Week 32 Flashcards
How many people under 18 are living in NZ?
New Zealand has 1,124,000 children under 18
which equates to 23% of the population
How many children live with two parents in their household?
76% of New Zealand children live in two-parent households
How many children live with one parent?
16% living in sole- parent households
What is a Neonate?
Birth to 28 days of age
What age is an Infant?
up to 12 months of age
What age is a child?
1 to 12 years
What age is a young person?
12 to 24 years
What are the Physiological differences between children and adults?
- Immature blood/ brain barrier
- Higher respiratory rates
- Thinner skin
- Higher metabolic rate
- Larger body surface area
- rapidly dividing cells
- immature immune system
What are social considerations that you look out for?
You should consider a patients social development involves learning values, knowledge and skills that enable relating to others.
Important to remember not all experiences are positive – need to consider this when we plan for
children/young people in healthcare settings.
Social disorders may be present- Social anxiety disorder, Avoidant Personality Disorder, Panic Disorder, Generalized Anxiety Disorder, Depression, Alcoholism, Eating Disorders, Schizophrenia.
Emotional considerations what are signs of secure attachment?
- More resilient, competent toddlers with high self esteem
- In pre-school, children display more persistence, curiosity, self-reliance, leadership and have better peer relations
- After age 11 children and adolescents display better social skills, leading to more close friends
Why is Play important?
Through play children learn about their world, and how to deal with objects, time, space, structure and people
They learn about themselves operating within this environment Play is the work of children. There is a developmental sequence to play
Through play, children learn:
* Sensorimotor development
* Intellectual development
* Socialisation
* Creativity
* Self-awareness
* Therapeutic play
* Aid in developing morals
What are the UNCROC Rights of the Child?
International treaty that applies to all children under 18. It was introduced in 1989 and was ratified by New Zealand in 1993.
The United Nations Convention sees it as the state’s responsibility (in partnership with parents where they are available and responsible) to ensure that children are:
- adequately provided for in matters of health, education, play, welfare, culture and leisure
- protected from discrimination, abuse, exploitation, injustice and armed conflict
- given a name and identity, are consulted and have their views taken into account, have access to information and freedom of speech and have a right to physical integrity. And
What are the considerations you should have when working with Adolescent/Young Adults?
Consent vs Assent (Guardianship Act 1968)
HEEADSSS comprehensive adolescent assessment
Mortality/Morbidity Statistics
Developmentally more likely to take risks at this stage
Peer Pressure/Bullying
Social Media navigation
They are part of a wider family/whanau
his family/whanau may look very different to your own
Each interaction you should always consider the social, emotional and psychological components of care for the child or young people
If you work with children and young people in any health capacity, you are in a privileged position to protect, promote and advocate for the needs of this unique population group
What does the HEEADSSS stand for?
Home
Education/Employment
Eating
Activities
Drugs
Sexuality
Suicide/Depression
Safety
What are current child/youth health Issues in NZ?
Child/Youth Poverty
Child Abuse
Childhood Obesity
Youth Suicide
Youth Alcohol/Drug Abuse
Oral Health
Immunisation
Mental Health Disorders
Health promotion in children
“Child health promotion provides opportunities to reduce differences in current health status among members of different groups and ensure equal opportunities and resources to enable all children to achieve their fullest health potential”
In the NZ Children’s Commissioner report what are the what are the 4 key insights that tamariki & rangatahi gave us?
We want the opportunity to be our true and best selves as Māori
We want the education system to work for us
We want safe, clean and supportive communities
We need our whānau to be supported so they can support us
What is the purpose of the NZ Child & Youth Epidemiology Service
- Provides the New Zealand health sector with up to date and accurate information of the health of children and young people
- Highlights areas where there are disparities in child and youth health, or where inequities in service provision mean that children and young people are not reaching their full potential
- Contributes to the evidence base for policy development in child and youth health
- Shares the Service’s expertise with other researchers interested in improving the wellbeing of children and young people.
What is the role of the NZ Children’s Commissioner?
“The Office of the Children’s Commissionerpromotes the rights, views and interests of children in policies or decisions affecting their lives. They particularly represent children who are vulnerable or who find it hard to make their views known.”
What is the Child & Youth Wellbeing Strategy?
Our Vision — New Zealand, Aotearoa isTHE BEST PLACEinTHE WORLD FOR CHILDREN& YOUNG PEOPLE
2019
What are the principles of the Child & Youth Wellbeing Strategy
1) Are loved, safe and nurtured
2) Have what they need
3) Happy and healthy
4) Learning and developing
5) Are accepted respected and connected
6) Are involved and empowered
How many children are NZ European?
71%
How many children are Māori?
26%
How many children are Asian?
15%
How many children are pacific
14%
How many children are of other ethnicities?
2%
How many New Zealanders are under the age of 25?
1.6 million
33% of our population.
What are the different cognitive stages for children?
Piaget
1) Sensorimotor (0-2 years)
2) Pre operational (2-6 years)
3) Concrete operational (6-12 years)
4) Formal operational (12 to adult years)
What is the Sensorimotor (0-2 years) stage?
Infant explores the world through direct and sensory and motor contact.
Object permanence and separation anxiety develop during this stage.
What is the What is the Pre operational (2-6 years) stage?
The child uses symbols (words and images) to represent objects but does not reason logically.
Child has the ability to pretend.
During this stage the child is egocentric.
What is the What is the Concrete operational (6-12 years) stage?
The child can think logically about concrete objects and can thus add subtract.
The child can also understand conversation
What is the What is the formal operational (6-12 years) stage?
The adolescent can reason abstractly and thinks in hypothetical terms.
