Unit_III_Motor Milestones.ppt

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    Growth and DevelopmentGrowth and Development

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    Definitions ofDefinitions of

    Growth and DevelopmentGrowth and Development Growth

    Increase in physical size of a whole or

    any of its parts, or an increase in numberand size of cells: Growth can bemeasured

    Development A continuous, orderly series of conditions

    that leads to activities, new motives foractivities, and patterns of behavior

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    Principles of G&DPrinciples of G&D

    Occurs in an orderly sequence

    Development is Directional

    Individualized each child is unique

    Development is interrelated

    Development becomes increasinlydi!erentiated"

    Development becomes increasinlyinterated and comple#

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    Patterns of Growth andPatterns of Growth and

    DevelopmentDevelopmentCephalocaudal Pattern (head to toe)

    Proximodistal Pattern (from center outward)

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    Periods of greatest growthPeriods of greatest growth

    A rapid pace from birth to $ years

    A slower pace from $ years to

    puberty A rapid pace from puberty to

    appro#imately %& years

    A sharp decline from %' years toappro#imately $( years when fulladult size is reached

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    Factors that Influence GrowthFactors that Influence Growth

    and Developmentand Development Genetics

    )nvironment

    *ulture

    +utrition

    ealth status

    -amily

    .arental attitudes

    *hild/rearin philosophies

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    Genetic influences on growthGenetic influences on growth

    and developmentand development pattern, rate, rhythm and e#tent:

    overned by enes interplayin with

    environment intrauterine life e#tremely important in

    rowth and healthy development of the child

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    Environmental influencesEnvironmental influences

    family composition

    family position in society

    family socioeconomic status

    0nowlede of the family

    availability of healthy diets

    housin

    diseases present in family and child

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    Cultural influencesCultural influences

    1ust be considered whenassessin rowth and development

    *ustoms vs" wor0 demands fromdi!erent cultures

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    !ealth status of the child!ealth status of the child

    *ertain diseases may a!ect 7 d )ndocrine and cardiac status

    included here

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    Famil" # Parental $ttitudes # Child%rearingFamil" # Parental $ttitudes # Child%rearing

    Philosoph"Philosoph"

    *ritical in rowth and development,esp" emotional rowth

    Intellectual rowth must beincluded here as well

    *hronic illness can be combated

    with a lovin environment andclose family relationships

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    heories of Growth and Developmentheories of Growth and Development

    8heorists Piaget

    FreudErickson

    Just review these theorists and their theories focus mainly on Erickson

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    'ethods to Evaluate Growth'ethods to Evaluate Growth

    charts: compare to norms

    compare to self over time

    #rays

    teeth

    heiht, weiht, head circumference

    size of head and les: lenth ofbones

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    'ethods to Evaluate Development'ethods to Evaluate Development

    Denver Development 8est II

    .lay

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    Denver Development est IIDenver Development est II

    6creenin test not a measurement of intellience

    9sed to / identify children whose developmentdeviates sinicantly from that of other children

    warrantin further investiation to determine if there

    e#ists a problem requirin treatment" 8est covers / four eneral functions: personal social

    ;such as smilin

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    Denver Development est IIDenver Development est II

    +ursin Implications 2efore beinnin inform parents

    purpose of test" 2e sure to stress it isnot an I= test"

    Administer test in a comfortableenvironment that contains only items

    needed for testin After testin, share information with the

    parent"

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    Importance of Pla"Importance of Pla"

    Allows child the learn aboutthemselves and relate toothers>"it is wor0 for the child

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    Classification of Pla"Classification of Pla" -unctional or .ractice play

    Involves repetitive muscle movements Infantplays with ob?ects ma0in use of their properties to

    produce pleasurable e!ects

    6ymbolic play

    *hild incorporates some ob?ect, uses a theme, and then

    play the role that each player will have Games

    Includes rules and usually played

    by more than one person

    1ainly used by school/ae child and helps to learn

    boundaries, teamwor0, ta0in turns, and competition

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    ocial $spects of Pla"ocial $spects of Pla"

    6olitary play

    .arallel .lay

    Associative play

    *ooperative .lay

    Onloo0er .lay

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    olitar" Pla"olitar" Pla"

    Independent play

    *hild plays alone with toys that are verydi!erent from those chosen by other children

    in the area"

    2eins in infancy and oes throuh toddlerae

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    Two children are disla!in" #!ical arallel la!

    since #he! en$o! la!in" near o#her children% &'#

    are NOT en"a"in" in social in#erac#ions wi#h

    each o#her( Which co"ni#i)e and *o#or s+ills are

    #hese children de)eloin",

    Parallel Pla!

    suall" oddler

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    $ssociative Pla"$ssociative Pla"

    Group play without roup oals )ven thouh playin with same

    toys, there is lac0 of formal

    oranization

    1ostly seen in

    toddler / preschooler

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    "pes of Pla""pes of Pla"Dramatic Play act out roles and

    experiences that happened to them

    Familiarization Play

    Allows children to handle materials innon-threatening way. elpful inpreparing child for procedures.

