00Polan (p2)-FM 1/5/07 8:57 PM Page i Journey Across Life Span the Human Development and Health Promotion 00Polan (p2)-FM 1/5/07 8:57 PM Page ii Birth is a beginning And death a destination. And life is a journey: From childhood to maturity And youth to age; From innocence to awareness And ignorance to knowing; From foolishness to discretion And then, perhaps, to wisdom; From weakness to strength Or strength to weakness And often back again; From health to sickness And back, we pray, to health again; From offense to forgiveness, From loneliness to love, From joy to gratitude, From pain to compassion, And grief to understanding From fear to faith; From defeat to defeat to defeat Until, looking backward or ahead, We see that victory lies Not at some high place along the way, But in having made the journey, stage by stage, A sacred pilgrimage. Birth is a beginning And death a destination. And life is a journey, A sacred pilgrimage To life everlasting. With permission from The New Union Prayer Book. Central Conference of American Rabbis, New York, 1978, p. 283 00Polan (p2)-FM 1/5/07 8:57 PM Page iii Journey Across Life Span the THIRD EDITION Human Development and Health Promotion Elaine U. Polan, RNC, MS, PhD Supervisor Practical Nurse Program Vocational Education and Extension Board School of Practical Nursing Uniondale, New York Daphne R. Taylor, RN, MS Classroom/Clinical Instructor Practical Nurse Program Vocational Education and Extension Board School of Practical Nursing Uniondale, New York 00Polan (p2)-FM 1/5/07 8:57 PM Page iv F. A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright © 2007 by F. A. Davis Company All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, record- ing, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Acquisitions Editor: Jonathan D. Joyce Developmental Editor: Alan Sorkowitz Senior Project Editor: Danielle J. Barsky As new scientific information becomes available through basic and clinical research, recommended treat- ments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regard- ing dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Polan, Elaine, Journey across the life span : human development and health promotion / Elaine U. Polan, Daphne R. Taylor. — 3rd ed. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-0-8036-1593-9 ISBN-10: 0-8036-1593-0 1. Life cycle, Human. 2. Health promotion. 3. Practical nursing. I. Taylor, Daphne, II. Title. [DNLM: 1. Human Development—Nurses’ Instruction. 2. Health Promotion—Nurses’ Instruction. 3. Life Style—Nurses’ Instruction. 4. Nurse’s Role—Nurses’ Instruction. 5. Nursing, Practical—methods—Nurses’ Instruction. WS 103 P762j 2007] RT69.P654 2007 613—dc22 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $.10 per copy is paid directly to CCC, 222 Rose- wood Drive, Salem, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Report- ing Service is:8036-1593/07 (cid:2)$.10. 00Polan (p2)-FM 1/5/07 8:57 PM Page v In loving memory of my sister Harriet and my mother: Your lives have given me strength and inspiration. You are always in my thoughts. Elaine U. Polan In loving memory of my mother, Jemima, and for the support of my husband and family. In loving memory of Marquez, whose journey was short but unforgettable. Daphne R. Taylor v 00Polan (p2)-FM 1/5/07 8:57 PM Page vi 00Polan (p2)-FM 1/5/07 8:57 PM Page vii P R E F A C E Current trends indicate a need for changes in our health-care system: the need is for a system that focuses on universal health care. This creates a need for emphasis on health promotion, maintenance, and restoration. In this new health-delivery system, health- care workers are expected to provide care to individuals in a variety of settings through- out their life span. This textbook is designed to assist students in their study of the life cycle from con- ception to old age. Instead of having to read only certain sections of a core text or por- tions of a pediatric or maternity text, students can now see the complete presentation of growth and development across the life span. We hope this will be meaningful and will assist students in developing an appreciation for individuals in their struggle to maintain, promote, and restore health. There are 14 chapters in this edition, each designed to make the book user-friendly. One new chapter has been added to this third edition. This new chapter deals with the topics of death, dying, and bereavement. The authors hope that readers will find com- fort and guidance from this chapter when dealing with either personal or professional losses. A chapter outline, a list of learning objectives, and a list of key terms, which are considered important to the reader’s understanding of the material, precede each chap- ter. The “Helpful Hints” box, a special feature used in this text, is designed to draw the reader’s attention to important facts. Other pedagogical features include tables, boxes, illustrations, and photographs. At the conclusion of each chapter, there is a chapter summary, which highlights key points, followed by one or more critical thinking exercises to increase awareness and to challenge thinking. Multiple-choice questions at the end of each chapter help students test their content understanding. Suggested readings enable students to further explore and research topics of interest, and now include Web site references as appro- priate. We wish to point out that the names of persons used in critical thinking exercises and in case studies are fictional, and that any resemblance to names of actual persons is coincidental. It is our hope that students will find this text easy to read and applicable to clinical practice and personal growth. Elaine U. Polan, RNC, MS, PhD Daphne R. Taylor, RN, MS vii 00Polan (p2)-FM 1/5/07 8:57 PM Page viii 00Polan (p2)-FM 1/5/07 8:57 PM Page ix C O N S U L T A N T S Joanne Carlson, MS, APRN Lynda J. Overking, RN, BSN, MS Practical Nursing Coordinator/Instructor Health Occupations Coordinator Ogden-Weber Applied Technology Center Monongalia County Technical Education Center Ogden, Utah Morgantown, West Virginia Zoe Hanson Cujak, BSN, MEd Maurita Roper, BSN Nurse Practical Nursing Program Coordinator Fox Valley Technical College Elizabethtown Technical College Appleton, Wisconsin Elizabethtown, Kentucky ix