Session 3: Growth development and assessment
Growth and development is relatively predictable
- Fast for the first two years, the slow until puberty where growth speeds up again.
- Factors that affect growth and development
- Genes, environment, nutrition, disease processes, family and human interaction.
Theories of growth and development.
- Periods of cognitive development
|Age||Stage||Psychosocial Crisis||Psychosocial Strength||Influence from
|0 – 1 year||Infancy||Trust versus mistrust||Hope||Maternal|
|2 – 3 years||Early childhood||Autonomy versus shame/doubt||Willpower||Both parents or adult substitutes|
|4 – 5 years||Preschool||Initiative versus guilt||Purpose||Parents, family, friends|
|6 – 11 years||Middle childhood||Industry versus inferiority||Competence||School|
|12 – 18 years||Adolescence||Identity vs confusion||Fidelity||Peers|
|18 – 35 years||Young adulthood||Intimacy versus isolation||Love||Spouse/lover/
There are growth curves for everything, and many disease processes
- Compare to self over time.
- Height, weight, head circumference ect.
- Denver Development test II
- Not an intelligence test
- Screening test
- Measures – social skills, fine and gross motor, and language
- Used from birth to 6 years.
- Share the information once the test is over
- Crucial to the development of of children.
- Helps develop interpersonal skills.
- Functional play
- Symbolic play
- Solitary play
- Needs to be age appropriate
- No honey for infants because of botulism risk.
- Give the kid vitamin supplements if they are only eating one or two specific things.
- Assess Growth and development
- Interaction with environment
- Appearance, history, vitals, measurements, vision and hearing,\.
- Similar to adult assessment
- Head circumference assessment – just above ear and brow line to the back of the head.
- The ears and kidneys develop together so if there are issues with ear structure there may be a similar issue in the kidneys.
- Tanner staging is the pubescent stages
- MSK we are looking for scoliosis, and other abnormalities that are affecting the child
- Neurologic soft signs
- Seizure signs – zone out during an activity
- Clumsy – could be a sign of disease process starting
- Toe stepping – autism, and other neurological conditions
- Decreased Motor coordination after developing it
- Rapid movements – facial twitching
- Loss of skill
- Reduction of muscle strength