health promotion fall2015(1)

7/23/2019 Health Promotion Fall2015(1)

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Chapters 10*, 12, 13, 15, & 16

Health Promotion of the

Infant AdolescentPR!"#$ %'

(arissa !molars)i R", (!"


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OBJECTIVES

On completion of this presentation, students

will be able to:

1.Discuss the dierent theories of growthand development.

2.Identify the maor biologic,psychosocial,cognitive, and social developments andmilestones during Infancy, !oddler,"reschooler, #chool$age, and %dolescent

stages.&."rovide anticipatory guidance to parentsregarding nutrition, parental concerns duringeach stage, dealing with stresses, sleep and

development problems and inury prevention.ALL ELSEVIER ITEMS AND DERIVED ITEMS 2013, 2009, MOSBY, INC., AN IMPRINT OF ELSEVIER INC. 2


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'rief (eview

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PSYCHOSOCIAL DEVELOPMENT THEORIES

)reud*s stages of psychose+ual development

Oralstage (birth to 1 r!"

%nalstage (1#$ rs!""hallicstage ($#% rs!"atencystage (%#1& rs!"-enitalstage (1' rs!"


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PSYCHOSOCIAL DEVELOPMENTTHEORIES

ri/ ri/son 0 stagesTrst )s! *istrst (birth to 1r"Trst +are,ts -or basi. ,ee/s

Ato,o* )s! sha*e a,/ /obt (1#$ 0o" Baa,.i,g i,/e+e,/e,.e 2ith ,.ertai,t

I,itiati)e )s! git ($#% 0o" Co,3/e,.e to tr ,e2 thi,gsI,/str )s! i,-eriorit (%#1& 0o"

Co,3/e,.e throgh tas4 *aster

I/e,tit )s! roe .o,-sio, (1' 0o" Se,se o- se-


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CO5NITIVE THEORIES

ean "iaget 0 four stages Se,sori*otor (birth to age &"

Pri*ar .og,itio, is throgh se,ses Preo+eratio,a (ages & to 6"

De)eo+*e,t o- *otor s4is Not .a+abe o- ogi.a thi,4i,g

Co,.rete o+eratio,a (ages 6 to 11" Logi. So)e .o,.rete +robe*s

7or*a o+eratio,a (ages 11 to 18" Abstra.t reaso,i,g A,ati.a


7/122Mosb ite*s a,/ /eri)e/ ite*s 9 &::;< &::8 b Mosb< I,.!< a, a=iate o- Ese)ier I,.!

CHAPTER 1:CHAPTER 1:

ealth "romotion of theealth "romotion of theInfant and )amilyInfant and )amily


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PROMOTING OPTIMUM GROWTH

AND DEVELOPMENT

'iologic development'iologic developmentCe+hao.a/aCe+hao.a/aPro>i*o/istaPro>i*o/ista

"roportional changes:"roportional changes:

5ai,5ai, ???????????? o,.es +er 2ee4o,.es +er 2ee4Dobe B@ b ageDobe B@ b age????????*o,ths*o,thsTri+e B@ b ageTri+e B@ b age??????????Height i,.reases bHeight i,.reases b??????????+er *o,th -or %+er *o,th -or %

*o,ths*o,ths5ro2th i, s+rts5ro2th i, s+rtsRa+i/ hea/ gro2thRa+i/ hea/ gro2th

A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/


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7INE MOTOR DEVELOPMENT7INE MOTOR DEVELOPMENT

-rasping obect:-rasping obect: 3333333333monthsmonths!ransfer obect between hands:!ransfer obect between hands:

33333333monthsmonths

"incer grasp:"incer grasp: 33333333monthsmonths(emove obects from(emove obects from

container:container: 333333monthsmonths

'uild tower of 2 bloc/s:'uild tower of 2 bloc/s:33333333monthsmonths

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MATURATION OF SYSTEMS

Respiratory

Cardioas!"#ar

He$atopoieti! !%a&'es

Di'estie pro!esses

I$$"&o#o'i!

