Lecture 1: intro to family nursing Flashcards
what are ACEs
adverse childhood experiences
can include: abuse, neglect, household challenges
what is classified as a neonate
birth-27 or 28 days
what is classified as infancy
0-12 months
what is classified as a toddler
1-3 yrs
what is classified as preschool
3-6 years
what is classified as school age/childhood
6-11 years
what is classified as adolescence
12-18 yrs
what are the 2 directional patterns for growth considerations
- cephalocaudal development
- proximodistal
Kids can lift up their head, before they sit up, etc
Metabolic rate is higher in children than adult, so infants need more nutrients than an adult because they need it for growth, oxygen consumption, and energy
what are 5 developmental considerations
- ht
- length
- wt
- body proportions
- metabolic rate
what are growth standards and how do we know what is normal for this child and their age
- ht, wt, head circumference
- compare to standard to assess progress
- growth charts
- children in good health tend to follow a consistent pattern of growth
- individual differences are normal
- % levels show extend to which a child’s measurement deviates from 15th percentile
what are growth charts specific too
- gender
- age
Birth-24 months
2-19 years of age
what skills does the Nippissing District Developmental Screen assess
vision
hearing
speech and language
communication
gross motor and fine motor
cognitive
social/emotional
self help
what ages does the nipissing district developmental screen assess
during the first 6 yrs at 13 different stages
Important to identify a problem, to intervene as quick as possible
Intervene: understanding the “why” to figure out what is going on and to incorporate more healthcare professionals
Want to maximize their development
what are 9 factors influencing growth and development
socioeconomic status
housing insecurity
environment
social environment
culture
hereditary traits
gender
family
health inequities
what is normal development in infancy
- nuturance-meeting basic needs
- sense of trust-dependability, security
- oral phase-importance of sucking
- environment-strangers, safety are big concerns
- major stressor-seperation
what is normal growth in infancy
- length increase by 50%
- wt double by 6 months and triple by 1 yr
- anterior and posterior fontanelles
- eruption of teeth around 8 months
interventions for normal development/growth in infancy
have parents present
familiar objects
cuddling
rocking
music
sucking
soft slow voice
interventions for normal growth and development for toddler
familiar objects
parents present
allow for appropriate choices
use simple terms - child’s language
normal development for toddler
- motor skills develop faster than intellectual
- sense of autonomy
- must have mastery of self and environment
- seperation from mother
- anal stage - seeking control, ritualistic, tantrums
- major stressors - separation, fear of bodily harm, and alteration in routine