Human Development .docx

Human Development .docx - Health Promotion for the...

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Health Promotion for the Preschooler and Their Family Objectives: Assess health needs of both preschoolers and families Identify specific interventions to promote health and development Health Perception/Management Pattern : - Health Beliefs/Managment - Family influences: give context for health beliefs - Upset over minor injuries - Pain/illness viewed as punishment - Contribute to health management (brushing teeth) - Body Concepts - May be curious about body of opposite sex - Vague/inaccurate ideas of internal body- hollow, but can identify bones and blood, only 2 structures identified at this age - Anxiety: fear of mutilation, death - Health Promotion - Help families promote lifestyle - Preschool environment helpful Immunizations: - Role of Nurse: - Council importance to parents - Educate about administration and adverse effects - Based on CDC 2017 Recommendations Ages 4-6: - DTap- 5th dose - IPV- 4th dose (Polio) - MMR- 2nd dose - Varicella- 2nd dose (Chickenpox) - Annual flu vaccine - 2017: bad flu season approaching, no nasal vaccination - Immunization concerns: - Religious beliefs - Safety of Immunizations - Thimerosal and link to Autism (discredited) - Importance of accurate information - Additional Considerations - New and combined vaccines - Under vaccination: “catch up” schedules Nutritional Metabolic Pattern:
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- Nutritional guidelines - Variety of foods; follow MyPlate - Website Resource 19B - Attention to iron, calcium intake - Bone growth - Limited saturated fat and sugar - Behavior/motor aspects - Food preferences/refusals - Role model influence - Less likely to try something new - Nursing intervention: - Learning utensil use - Encouragement with safe knives - Helping with meal preparation - Meals away from home - Preschool/child-care center requirement - Children at ages 3-5 should receive 1200-1600 calories a day depending on their activity level and gender - Bone growth needs in 1-8 years of age about 700-1000 mg of Calcium - Can switch to low fat milk - Need is not as great as in period of rapid growth - Nutrition and dentition impacts the health of children - Quality not quantity - Portion sizes - Food fads - Repetition of the same meal similar to toddler - Multivitamin - Healthy snack appropriate - Prevalence of food allergy in the US is 8% - Foods most likely to cause allergy at the preschool age includes milk, eggs, and peanuts Elimination Pattern - Physical ability - Independent toileting - Guidance - Washing hand/flushing toilets - Soiling can occur - Handled in a gentle/encouraging way - Preschooler is responsible for changing clothes - Stress can impact soiling - New sibling - Social interaction at school - Too much interest in their play
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Activity Exercise Pattern - Regular physical activity is important - Love music/dance - Physical games and sports - Duck, duck, goose - Kinder soccer - Gymnastics - Television - Limit time - Disengages mind - Not all TV shows - Less learning - Less active lifestyle - Play - Work of the child: - Important role of social/psychological development - Work off excessive energy - Mimic others especially adults - Imitation play - Window into social competency - Getting along with others - Fantasy - Imaginary companion -
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