T%er$ore'"#atio&

Re&a# ("&!tio&

Se&sory

A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 10


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CRUDE PINCER GRASP



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GROSS MOTOR DEVELOPMENT

Head #a' i& (irst))))$o&t%s

Head !o&tro# at))))$o&t%s

Ro##i&' oer *(ro$ a+do$e& to +a!,- at

))))$o&t%s

Para!%"te re(#e. +y))))$o&t%s

Sit a#o&e +y)))$o&t%s

Moe (ro$ pro&e to sitti&' positio& +y))))

$o&t%s



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HEAD CONTROL



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HEAD CONTROL *CONT/D-



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SITTING



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LOCOMOTION

Cep%a#o!a"da# dire!tio& o( dee#op$e&t

I&!reased !oordi&atio& o( e.tre$ities at

))))$o&t%s

Cra0#i&' at)))))$o&t%s *"s"a##y

+a!,0ard-

Creepi&' at)))))$o&t%s

Wa#, 0it% assista&!e at)))$o&t%s

Wa#, a#o&e at))))$o&t%s



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LOCOMOTION



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COGNITIVE DEVELOPMENT

Pia'et

Se&sori$otor p%ase *si. sta'es1 +irt% to 23

$o&t%s-

Refle stae' %irth to 1 month

Primar7 circ8lar reactions' 1 to months!econdar7 circ8lar reactions' to months

Imitation

Pla7

AffectCoordination of secondar7 schema' to 12

months%einnin of intellect8al reasonin



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DEVELOPMENT OF 4ODY IMAGE

Co&!ept o( o+5e!t per$a&e&!e 4y e&d o( (irst year666 disti&!t

(ro$ t%e pare&ts

I&!reased i&terest i& i$a'e 4ody is "se("#

A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 1-


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O47ECT PERMANENCE



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SELF6IMAGE



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SOCIAL DEVELOPMENT

Atta!%$e&t

Rea!tie atta!%$e&t disorder

*RAD-

Separatio& a&.iety Stra&'er a&.iety

P#ay as a $a5or so!ia#i8i&' a'e&t



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ATTACHMENT



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LANGUAGE DEVELOPMENT

Cryi&' 9 :st er+a# !o$$"&i!atio&

Vo!a#i8atio&s +y ; 0ee,s

Coo1 '"r'#e1 #a"'% a#o"d at)))to)))$o&t%s

I$itate so"&ds a&d add !o&so&a&ts at < $o&t%s

Co$pre%e&d =No>? (o##o0 !o$$a&ds at @ to :$o&t%s

As!ri+e $ea&i&' to a 0ord at)))to)))$o&t%s

T%ree to (ie 0ords 0it% $ea&i&' +y a'e)))year



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TEMPERAMENT

I&(#"e&!es t%e type o( i&tera!tio& t%at o!!"rs

+et0ee& t%e !%i#d a&d pare&ts

May +e a((e!ted +y t%e e&iro&$e&t a&d

(a$i#y

Reised I&(a&t Te$pera$e&t B"estio&&aireAssists in determinin temperament

$esined for infants 7o8ner than ae months



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CONCERNS RELATED TO NORMAL

GROWTH AND DEVELOPMENT C%i#d6reari&' pra!ti!es re#ated to

te$pera$e&t

Separatio& a&d stra&'er (ear

C%i#d!are arra&'e$e&ts

Li$it setti&' a&d dis!ip#i&e

T%"$+ s"!,i&' a&d "se o( a pa!i(ier

Teet%i&'



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PROMOTING OPTIMUM HEALTH

DURING INFANCY

N"tritio&

4reast $i#, :st !%oi!e oy (or t%e (irst)))

