The needs of the pediatric patient differ depending on age

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Describe the different physical characteristics/findings within the school-aged child. Explain how you would modify assessment techniques to match the age and developmental stage of this child.
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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Physical Characteristics and Findings in School-Aged Children

School-aged children (ages 5-12) experience a period of rapid growth and development. They grow about 2 inches per year and gain about 5 pounds per year. Their bodies become more coordinated and they develop better motor skills. They also develop their own unique personalities and interests.

Here are some of the physical characteristics and findings that are typical of school-aged children:

  • Height: 4’10” to 5’4″ for girls, 4’11” to 5’7″ for boys
  • Weight: 40-60 pounds for girls, 45-70 pounds for boys

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  • Body proportions: Body becomes more proportionate, with the trunk becoming longer and the limbs shorter
  • Teeth: All 20 primary teeth are present by age 6
  • Vision: Nearsightedness is common in school-aged children
  • Hearing: Hearing is fully developed by age 6
  • Motor skills: Gross motor skills, such as running and jumping, are well-developed. Fine motor skills, such as writing and drawing, are improving.
  • Mental development: School-aged children are able to think logically and solve problems. They are also able to learn new information and skills.

Modifying Assessment Techniques to Match the Age and Developmental Stage of a School-Aged Child

When assessing a school-aged child, it is important to modify the techniques to match the child’s age and developmental stage. For example, younger school-aged children may need more concrete explanations and demonstrations. Older school-aged children may be able to understand more abstract concepts.

Here are some tips for modifying assessment techniques for school-aged children:

  • Use simple language and avoid jargon.
  • Use visual aids and demonstrations to help explain concepts.
  • Break down complex tasks into smaller steps.
  • Give the child plenty of time to respond.
  • Be patient and understanding.

Developmental Stages of School-Aged Children

There are a number of different developmental theories that can be used to assess school-aged children. Here is a brief overview of three of the most common theories:

  • Erikson’s theory of psychosocial development: Erikson’s theory identifies eight stages of development, each of which is characterized by a conflict that must be resolved. The stage that is most relevant to school-aged children is the industry vs. inferiority stage, which occurs between the ages of 6 and 12. During this stage, children are developing a sense of competence and mastery. They need to feel like they are capable of succeeding in their schoolwork and other activities.
  • Piaget’s theory of cognitive development: Piaget’s theory identifies four stages of cognitive development, each of which is characterized by a different way of thinking. The stage that is most relevant to school-aged children is the concrete operational stage, which occurs between the ages of 7 and 11. During this stage, children are able to think logically about concrete objects and events. They can also understand cause-and-effect relationships.
  • Kohlberg’s theory of moral development: Kohlberg’s theory identifies three levels of moral development, each of which is characterized by a different set of moral values. The level that is most relevant to school-aged children is the conventional level, which occurs between the ages of 7 and 12. During this level, children begin to conform to the expectations of others and to understand the importance of rules and laws.

Developmental Assessment of School-Aged Children

The developmental assessment of school-aged children can be done using a variety of methods, including interviews, observations, and standardized tests. The specific methods that are used will vary depending on the child’s age, developmental stage, and suspected problems.

When conducting a developmental assessment, it is important to be sensitive to the child’s age and developmental stage. The assessment should be conducted in a way that is comfortable and non-threatening for the child. It is also important to be patient and understanding, as the child may need time to warm up to the examiner.

Here are some of the things that can be assessed during a developmental assessment of a school-aged child:

  • Physical development: Height, weight, body proportions, teeth, vision, hearing, motor skills
  • Mental development: Thinking skills, problem-solving skills, language skills, learning skills
  • Social-emotional development: Interpersonal skills, self-esteem, coping skills
  • Behavioral development: Attention, hyperactivity, impulsivity

The results of the developmental assessment can be used to identify any areas of concern. If there are concerns, the child may be referred for further

 

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