Assignment: Capella University Identity Development in Adolescence & identity diffusion HW

Assignment: Capella University Identity Development in Adolescence & identity diffusion HW

Question Description
James Marcia extended Erikson’s work on identity crisis with the concepts of identity diffusion, identity foreclosure, identity moratorium, and identity achievement.

To complete this discussion, apply one or more of these concepts to an area of life challenge, such as choosing a college major or career, or participating in significant relationships.

Describe the life challenge.

Describe one or more of Marcia’s concepts.

How does this concept explain or apply to the life challenge?
How is culture or ethnicity important to adolescent identity development?
Does culture and ethnicity have an effect on this area of life challenge?

In addition, in your post:
Either: Refer to and integrate ideas presented in the text and supplemental information. Cite the textbook or other unit resources at least twice within your discussion.
Or: Cite at least one scholarly resource from the Capella library to support your discussion. Do not use popular media sources such as Wikipedia or About.com.

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The population I would like to continue serving in when I complete my Master of Science in Nursing with an emphasis in public health is the prison population. I have previously worked at a women’s adult prison, and I am currently serving at a juvenile detention center where both female and male juveniles are housed. First and foremost, I would like to emphasize that before nursing in this field, I was not aware of the medical side of prisons. For years my background had been working with the underprivileged homeless population, however, upon entering this side of nursing I observed many similarities which mirror the homeless.  Within the prison setting exist a very vulnerable people group which are at various stages in life. The diverse age groups can often determine various acute or chronic illnesses. Many have experienced years either in the prison system or outside, where their health has  been neglected because of drugs, alcohol, trauma, poverty, or mental illness. Incarcerated individuals are more likely to suffer from substance abuse, cognitive disability, communicable and noncommunicable diseases than the general population (McLeod et al., 2020). These factors can ultimately lead to health disparity.

The specialty of the advanced practice nurse in public health can impact health disparity/inequality in a positive way. One of the ways this can be accomplished is through health promotion and disease prevention. In the prison system certain inmates, more specifically the adults, are serving a life sentence while other inmates at the juvenile level are only serving a few years. Education on disease prevention is vital at the juvenile level, most notably with adolescents who have come from underprivileged backgrounds. As the intake nurse with adolescents, I educate on hand washing, sexually transmitted diseases and prevention, immunizations, importance of medication compliance, exercise, and eating. The initiation of programs which promote education, health, and wellness within the adult population could help to prevent comorbidities. According to Healthy People 2020 as cited by DeNisco and Barker (2019), through prioritizing health improvement and strengthening the understanding and public awareness of health, disease, and opportunities for progression health disparities can decline. In this population, it is important as the advanced practice nurse to understand that many of the patients lack an understanding about disease and how to achieve health. Simple education on proper hand washing goes a long way in communal settings. Adolescent immunizations are also an area of health promotion which is emphasized. During the COVID pandemic, it was crucial that the current population with whom I work with were given the opportunity to be vaccinated due to the frustrated efforts and inability to quarantine with lack of space. The Public Health Nurse recognizes the community needs within the population.

Diversity and an understanding of the global perspectives of care provide a greater understanding of health equity as related to this current population within the prison system. Most likely the weight of disease in correctional facilities are universal, however, due to the insufficient epidemiological data on health conditions specifically in low- and middle-income countries determines the extent of prison health services contribution to global health endeavors are unable to be quantified. It is important to invest in the health of the individual and health care of those incarcerated for the sake of human rights, public safety and health, and economic grounds. Understanding the public health capability of health services is dependent on identification of health needs, distribution of quality care, and continuity of care in health services (McLeod et al., 2020).

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