$o&t%s o( #i(e

NO &eed (or additio&a# (#"ids i& t%e))))$o&t%s

NO %o&ey i& t%e)))))o( #i(e



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NUTRITION

I&trod"!tio& o( so#id (oods a(ter a'e

)))$o&t%s

inter9als of to 4 da7s

(a7 need fl8oride s8pplements

Fi&'er (oods at)))$o&t%s

Wea&i&' (ro$ +reast or +ott#e to !"p

a(ter : year

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SLEEP AND ACTIVITY

No!t"r&a# patter& o( @ to :: %o"rs +y

to 3 $o&t%s

Tota# dai#y s#eep : %o"rs

4a!, to S#eep !a$pai'&

S#eep pro+#e$s S#eepi&' arra&'e$e&ts

I&(a&t 0a#,ers

A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 2-


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DENTAL HEALTH

Aoida&!e o( ear#y !%i#d%ood !aries

C#ea&i&' +e'i&s 0%e& pri$ary teet% er"pt

First de&ta# isit at)))$o&t%s *er"ptio& o(

(irst teet%-

Water is pre(erred to toot%paste "&ti# a(tera'e)))years

F#"oride s"pp#e$e&ts


30


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I":;R PR+"#I."

%spiration of foreign obects%spiration of foreign obects

7oo/ ite*s< +a.i3ers< bab +o2/er7oo/ ite*s< +a.i3ers< bab +o2/er#uocation#uocation

Late> baoo,s< .rib haar/sLate> baoo,s< .rib haar/s

4otor vehicle inuries4otor vehicle inuries Car seats +!$;6Car seats +!$;6

)alls)alls"oisoning"oisoning

'urns'urns

DrowningDrowning


31


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Infant Health Promotion


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CHAPTER 1&CHAPTER 1&

HEALTH PROMOTION O7 THE TODDLER AND 7AMILYHEALTH PROMOTION O7 THE TODDLER AND 7AMILY


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PROMOTIN5 OPTIMMPROMOTIN5 OPTIMM

5RO@TH5RO@THAND DEVELOPMENTAND DEVELOPMENT !he terrible twos;!he terrible twos;

%ge 12$&5 months%ge 12$&5 months

Intense period of e+plorationIntense period of e+ploration

!emper tantrums!emper tantrums

#tubbornness occurs fre


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4IOLOGIC DEVELOPMENT

Wei'%t 'ai& s#o0s to 3 to ; po"&ds per year

4irt% 0ei'%t s%o"#d +e "adr"p#ed +y 2 years

Hei'%t i&!reases a+o"t i&!%es per year

Gro0t% is step#i,e rat%er t%a& #i&ear

Ad"#t %ei'%t is 2 ti$es t%e %ei'%t at a'e 2 years A&terior (o&ta&e# !#oses +y)))$o&t%s

A !+IR I#(! A"$ $RI+$ I#(!

2013, 200-, (.!%, I"C/, A" I(PRI"# .!+IR I"C/ 36


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SENSORY CHANGES

Vis"a# a!"ity o( 23 is a!!epta+#e Dee#op$e&t o( %eari&'1 s$e##1 taste1 a&d to"!%

i&!reases

Uses a## se&ses to e.p#ore t%e e&iro&$e&t

A !+IR I#(! A"$ $RI+$ I#(! 2013,

200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 34


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MATURATION OF SYSTEMS

Most p%ysio#o'i! syste$s are re#atie#y$at"re +y t%e e&d o( todd#er%ood

I&&er ear str"!t"res 6 s%ort a&d strai'%t

to&si#s 6 #ar'e

"pper respiratory tra!t i&(e!tio&s1 otitis $edia1

a&d to&si##itis are !o$$o&

Vo#"&tary !o&tro# o( e#i$i&atio&

!phincter control at ae==to==months

Ne"ro+e%aiora# or'a&i8atio& i$proes


3


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GROSS AND FINE MOTOR

DEVELOPMENTLo!o$otio&>al)s ?7 === months@ r8ns ?7 === monthsClim?s stairs ?7 ae ==7ears

Has i$proed !oordi&atio& +et0ee& 2 a&d years

Fi&e $otor dee#op$e&t

Has impro9ed man8al deterit7 at === to === months

#hros a ?all ?7 === months

$ras circles ?7 === 7ears

A !+IR I#(! A"$ $RI+$ I#(! 2013,

200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 3-


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PSYCHOSOCIAL DEVELOPMENT

4e'i&s dee#op$e&t o( i&depe&de&!e a&d

se#(6!o&tro#

Eri,so& A"to&o$y ers"s s%a$e a&d

do"+t

Ne'atiis$Rit"a#i8atio& proides a se&se o( !o$(ort

Id1 e'o1 a&d s"pere'o *!o&s!ie&!e-

A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# .

