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Fundamentals of Nursing Chapter 9
Study guide for Chapter 9
23
Nursing
Undergraduate 1
09/28/2009

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Cards

Term
Chapter 9 Growth & Development
Definition

Growth: physical changes that occurr over time

development: process of adapting to one's environment


Term
PRINCIPLES OF GROWTH AND DEVELOPMENT
Definition

• Follows orderly predictable pattern - growth charts, wheel of development

• individual timing fluctuations will be seen

• simple skills develop seperately and independently fine motor skills develop independently after growth motor skill

• each body system gorws at its own rate

• body system functions become increasingly differentiated over time with in body systems


Term
THEORIES
Definition

Erickson's Psychosocial Development Theory

Freud's theory

Term
Erickson's Psychosocial Development Theory
Definition

relationships w/others play important part in successful development

• believed can't become fixated in stage

• focus quality of care

 

Term

TRUST VS. MISTRUST < 1 YR

 

Definition

trust others meet their needs

gain sense of self worth

 

Term

AUTONOMY VS. SHAME AND DOUBT

1-3 YRS

Definition
Task mastery; if they get too high of demands from caregivers will feel shameful
Term

INITIATIVE VS. GUILT

3-6 YRS

Definition
accept responsibility; learn to balance demands from others
Term

INDUSTRY VS. INFERIORITY

7-11 years

 

Definition
begin to master more difficult tasks develop self assurance
Term

IDENTITY VS ROLE CONFUSION

12-18 YRS

Definition
develop a sense their own identity w/in society
Term

INTIMACY VS. ISOLATION

YOUNG ADULT

Definition
develop love and companionship
Term

GENERATIVITY VS. STAGNATION

ADULT

Definition
gains more responsibilities and productivity
Term

EGO VS. DESPAIR

MATURITY/OLDER ADULT

Definition
look back at life; either satisfied or not
Term
CONCEPTION AND FETAL DEVELOPMENT
Definition

main focus prevention of harm to fetus

prenatal vitamins - folic acid reduces neural tube deects

reduce teratogens - limit use of prescrip/nonprescrip drugs, classes A-D and X FDA categorized w/ safety

reduce environmental pollutants, toxopasmosis (cat feces)

eliminate alcohol & illegal drugs

Term
NEONATES <28 DAYS
Definition

neonates <28 days - kangaroo care skin to skin, reduce pain, develop trust,

develop eating, sleeping patterns, respond to touch, voice, holding important, trust caregivers who respond to needs

focus prevention on SID's & Infection


Term

INFANTS <12 MONTHS

 

Definition

most rapid rowth and develpment occurs - ht, wt, head circumference,

needs regarding eating sleeping crying elimination

safe play encourages gowth & development (adequate tummy time)

development gorss and fine motor skills - everyting goes in mouth

keep immunizations UTD


Term
TODDLER 12 -36 MONTHS
Definition

play continues to be center for G&D - independence develops

begin to discipline, set limits

safety still EXTREMELY important; constant supervision - prevent accidents, injuries still use mouth to explore

use of proper car seats

regressions can occur w/ hospitalization

Term
PRESCHOOLER 3-5 YEARS
Definition

cognitive & psychosocial development prominent

imaginative

safety still important - unintentional injury #1 cause of death in 1-4 yr olds

Parental support still need w/ hospitalization - regression may also occur at this age, med. play


Term
SCHOOL AGE 6-12 YEARS
Definition

become better at tasks

increasing independence - have perform or assist w/ cares, can understand honest, factual information

prefer same sex peers

safety still concern


Term
PREADOLESCENT
Definition

age range varies depending upon emotional and social experiences 10 - 13 yrs

physically begins w/ 2nd growth spurt - pubescene begins, develop pubic hair, females breasts

behavior patterns become more erratic (hormones)

Term
ADOLESCENT 13-18 YEARS
Definition

psychological maturation

puberty is point where reproduction physically possible (happening younger)

gain a sense of personal identity - peers very important in helping gain identity

focus on prevention of diseas and support grousp - screen for risk taking behaviors, listen and eduate don't lecture

often feel independence is restricted and personal identity threatened during hospitalization

include in plan of care in hospitalization

welcome peer interactions (may have to limit) - visitors, phone calls,


Term
YOUNG ADULT LATE TEEN - MID 30'S
Definition

physically mature

psychosocial maturity contiues to grow - choose occupation, continue to look for intimacy, emotional stres rises (don't work, family issues)

cognitive development continues

often healthy, need motivation

hospitalization extremely stressful


Term

MIDDLE ADULTHOOD

40-65 YEARS

Definition

period of physicological change - menopause hormones decrease

cognitive dvelopment sable unless illness such as CVA (stroke), trauma

many psychosocial changes - divorce, remarrage, prep for retirement

Term
OLDER ADULT older than 65 YEARS
Definition

retirement age - could be earlier later

variances occur at this age range

some cognitive changes - remain alert and perceptive until death, some short term memory loss expected, long term and visual memory remain strong

keep cognitive skills strong

psychosocial changes - retirement, death of spouse, family, friends

reminisce about own life following death of loved ones

lonliness

safe house and environment important

health promotion screenings/annual physicals important

older adult acute care considerations

temporary disorientaiton is common

reality orientation is needed

goals to reorient reality, increase awareness, increas socialziaiton, maximize independenc, minimize confussion

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