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"