted pregnancies, drugs,smoking and drinking.

4)Antisocial behaviors . Peer group pressures and overt behavior.

5) Disturbed body image.

Intervention for specific outcome.

1)Have a face to face conversation regarding the dangers of driving and discuss her views on its importance without being judgemental.

Rationale: It helps in understanding her views regarding safe driving, helps to identify any mood or behavioral changes which is a reason for her actions.

2)Include her parents or caregivers in the decision making process on better safety.

Rationale: Parents can help to identify any unusual behaviours and provide guidance and support to their children and help them to prevent any accidents.

3)Discuss the importance of safety measures.

Rationale:To prevent any further mishappenings.

On failure of these intervention:

The driving regulatory authorities can be informed regarding cases of driving by such age groups.

Psychological counselling to rule out any behavioral problems.

Rehabilitation for behavior modifications.

Written agreement by the adolescent can be obtained.