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    Functions of Pla"Functions of Pla"

    .hysical Development

    *onitive Development

    )motional Development

    6ocial Development

    1oral Development

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    utritional $ssessmentutritional $ssessment

    A nutritional assessment is anessential component of the health

    e#amination of infants andchildren"

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    /e" Dietar"/e" Dietar"0ecommendations 0ecommendations

    *onsume whole rains

    *hildren $/@ should consume $ cups

    of low/fat mil0 or equivalent mil0 products and

    children years and older should consume B cups

    3imit ?uices, eat fruit and veetables each day

    4atch fat inta0e" .olyunsaturated andmonounsaturated fatty acids such as sh, nuts, andveetable oils should be the primary source

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    '" P"ramid'" P"ramid

    Eat 0ight-Eat 0ight-

    ExerciseExercise

    !ave Fun !ave Fun

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    utrition and $ctivit"utrition and $ctivit"

    Due to increase in childhood obesity,parents should encourae their childrento increase daily physical activity"

    .lan reular periods of e#ercise

    1a0e e#ercise a fun and habitualactivity"

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    Growth and DevelopmentGrowth and Development

    'ilestones'ilestones

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    IF$IF$

    !"#$ $% &' (%)$*

    Ph i l G th d D l t 'il t D i I fPh i l G th d D l t 'il t D i I f

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    Ph"sical Growth and Development 'ilestones During Infanc"Ph"sical Growth and Development 'ilestones During Infanc"

    1irth to 2 month1irth to 2 month

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    In-anc! . /01 *on#hs

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    Infanc" % 5%6 months

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    In-anc! 0 23024 *on#hs

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    %/B months CeEe# smile that becomes morevoluntary and reciprocal

    B/( months 2abblin, cryin more di!erentiated

    (/' months 6quealin, playin with sound,identifyin parentFs voice

    '/@ months 6inle/consonant babblin, increasininterest in sound

    @/ months 6trinin of vowels and consonants, use of somewords

    /%$ months ocabulary of two to three words, use

    of estures

    'ilestones in Infant Communication'ilestones in Infant Communication

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    .DD7E0.DD7E0

    &-+ years

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    Developmental milestones for oddler

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    Pre%schoolerPre%schooler

    ,- years of age

    'il t f th P h l'il t f th P h l

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    'ilestones for the Preschooler'ilestones for the Preschooler

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    ummar" of /e" points % preschoolerummar" of /e" points % preschooler

    +ursin Interventions

    )ncourae parents to be involved in care of child"

    .rovide safe versions of medical equipment for playtime"

    Give clear e#planations about procedures and illnesses"

    1ilestones 9ses scissors"

    Cides bicycle with trainin wheels"

    8hrows a ball"

    4rites a few letters"

    All parts of speech well/developed"

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    chool%age Childchool%age Child

    -&' years old

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    De)elo*en#al Miles#ones . School0a"eDe)elo*en#al Miles#ones . School0a"e

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    ummar" of /e" points 8 chool%ageummar" of /e" points 8 chool%age

    +ursin Interventions

    .rovide for privacy and modesty"

    )#plain treatments and procedures clearly"

    )ncourae continuation of school wor0" 1ilestones

    .ossesses readin ability"

    Cides a two/wheeled bi0e"

    Jumps rope" .lays oranized sports"

    1ature use of lanuae"

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    $dolescent age$dolescent age

    &'-'& years

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    $dolescent$dolescent Ps"chosocial development

    Independence

    Identit"

    Peers

    7anguage use

    Exploration and re9ellion

    eed for privac"

    exualit"

    Cognitive development Formal operations

    $9stract thin+ing

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    ummar" of /e" points 8 $dolescentummar" of /e" points 8 $dolescent

    +ursin Interventions .rovide privacy"

    Interview and e#amine adolescent without parents present, ifpossible"

    )ncourae adolescent participation in treatment and decision

    ma0in" )ncourae visitation of peers"

    1ilestones

    -ine motor s0ills well/developed"

    Gross motor s0ills improve due to rowth spurts"

    Able to apply abstract thouht and analysis"