Administer feedings through gastric tubes if prescribed Mickey Button G tube

Administer feedings through gastric tubes if

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positioning and manual jaw control methods as needed. Administer feedings through gastric tubes if prescribed. Mickey Button: G tube that has a balloon that holds in it the stomach, once it has healed over you can change them very quickly 4-5 mL of air. Black line align with black line - kid can’t pull it out. Redness around tube = sign of leaking. Maintain____height, weight, and BMI chart____. Monitoring for failure to thrive, FTT (CP risk factor). Assess risks for aspiration. Aspiration pneumonia can be a RF. Monitor _bony prominences (reposition frequently. Min q2 hr)_ Promote independence with self care activities as much as possible. Capitalize on strengths and abilities to increase self-esteem and body image Help the child to use electronic devices for speech and communication RESOURCES Connect family with area support groups for CP Green Bay CP center (Webster Avenue) Birth-to-three services Children services Therapy services Aquatic Center Adult and Child Day Services LECTURE STOPS HERE 9/10/19
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INFANT growth = high growth III. Toddler Growth and Development - rate of growth decreases. A. General: height = 3 inches per year of growth lbs = 3-5 lbs gain per year How tall? rule of thumb for estimating: Boy ht at 2yo x 2 = adult ht Girl ht at 1.5yo x 2 = adult ht B. Eric Erickson’s Psychosocial Development 1. Period of Autonomy vs Shame and Doubt - It occurs to them now that they are separate from their parents so they begin to exert their own will. Will feel shame and doubt since this is often met with a negative response. Success means the successful development of a person who feels in control. Lot of resistance. Tend to see negativism = “no” (gain control) → make into games. don’t plead or bribe. let them win ritualism = eat same stuff, want routine (important) tantrums = “terrible threes” according to professor rebellion dawdling = take your time with what asked to do (gain control) Routine (important) = nap for 1.5 hours. Like transitional object: stuffed animal, nook, blanket. Have more than 1 that looks exactly alike in case they lose it, familiar things C. Toilet Training - ‘rents shouldn’t get overly anxious about achieving this, do not start it too soon, start thinking about it at age 2, • 28-32 months BEST time. At this time there is regularity. Can follow simple commands. Don’t like feeling of wet skin (diapers). Should be able to sit for 10minutes. If dev. disabled, push back until can achieve 10min. Underwear + pull up plastic pants - don’t like the moisture. Helps to potty train in 24 hr Cloth diapers = $381 D. Nutrition - Whole milk @ 1yo. Water at 3yo. Limited juice no more than 4 oz a day (tooth decay and obesity). Wean from bottle at 12 mo of age, does not become transitional object. Make the switch to a non-spill sippy cup. E. Temper Tantrums - worse at age 3. Explode: whole body fits. Give them positive
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attn but ignore the tantrum itself. Tired or hungry. F. Negativism - make a game out of it. Racing game - kid needs to be successful. G. Limit-Setting and Behavior - determining actions of non-compliance. What is inappropriate (things that cause harm). H. Spanking - don’t do it, aggression >> aggression. Emotional trauma. If leaves a
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  • Fall '19
  • Lynn Murphy
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