N 326 Developmental Assessment

N 326 Developmental Assessment - Used to assess the health...

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Used to assess the health state of an individual – includes identifying health strengths and problems. To fit a data base into a meaningful frame, one must consider the developmental stage of that individual at that particular time Allows us to appreciate the holistic frame of reference for the individual
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Developmental stages are “qualitative changes in thinking, feeling, and behaving that characterize particular time periods of development” (Berk,2001) During each stage certain issues are dominate and consume more of the individual’s attention and energy Each stage is not precise; transition and overlap occur.
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Growth is a continuous process and change is perpetual throughout the life cycle: Physical development Physiologic systems Psychosocial development-Ericksons Theory Cognitive development-Piaget’s- How an individual perceives or processes information Behavioral development Developmental Assessment Developmental Assessment
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Physical Development : Reflective of weight, height and head circumference a. Full term wt. range 5-10 lbs. This doubles by 4-6 mos. and triples at one year. b. Length increases to 50% by 1 st year c. At birth: head circumference is about 35 cm (13 2 in); Brain growth occurs rapidly in first 2 years
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Physiological Development : a. The CNS makes dramatic growth spurts during 1 st year b. Visual acuity is poor at birth but by end of 1 st year it is adult like c. Primitive reflexes – present at birth and disappear at set times
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Psychosocial Development: Erickson: Trust vs. Mistrust This is dependent on responsive and dependent nurturing (trust) vs. unresponsive, haphazard or abusive parental behavior (mistrust).
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Cognitive Development : (birth-2 yrs) Sensorimotor skills: time of intelligent activity - some language skills and information via the 5 senses i.e. crying, sucking, grasping Object permanence: Objects and persons exist even if they are not in sight. Infants develop at 24 months although starts at 7 mos. Child realizes he or she is separate from the environment. Mental representation: Child can think of an event even without it occurring. Otherwise known as a “thought”. Occurs by age 2 yrs.
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Behavioral Development Gross Motor Skills : Posture, head balance, sitting, crawling, walking. 3 mos: Can raise head and chest 6 - 7 mos: sitting alone without support 7 mos: crawling 11 mos: stands by self 12 mos: Walks alone
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Behavioral Development Fine motor skills : Prehension (grasping): using the fingers and hands Distal refinement starts at 8-10 mos crude pincer grasp using index, fourth and fifth finger neat pincer grasp using thumb instead of index finger By 11 mos. the child puts objects into a container and removes them.
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Behavioral Development Language Skills Crying Laughing @ 3 months Babbles @ 6 months Imitates sound at 9 -10 months First recognizable sounds made at 12 months
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Behavioral Development Personal-Social skills Starts at birth with intense eye contact 6-8 weeks infant smiles 4 mos. infant laughs 6 mos. extends arms to be picked up
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