A 6 page research paper that offers a literature review on perioperative nursing interventions for adolescent surgical patients. Many nurses have the impression that dealing with an adolescent should be similar to dealing with an adult. However, research literature concerning perioperative experience with adolescents indicates that there are solid reasons for including adolescent care in the realm of pediatric medicine. This literature review addresses data concerning perioperative management of adolescents and the implication of research data for nursing practice in this area. Bibliography lists 5 sources.
are solid reasons for including adolescent care in the realm of pediatric medicine. The following literature review addresses data concerning perioperative management of adolescents and the implication of research data
for nursing practice in this area. It is general perception among many nurses that the brain is largely developed by the time that an individual reaches the teen years.
They have studied the developmental theories of psychologist Jean Piaget who proposes that the ability to think abstractly is achieved between ages 11 and 14 and they know that this
represents the highest level of cognition (Hockenberry, 2003). They attribute fluctuations in adolescent behavior, such as their sometimes seeming inability to follow medical directives, to cascading hormones. This
perception of the adolescent brain has, however, been disputed by empirical research, and, in fact, researchers, such as Spano (2003), argue that the brain is actively developing throughout the teen
years and into young adulthood. Herrman sums up the implications of research toward the field of pediatric nursing by saying that far from functioning in an adult manner, the teen
brain is a "work in progress" (Herrman, 2005, p. 147). Cognitive controls are still "under construction," and nurses should consider this fact when designing a plan of care for
an adolescent client (Wallis, 2004, p. 59). Data on the development of abstract reasoning skills, as well as of the "recognition of costs and rewards of selected health behaviors and
comprehension of cause and effect relationships can all seriously impact the teens response to health instruction and its potential for positive behavior changes (Herrman, 2005). Pediatric nurses can help
adolescents develop decision-making skills by offering opportunities at "developmentally appropriate periods," while also assisting teens in learning how to read the emotional cues of others (Herrman, 2005, p. 147). The