!+IR I"C/ 0


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COGNITIVE DEVELOPMENT

Pia'et

!ensorimotor phases#ertiar7 circ8lar reactions at 13 to 1 months

In9ention of ne means thro8h mental

com?inations at 1- to 2 months

Imitation and domestic mimicr7 are commonAareness of ca8sal relationships ?eteen to

e9ents Bpro?lem sol9in and operations

earns spatial relationships


1


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DOMESTIC MIMICRY


2


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SPIRITUAL DEVELOPMENT

Spirit"a# dee#op$e&t o(te& para##e#s !o'&itie

dee#op$e&t

Spirit"a# ro"ti&es !a& +e !o$(orti&'

Re#i'io"s tea!%i&'s a&d $ora# dee#op$e&t i&(#"e&!etodd#er +e%aior

A !+IR I#(! A"$ $RI+$ I#(! 2013,200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 3


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DEVELOPMENT OF 4ODY

IMAGE4ody i$a'e !#ose#y para##e#s !o'&itie

dee#op$e&t a&d se#(6a0are&ess

Re(ers to +ody parts +y &a$e

Aoid &e'atie #a+e#s a+o"t p%ysi!a# appeara&!e

Re!o'&i8es 'e&der di((ere&!es +y a'e 2 years

A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# .

!+IR I"C/


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DEVELOPMENT OF SEJUALITY

E.p#oratio& o( 'e&ita#ia is !o$$o&

Ge&der ro#es are "&derstood +y a todd#er

Ge&der ide&tity is esta+#is%ed +y )))years

P#ayi&' =%o"se>

A !+IR I#(! A"$ $RI+$ I#(! 2013,

200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/ 5


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LANGUAGE

I&!reasi&' #ee# o( !o$pre%e&sio&

I&!reasi&' a+i#ity to "&dersta&d

Co$pre%e&sio& o( 0ords +y a'e 2 years

At )))) years1 !a& "se t0o6 or t%ree60ord p%rases

At )))) years1 !a& "se si$p#e se&te&!es a&da!"ires (ie to si. &e0 0ords a day

Gest"res pre!ede ea!% #a&'"a'e $i#esto&e "p to

$o&t%s o( a'e


6


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PLAY

Para##e# p#ay

I$itatio&

Litt#e e$p%asis o& 'e&der6stereotyped toys

I&!reased #o!o$otie s,i##s Ed"!atio&a# toys a&d +oo,s

Ta!ti#e p#ay

Appropriate sa(ety i& re#atio& to si8e1 s%ape1 ris, (or

to.i&s1 a&d st"rdi&ess o( toys


4


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COPIN5 @ITH CONCERNS RELATEDCOPIN5 @ITH CONCERNS RELATED

TO NORMAL 5RO@TH ANDTO NORMAL 5RO@TH AND

DEVELOPMENTDEVELOPMENT!oilet training!oilet training#ibling rivalry#ibling rivalry

!emper tantrums!emper tantrums Co,siste,.Co,siste,.

=egativism=egativism

(egressive behavior(egressive behavior Co,ser)e +s.hi. e,erg b re)erti,gCo,ser)e +s.hi. e,erg b re)erti,g

to +atter,s +re)ios s..ess-to +atter,s +re)ios s..ess-


ASSESSING READINESS FOR TOILET


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ASSESSING READINESS FOR TOILET

TRAINING

Vo#"&tary sp%i&!ter !o&tro#

A+i#ity to stay dry (or 2 %o"rs

Fi&e $otor s,i##s to re$oe !#ot%i&'

Wi##i&'&ess to p#ease pare&ts

C"riosity a+o"t ad"#t/s or si+#i&'/s toi#et

%a+its

I$patie&!e 0it% 0et or soi#ed diapers


-


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De&ta# %ea#t%N"tritio&

Phenomenon of ph7sioloic anoreiaDraEin

(7Plate recommendations

$rin)s 2 to 30 o8nces of mil) per da7 and eats 1 c8p

of fr8it per da7S#eep a&d a!tiity

!leeps for 11 to 12 ho8rs per da7

Has an ad8lt sleep pattern ?7 ae 3 7ears



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IN7URY PREVENTION

Motor e%i!#e i&5"ries *!ar seat

sa(ety-

Dro0&i&'

