UNIT 1 Flashcards
Pias
Child science
iatros
healer or doctor
ics
branch of
means “healer of children.”
Pediatrics –
means the science of childcare and scientific treatment of childhood disease. is synonymous with child health.
Pediatric
is a branch of medicine that deals specifically with children, their development, childhood diseases, and their treatment
Pediatric
is the art and science of giving nursing care to children from birth through adolescence with a holistic family-centered approach, including emphasis on their physical growth, mental, emotional, psychosocial, and spiritual development
Pediatric Nursing
Father of Pediatric –
Dr. Abraham Jacobi
Two Primary goals of Pediatric care in all roles/ settings:
- Health Promotion
- Health Maintenance
- The role of a pediatric nurse is both
caring and curing.
o is a continuous process in both wellness and illness. It refers a helping, guiding, and counseling.
Caring
o refers to the act of diagnosis and management, usually during illness.
Curing
- The has the responsibility of providing nursing care in hospitals, home, clinical, school, and community where children and their parents have health and counseling needs.
pediatric nurse
- Functions of a Pediatric Nurse
- Primary Caregiver / Direct nursing caregiver
- Healthcare planning and delivery
- Ethical decision making
- Case Management
- Coordination /collaboration
- Health educator
- Health Education
- Anticipatory guidance
- Child Care Advocate
- Support/counseling
- Health services
- Nurse- counselor
- Recreationist
- Social worker
- Nurse Consultant
- Team coordinator and collaborator
- Nurse Researcher
- Evidence-based practice
is a complex phenomenon because of the many interrelated facets involved.
Growing up
denotes a net increase in the size or mass of the tissue. Human growth is orderly and predictable, but not even; it follows a cyclical pattern. It is largely attributed to the multiplication of cells and an increase in the intracellular substance.
growth
It is largely attributed to the multiplication of cells and an increase in the intracellular substance.
GROWTH
responsible for the increase in height in male
Testosterone –
– responsible for the increase in height in female
Estrogen
Stoppage of height coincides with the eruption of
the wisdom teeth.
The most sensitive measurement of growth.
* Weight of a baby 2x- 5mos, 3x -1yr, 4x- 2-2 ½ years old
- Weight
increase 1 inch/month during 1st 6 months
* ½ inch / month-7-12 months
- Height
refers to a process of change in growth and capability over time, as a function of both maturation of physiologic and psychosocial systems to more complex state interaction with the environment. It refers to an increased capacity to function at more advanced levels.
DEVELOPMENT
- Overall changes in the individual.
- Describes the changes in the organism.
- continuous process- from womb to tomb
- changes are qualitative in nature & cannot be measured- can be assessed
- possible without growth
DEVELOPMENT
: development or evolution of a species or group; a pattern of development for a species. Phylogenetic function depends mainly on maturation.
– Phylogeny
development of an individual within a species. Ontogenetic functions depend on training and experience.
– Ontogeny:
How to measure development
- by simply observing a child doing a specific task
- by noting parent’s description of the child progress
- by DDST- Denver Development Screening Test
4 main rated categories in development
- Language / communication
- Personal /social –
- Fine motor adaptive –
- Gross motor skills –
– ability to interact
Personal /social
ability to use hand movements
Fine motor adaptive –
ability to use large body movements
Gross motor skills –
synonymous with development
Maturation
– the concept of being open
- readiness
- Increase in child’s competence and adaptability.
- It is describing the qualitative change in a structure.
- The level of maturation depends on the child’s heredity.
The orderly, sequential changes in the body is generally predetermined to undertake.
Certain behaviors are not possible until a specific developmental stage has been reached
Maturation
– is the ability to learn and understand from experience, to acquire and retain knowledge, to respond to a new situation, and to solve problems.
Cognitive development
Normal IQ =
90-100
Gifted Child =
130 IQ level
- Knowing what to expect of a child at any given age.
- Gaining a better understanding of the reasons behind illnesses.
- Helping in formulating the plan of care.
- Helping in parents’ education in order to achieve optimal growth & development at each stage.
Importance of Growth and Development for Nurses
from conception to birth
Prenatal stage
– birth to 12 months.
