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Epidemiological Rationale for Topic:
Sexual risk behaviors place adolescents at risk for HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancy among U.S. school surveyed in 2011 from the Center of Diseases Control (CDC,2011). An estimated 8,300 young people aged 13–24 years in the 40 states reporting to CDC had HIV infection in 2009.Nearly half of the 19 million new STDs ( Sexually Transmitted Diseases) each year are among young people aged 15–24 years. More than 400,000 teen girls aged 15–19 years gave birth in 2009(CDC, 2009)

47.4% had ever had sexual intercourse 33.7% had had sexual intercourse during the previous 3 months, and, of these 39.8% did not use a condom the last time they had sex 76.7% did not use birth control pills or Depo-Provera to prevent pregnancy the last time they had sex 5.3% had had sex with four or more people during their life 12%) teens has had oral sex Nursing Diagnosis: Risk of STD infection related to lack of knowledge of STD prevention as evidence by teenager sexual behavior.

Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.
Student express: Curiosity about their sexual bodies Asking question about sex and their bodies Sexual feeling toward the opposite sex / same Actively engaged in sexual relation with other

Learning Theory to Be Utilized: Explain how the theory will be applied.
Vygotskl Social Development Theory argues that social interaction precedes development; consciousness and cognition is the end product of socialization and social behavior (learning- theories.com)
As health care providers we truly believe that our teenage are influence by their peers in fact their peer can be some of them biggest influences not their parents. Facebook, Twitter and Music Television (MTV) are engrained in the culture of our teenagers. We will use demonstrations and activities that encourage interaction and hoping that teens will in essence learn from one another.
We believe using these examples in our presentation are representative of teens social behaviors and this alter / change their thinking preset related to this content proposal. Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals. The CDC report there are approximately 19 million new STD infections each year half of them are young people ages 15to 24. The cost of STDs to the U.S. health system is estimated at $15.9 billion. This is because some cases go undiagnosed, untreated (untreated STDs can lead to serious long-term health for adolescent girls and young women. CDC estimates that undiagnosed and untreated STDs cause at least 24,000 women in the United States each year to become infertile)(healthypeople.gov,2020) .
STD-1: Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections.
 7.4 percent of females aged 15 to 24 years who attended family planning clinics in the past 12 months tested positive for Chlamydia trachomatis infections in 2008. STD-6 Reduce gonorrhea rates. STD-6-1 Reduce gonorrhea rates among females aged 15-44years.
 285 new cases of gonorrhea per 100,000 females aged 15 to 44 years were reported in 2008.This targeted 257 new cases per 100,000 populations.
 220 new cases of gonorrhea per 100,000 males aged 15 to 44 years were reported in 2008.This targeted 198 new cases per 100,000 populations. STD-7 Reduce sustained domestic transmission of primary and secondary syphilis.
STD-7-1 Reduce sustained domestic transmission of primary and secondary syphilis among females.
 1.5 new cases of primary and secondary syphilis per 100,000 females were reported in 2008. This targeted 1.4 new cases per 100,000 populations. STD-7-2 Reduce sustained domestic transmission of primary and secondary syphilis among males.
 7.6 new cases of primary and secondary syphilis per 100,000 males were reported in 2008.This targeted 6.8 new cases per 100,000 population
STD-9 (Developmental) Reduce the proportion of females with human papillomavirus (HPV) infection..

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