4"r&s

Poiso&i&'

Aspiratio& a&d s"((o!atio&4odi#y da$a'e *(a##s1 +ei&' str"!,1

+ites or sti&'s-


52


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CHAP#R 13

HA#H PR.(.#I." . #H

PR!CH..R A"$ A(I



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PR.(.#I"D .P#I(;( DR.>#H

A"$ $+.P("# T%e pres!%oo# period #asts (ro$ a'e to

years

Preparatio& (or t%e $ost si'&i(i!a&t

#i(esty#e !%a&'e 'oi&' to s!%oo#

E.perie&!es +rie( a&d pro#o&'edseparatio&s

Uses #a&'"a'e (or $e&ta# sy$+o#i8atio&

Has a& i&!reased atte&tio& spa& a&d$e$ory


55


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4IOLOGIC DEVELOPMENT

P%ysi!a# 'ro0t% s#o0s a&d sta+i#i8es

Aera'e 0ei'%t 'ai& re$ai&s a+o"t po"&ds per year

Aera'e %ei'%t i&!reases 2 to i&!%es per year

4ody syste$s $at"re a&d sta+i#i8e? !a& ad5"st to$oderate stress a&d !%a&'e

!+IR I"C/

56

All lse9ier items and deri9ed

items 2013, 200-, (os?7, Inc/,

an imprint of


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GROSS MOTOR SKILLS

Gross $otor s,i##s s%o"#d +e 0e##6esta+#is%ed

>al)in

R8nnin

Clim?in:8mpin

54A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/


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ALL ELSEVIER ITEMS AND DERIVED ITEMS 20 13, 2009, M OSBY, INC., AN IMPRINT OF ELSEVIER INC. 58


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I" (.#.R !FI!

Fi&e $otor s,i##s i&!#"de re(i&e$e&t i&

eye%a&d a&d $"s!#e !oordi&atio&

$rain, dressin, artor), s)illf8l

manip8lation

5-A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/


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I" (.#.R !FI! BC."#G$

60A !+IR I#(! A"$ $RI+$ I#(! 2013, 200-, (.!%, I"C/, A" I(PRI"# . !+IR I"C/


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P!CH.!.CIA $+.P("#

Eri,so& Dee#opi&' a se&se o( i&itiatie

Chief ps7chosocial tas) of the preschool periodeelins of 8ilt, aniet7, and fear ma7 res8lt from

tho8hts that differ from epected ?eha9ior

$e9elopment of s8pereo Bconscienceearnin riht from ron@ moral de9elopment

A !+IR I#(! A"$ $RI+$I#(! 2013, 200-, (.!%, I"C/,

A" I(PRI"# . !+IR I"C/ 61


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C.D"I#I+

$+.P("#Readi&ess (or s!%oo#Readi&ess (or s!%o#asti! #ear&i&'

S"!!ess("# a!%iee$e&t o( !o'&itie 'oa#s at t%is

sta'e is &eeded (or #ear&i&'1 0%i!% is a$o&' t%e

reaso&s !%i#dre& e&ter s!%oo# at to ; years o#d



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C.D"I#I+ $+.P("#

BC."#G$"iaget: "reoperational "hase#pans age 2 to ? yearsDivided into two stages

Pre.o,.e+ta +hase at & to ears

I,titi)e thoght +hase at to 6 ears

#hifts from egocentric thought to social awareness%ble to consider other viewpoints

gocentricity is still evident


63


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C.D"I#I+ $+.P("#

BC."#G$La&'"a'e !o&ti&"es to dee#opCo&!ept o( !a"sa#ity is +e'i&&i&' to

dee#op

Co&!ept o( ti$e is i&!o$p#ete#y

"&derstoodUses $a'i!a# t%i&,i&' (re"e&t#y


6


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CHAP#R 15

HA#H PR.(.#I." . #H

!CH..AD CHI$ A"$ A(I

All lse9ier items and deri9ed items 2013, 200-, (os?7, Inc/, an imprint of lse9ier Inc/

