Health Promotion Of The School-age Child & Adolescents Flashcards
School-age (age)
6-12
When is the brain growth complete?
What happens to all teeth in this stage
Stomach and bladder capacity does what
By age 10
All 20 teeth lost replaced with permanent teeth
Stomach and bladder capacity increases
When should kids be potty trained
By school time
Cognitive development school-age
Concrete operations (7-11y/o)
Concrete thinkers but slowly developing logic
Able to problem solve
Master concept of conservation
(putting water from a cup into a bucket is the same amount of water event tho it looks like less)
Psychosocial development school-age
Industry vs inferiority
Sense of self worth/accomplishment
Should be taught that not everyone will master every skill
Social development (school age)
Peer groups play big role
Most relationships come from school
Moral development (school age)
Early vs late
Early:
-dont understand reason behind rules
-decisions guided by rewards/punishments
-interpret accidents as punishment
Late:
-understand different POVs
-learn treating others as they want to be treated
Body image changes (school age)
Curiousity about sexuality should be addressed with education
(sexual development/reproductive process)
School age are more modest
Health promotion school-age
Things they did in school
Immunizations
Scoliosis screening
Nutrition school age
Avoid using food as what
What activty is important
Avoid food as reward
Need physical activity
Sleep and rest (school-age)
Sleep needed for 8-10vs10-12
What is common in sleep
8-10y/o:
10-12 hours of sleep
10-12y/o:
9-10 hrs of sleep
Night terrors are common
Effects of hospitalization to school-age
Seperation
Physical/bodily harm
Loss of control
Fear of death
Seperation:
-threat to idependence: use to seeing friends
-fear of loss of family place
Harm:
-fear harm
Loss of control is a worry and so is death
Effects of hospitalization school-age
Nursing interventions
Simple explanation of each step
Offer choices
Allow child to voice fears
PLAY!
Adolescents age
12-20
Physical development adolescents
Girls: stop growing 2-2.5years after onset of menarche
Boys: stop growing at 18-20
Puberty changes in females
Breast develop
Pubic hair grow
Axillary hair grow
Menstruation
Puberty changes in men
Testicular enlargement
Pubic/axillary/facial hair growth
Penile enlargement
Vocal changes
Cognitive development adolescents
Abstract thinking
Hypothetical situations
Think beyond prestn
Value opinions of others
Psychosocial development
Identity vs role confusion
Try different roles (to develop personality)
Develop picture of self
Sex-role identity/ sexual orientation
Group identity (peer group)
Nutrition adolescents
Rapid growth causes need for
Annual monitor what/bc
Whats common
Rapid growth need more food
Annual monitoring of ht/wt (determine nutritional deficits)
Anorexia and bulimia common
Adolescents sleep and rest
Sleep habits change with what d/t?
When they sleep
What is a concern
Change with puberty, d/t increased metabolism and growth
Stay up late, sleep in
Sleep deprivation is a concern
Effects of hospitalization adoescents
Loss of independence/control
Fear of missing out (school/social events)
Effects of hospitalization adoescents
Nursing interventions
Involve in plan
Support relationships with peers
Confidentiality and privacy is hugh