Infancy Stage
– 1st 28 days of life
neonate
– 29 days -1 year
infancy
– 1-3 years old
Early Childhood stage / Toddler
– 4-6 years old
Pre-school
– 7-12 years old
Middle Childhood (school age) stage
-11-13 years old
Pre-adolescent
-12-18 years old (21 years old in a male)
Adolescent stage
– 18 – 34 years old
Early adulthood
– 35- 60 years old
Middle adulthood
– 60 years old to death
Late adulthood
is a continuous process that begins with conception and ends with death. The principle is from womb to tomb
Growth and development
grows rapidly within 1-2 yrs.
o Brain - CNS - Neurologic tissues
The brain achieves its adult proportion by
age 5.
- These patterns are definite and predictable
Patterns of Growth and Development
- Malnutrition may result to
MILD MENTAL RETARDATION
are fairly developed during childhood.
- Renal, Digestive, Musculoskeletal
grows rapidly in infancy and childhood, protection from infection
- Lymphatic system – (lymph nodes)
- Tonsils achieve their adult proportion by
age 5.
rapid growth at puberty
- Reproductive system –
is the period of most rapid growth and development
Fetal and infancy
is the period of rapid growth and development
An adolescent
– slow growth and development
Toddler
– slower growth and development
Preschooler
Primary factors affecting Growth and Development
- Heredity
-* Environment
- Heredity
- Quality of nutrition
- Quality of nutrition
- Socio-economic status
- Health
- Ordinal position in the family
- Parent-child relationship
The genetic composition of an individual determines the physical characteristics, it is the genetic blueprint from which the individual grows and develops.
- Race
- Intelligence
- Sex
- Nationality
- Heredity
Although children cannot grow taller than their genetically programmed height potential allows, their adult height may be considerably less than genetic potential if their environment hinders their growth in some way.
- Environment
also plays a vital role in the body’s susceptibility to disease because poor nutrition limits the body’s ability to resist infection. Lack of calcium could leave a child prone to rickets, a disease that affects growth by causing shortening or bowing of long bones. Lack of vitamins can lead to visual impairments, poor healing, and poor bone growth
- Quality of nutrition/Nutrition
Because health care and good nutrition both cost money, children born into families of low socioeconomic means may not receive adequate health supervision or good nutrition. Poor health supervision can leave them without immunization against measles or other childhood illnesses and therefore vulnerable to diseases that could cause permanent neurologic damage if complications occur
- Socio-economic status
Diseases that come from environmental sources can have as strong an influence on growth and development as genetically inherited diseases. Infants cared for in neonatal intensive care units, for example, may develop some decrease in hearing because of the overstimulation of sound, an example of health being directly influenced by the environment
- Health
The position of a child in the family (first-born child, middle child, the youngest child, only child) and the size of the family have some bearing on a child’s growth and development. An only child or the oldest child in a family, for example, generally excels in language development because conversations are mainly with adults. Youngest children may develop language more slowly, especially if older children talk “baby talk” with them. Children learn by watching other children, however, so the youngest child who has many examples to watch may excel in other skills, such as toilet training at an early age.
- Ordinal position in the family
Cultural norms within a family play a role in determining when a child is expected to achieve particular developmental milestones. Children who are loved to thrive better than those who are not. Either parent or a nonparent caregiver may serve as the primary caregiver or form a primary parent-child love relationship. It is the quality of time spent with children, not the amount of time, that is important. Loss of love from a primary caregiver, as might occur with the death of a parent, or interruption of parental contact through hospitalization
- Parent-child relationship
occurs in a regular direction reflecting the development of neuromuscular functions: these apply to physical, mental, social, and emotional development
A. Directional Trends
development occurs along the body`s long axis. Control overhead, mouth, and eye movements precede control over the upper body, torso, and legs.
- Cephalo-caudal (head down to toes)
development from the center of the body to the extremities.
2.Proximodistal (center of the body to the peripheral)
“differentiation” development occurs from simple operation to a complex one.
Mass to specific
to reason and solve problems.
Children use their cognitive and language skills
each part develops in the same direction, same time and not at the same rate.
Symmetrical
involves a predictable sequence of growth and development to which the child normally passes.
Sequential pattern
creep, crawl, stand, walk, run
- Locomotion
universal trends in the rate and age of maturation.
- refers to the worldwide trend of maturing earlier and growing larger as compared to succeeding generations.
Secular patterns
the most comprehensive indicator of developmental status.
- act based on your age
- Behavior
the universal language of the child
- Play