NURS 207: Promoting Pediatric Wellness in the Family Community

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NURS 207: Promoting Pediatric Wellness in the Family & Community Elizabeth Hartman, MSN, RNC Allan J. V. Cresencia, MSN, RN Christine Limann, BSN, RN West Coast University - Los Angeles

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Health Promotion of the School-Age Child and Family Chapter 17

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Promoting Optimum Growth and Development "School age" by and large characterized as 6 to 12 years Physiologically starts with shedding of first deciduous teeth and finishes at adolescence with obtaining of conclusive changeless teeth Gradual development and advancement Progress with physical and passionate development

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Shedding Deciduous Teeth

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Maturation of Systems Bladder limit builds Heart littler in connection to whatever remains of body Immune framework progressively compelling Bones increment in hardening Physical development not really corresponded with enthusiastic and social development

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Prepubescence Defined as 2 years going before pubescence Typically happens amid preadolescence Varying ages from 9 to 12 (young ladies around 2 years sooner than young men) Average time of adolescence is 12 in young ladies and 14 in young men

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Psychosocial Development Relationships base on same-sex peers Freud portrayed it as "inertness" time of psychosexual advancement

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Erikson: Developing a Sense of Industry Eager to create aptitudes and partake in significant and socially helpful work Acquire feeling of individual and interpersonal capability Growing feeling of freedom Peer endorsement is solid helper

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School-Age Children Are Motivated to Complete Tasks

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Erikson: Inferiority Feelings may get from self or social environment May happen if inadequate or ill-equipped to accept the obligations connected with building up a feeling of achievement All youngsters feel some level of mediocrity in regards to skill(s) they can't ace

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Piaget: Cognitive Development Concrete operations Use points of view to experience occasions and activities Develop comprehension of connections amongst things and thoughts Able to make judgments in view of reason ("theoretical considering") CONSERVATION

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School-Age Children Are Often Avid Collectors

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Kohlberg: Moral Development of inner voice and good models Age 6 to 7: reward and discipline direct decisions Older school age: ready to judge a demonstration by the expectations that incited it Rules and judgments turn out to be more established on necessities and longings of others

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Spiritual Development Children think in exceptionally solid terms Children expect discipline for trouble making May see sickness or damage as discipline for a genuine or envisioned offense

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Children Are Comforted by Prayer

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Language Development Efficient dialect aptitudes Important etymological achievements Correct linguistic structure, enhanced syntax, word use "Metalinguistic mindfulness"

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Social Development Importance of the companion aggregate Identification with associates is a solid impact in kid picking up autonomy from guardians Sex parts emphatically impacted by associate connections

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Engaging in Activities with a "Closest Friend"

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9-Year-Olds' Club Rules

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Relationships with Families Parents are essential impact in molding kid's identity, conduct, and esteem framework Increasing autonomy from guardians is essential objective of center youth Children not prepared to desert parental control

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Developing a Self-Concept Definition: a cognizant consciousness of an assortment of self-discernments (capacities, values, appearance, and so on.) Importance of critical grown-ups in forming kid's self-idea Positive self-idea prompts to sentiments of dignity, self-assurance, and satisfaction

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Developing a Body Image Generally kids like their physical selves less as they develop more seasoned Body picture is impacted by noteworthy others Increased attention to "contrasts" may impact sentiments of inadequacy

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Development of Sexuality Normal interest of adolescence Attitudes toward sex Use of phrasing

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Sex Education Sex have influence of ordinary interest amid preadolescence Middle adolescence is perfect time for formal sex training Life traverse approach Information on sexual development and procedure of multiplication Effective correspondence with guardians

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Nurse's Role in Sex Education Treat sex as ordinary piece of development and improvement Questions and answers Differentiate amongst "sex" and "sexuality" Values, critical thinking abilities Open for correspondence with guardians

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Play Involves physical expertise, scholarly capacity, and dream Children shape bunches, coteries, clubs, mystery social orders Rules and ceremonies See requirement for principles in recreations they play

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Activities Vary by Interest and Opportunity

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Play (cont.) Team play Quiet amusements and exercises Ego authority

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Selecting a Book with an Adult

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Pride in Learning New Skills

