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by the age of 20 years.
                                                             b. Person is active.
                                                             c. Severe illnesses are less common than in
                                                                older age groups.
                                                             d. Person tends to ignore physical
                                                                symptoms and postpone seeking
                                                                health care.

                                                                    e. Lifestyle habits such as smoking,

                                                                stress, lack of exercise, poor personal
                                                                hygiene, and family history of disease
                                                                increase the risk of future illness.
                                             3. Cognitive changes
                                                             a. Person has rational thinking habits.
                                                             b. Conceptual, problem-solving, and
                                                                motor skills increase.
                                                             c. Person identifies preferred occupational
                                                                areas.
                                             4. Psychosocial changes
                                                             a. Person separates from family of origin.

                                                                    b. Person gives much attention to

                                                                occupational and social pursuits to
                                                                improve socioeconomic status.
                                                             c. Person makes decisions regarding
                                                                career, marriage, and parenthood.
                                                             d. Person is able to adapt to new
                                                                situations.

                                                      5. Sexuality

                                                             a. Person has the emotional maturity to
                                                                develop mature sexual relationships.
                                                             b. Person is at risk for sexually
                                                                transmitted infections.
                                G. Middle adulthood
                                             1. Description: Period between the mid- to late 30s and
                                                mid-60s
                                             2. Physical changes
                                                             a. Physical changes occur between 40 and
                                                                65 years of age.
                                                             b. Individual becomes aware that changes
                                                                in reproductive and physical abilities
                                                                signify the beginning of another stage
                                                                in life.
                                                             c. Menopause occurs in women and
                                                                climacteric occurs in men.





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