session 5 Paediatric growth and development

Question 1

describe the philosophy family centered care

Answer 1

1. Family is constant in the childs life (HP fluctuate)
2. Family’s contribution in planning and delivery of care
3. Educates and informs parents in a partnership model
4. promotes rooming in
5. encourages and facilitates family to family support and networking
6. recognition and respect different methods of family coping
7. recognition and honouring of cultural diversity, strengths and individuality within and across all families

Question 2

describe the development milestones for the well child from 0-18 years of age
identify specific home safety risks that relate to each development milestone

Answer 2

infant -(0-3 mths) smiling, responsive to voice, head control (danger from a toddler dropping them)
(6mths) weight bearing, rolling, babbles (danger of rolling off a table)
(9mths) crawls and pulls to stand (danger of pulling hot coffee/tea onto themselves)
(12mths) walks (danger of walking into furniture
(18mths) awareness of self, independence ( danger of drowning and household poisons)
(24 mths) jumps, climbs - (danger of climbing, getting into medication cupboard and no road safety)
(3yrs old) joins in make believe - (needs constant supervision - place beads up nose, in ears)
(4 yrs old) - recognises own name in print - ( negotiation is the key, finds toilet humour funny)
(5 yrs) - can give name and age - (
(6-7 yrs) - rides two wheel bike ( danger of broken arms/ team sport, injury from falling off bike)
(10-12) - fine motor skills developed, desire more indepedance ( rules are important)
Adolescence - (puberty - to adult) risk taking behaviours , risk taking behaviours in boys, anger issues, STIs. Need to query their pain as they assume you know.

Question 3

why is assessing growth and development important?

Answer 3

to assess for development delay - to see if there is a regression ( which can indicate social, disease orientated problem)

Question 4

how do we assess growth?

Answer 4

head circumference, height percentile and weight percentile

Question 5

how do we assess development

Answer 5

Ages and stages questionare that is recognised internationally

Question 6

define failure to thrive and its potentia causes

Answer 6

a term used for children less than 5 years old who have poor weight gain. Causes of FTT are

• inadequate caloric intake/ retention
• inadequate absorption
• excessive caloric utilisation
• other medical causes
• psychosocial factors