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Coping with Concerns Related to Normal Growth and Development School encounter Second just to the family as associating specialist Transmission of estimations of the general public Peer connections turn out to be progressively vital

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Coping with Concerns Related to Normal Growth and Development (cont.) Teachers Parents Limit setting and train Dishonest conduct Stress and dread

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Teachers' Influence on Children

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Latch-scratch Children

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Promoting Optimum Health During the School Years Nutrition Importance of adjusted eating regimen to advance development Quality of eating routine identified with family's example of eating Fast-nourishment concerns

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Sleep and Rest Average 9½ hours/night amid school age however profoundly individualized Ages 8 to 11 may oppose going to bed 12 years and up by and large less impervious to sleep times

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Physical Activity Exercise fundamental for advancement and capacity Importance of physical wellness for kids

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Exercise and Activity Sports Controversy in regards to early investment in aggressive games Concerns with physical and enthusiastic development in focused environment Acquisition of abilities Generally like rivalry

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Music Is a Favorite Form of Expression

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Performing Household Tasks

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Dental Health Permanent teeth ejection Good dental cleanliness Prevention of dental caries Malocclusion Dental harm Dental evulsion—substitution or reattachment

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School Health Responsibilities of guardians, schools, and wellbeing divisions Ongoing appraisal, screening, and referrals Routine administrations, crisis care, and security and contamination control guideline Increase information of wellbeing and wellbeing propensities

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Injury Prevention Most basic reason for serious harm and demise in school-age kids is engine vehicle crashes—passerby and traveler Bicycle wounds—advantages of bicycle caps Appropriate security hardware for all games

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Bicycle Safety

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Anticipatory Guidance—Care of Families Parents conform to tyke's expanding autonomy Parents give bolster as inconspicuously as could reasonably be expected Child moves from slender family connections to more extensive universe of connections

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Health Problems of Middle Childhood Chapter 18

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Purposes of the Skin Protection Impermeability Heat control Sensation

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Origin of Skin Lesions Contact with harmful operators Hereditary components External element that delivers a response in the skin Systemic malady in which sores are an indication

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Examples of Age-Related Skin Manifestations Infants: pigmentations Early youth: atopic dermatitis School-age kids: ringworm Adolescents: skin break out

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Dermatitis Pathophysiology Diagnostic assessment History and side effects: pruritus, sensation Objective discoveries: sore

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Scale Crust Keloid Fissure Ulcer Petechiae Purpura Ecchymosis Types of Lesions Papule Macule Vesicle/bulla Pustule Cyst Patch Plaque Wheal Striae

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Nursing Considerations Prevent spread of bacterial disease Prevent confusions

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Viral Skin Infections Most transferable ailments of adolescence have trademark rash Examples: verruca, herpes simplex sorts 1 and 2, varicella zoster, molluscum contagiosum

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Fungal Skin Infections Superficial diseases that live on the skin Also called dermatophytoses, tinea Transmission: individual to individual or tainted creature to human Examples: tinea capitis, tinea corporis, tinea pedis, candidiasis

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Scabies Inflammation happens 30 to 60 days after presentation Topical treatment: scabicides, for example, permethrin 5% or lindane Oral treatment: ivermectin if body weight is more prominent than 15 kg

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Scabies (cont.) Caused by scabies bug as female tunnels into the epidermis to store eggs and defecation Inflamed, extraordinary pruritus, abrasion Therapeutic administration with scabicide (permethrin 5% favored) for 30 to 60 days Treat all contacts Nursing contemplations

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Pediculosis Capitis (Head Lice) Very regular, particularly in school age Adult mite lives just 48 hours without human host; female mite has life traverse of 30 days Females lay eggs (nits) at base of hair shaft Nits incubate in 7 to 10 days Treatment: pediculicides and nit expulsion Preventing spread and repeat

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Systemic Mycotic (Fungal) Infections Invade viscera and the skin Wide range of illness May show up as granulomatous ulcers, plaques, knobs, and abscesses

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Rickettsial Infections Intracellular parasites for the most part transmitted by tainted insects, ticks, and bugs Infections broadly shifted from kind and self-restricting to deadly

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Lyme Disease Most basic tick-borne scatter in United States Clinical stages Diagnosis and restorative administration Vaccine against Lyme ailment Focus on