The life span starts at birth and continues through old age and death. Certain care needs and different focuses are evident in this span. A newborn baby needs protection, nourishment, and safety. A few immunizations are also given at birth. The toddler needs additional immunizations. In grade school immunizations are usually complete but safety becomes an issue. The adolescent is also concerned with safety. Adolescent females start menstruation thus need OB-GYN. care. The young adult may need various types of care depending on existing disease processes such as hypertension and diabetes. Safety remains an issue because the leading cause of death in people under the age of forty is trauma. The middle aged adult needs care and education to ward off common diseases like heart disease. The older adult needs a variety of care plans due to advancing age and chronic conditions that effect health and wellness.