PR.(.#I"D .P#I(;(


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PR.(.#I"D .P#I(;(

DR.>#H A"$ $+.P("#S!%oo# a'e is 'e&era##y de(i&ed as a'e

; to :2 years

Grad"a# 'ro0t% a&d dee#op$e&t

Pro'ress 0it% p%ysi!a# a&d e$otio&a#

$at"rity

64All lse9ier items and deri9ed items 2013, 200-, (os?7, Inc/, an imprint of lse9ier Inc/

%I..DIC $+.P("#


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%I..DIC $+.P("#

Hei'%t i&!reases +y 2 i&!%es per year

Wei'%t i&!reases +y 2 to ,i#o'ra$s

per year

Ma#es a&d (e$a#es di((er #itt#e i& si8e


(A#;RA#I." . !!#(!


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(A#;RA#I." . !!#(!4#adder !apa!ity i&!reases

Heart is s$a##er i& re#atio& to t%e rest o( t%e +ody

I$$"&e syste$ is i&!reasi&'#y e((e!tie

4o&es i&!rease i& ossi(i!atio&

P%ysi!a# $at"rity is &ot &e!essari#y !orre#ated 0it% e$otio&a# a&d so!ia#

$at"rity

6-All lse9ier items and deri9ed items 2013, 200-, (os?7, Inc/, an imprint of lse9ier Inc/

PRP;%!C"C


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PRP;%!C"CDe(i&ed as t%e 2 years pre!edi&' p"+erty

Typi!a##y o!!"rs d"ri&' preado#es!e&!e

Varyi&' a'es (ro$ @ to :2 years *i& 'ir#s1 it o!!"rs a+o"t 2 years ear#ier t%a&

i& +oys-

Aera'e a'e o( p"+erty is :2 years i& 'ir#s a&d :3 years i& +oys


P!CH.!.CIA $+.P("#


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P!CH.!.CIA $+.P("#

Re#atio&s%ips !e&ter aro"&d sa$e6

se. peers

Fre"d des!ri+ed it as t%e #ate&!y

period o( psy!%ose."a#

dee#op$e&t


RIF!." $+.PI"D A !"! .


72/122

RIF!."' $+.PI"D A !"! .

I"$;!#REa'er to dee#op s,i##s a&d parti!ipate

i& $ea&i&'("# a&d so!ia##y "se("# 0or,

A!"ires a se&se o( perso&a# a&d

i&terperso&a# !o$pete&!e

Gro0i&' se&se o( i&depe&de&!e

Peer approa# is a stro&' $otiator


RIF!."' $+.PI"D A !"! .


73/122

RIF!."' $+.PI"D A !"! .

I"$;!#R BC."#G$


RIF!." I"RI.RI#


74/122

RIF!."' I"RI.RI#Fee#i&'s $ay derie (ro$ se#( or t%e so!ia# e&iro&$e&t

May o!!"r i( i&!apa+#e or "&prepared to ass"$e t%e respo&si+i#ities

asso!iated 0it% dee#opi&' a se&se o( a!!o$p#is%$e&t

A## !%i#dre& (ee# so$e de'ree o( i&(eriority re'ardi&' s,i##*s- t%ey !a&&ot

$aster


PIAD# C.D"I#I+


75/122

PIAD#' C.D"I#I+

$+.P("#Co&!rete operatio&s;se tho8ht processes to eperience e9ents and

actions

$e9elop an 8nderstandin of relationships ?eteen

thins and ideas

A?le to ma)e 8dments ?ased on reasonBconcept8al thin)in


F.H%RD' (.RA


76/122

F.H%RD' (.RA

$+.P("# Dee#op$e&t o( !o&s!ie&!e a&d $ora#sta&dards

I& a !%i#d a'e ; to years1 re0ard a&d

p"&is%$e&t '"ide !%oi!es

O#der s!%oo#6a'e !%i#d is a+#e to 5"d'e a&

a!t +y t%e i&te&tio&s t%at pro$pted it

R"#es a&d 5"d'$e&ts +e!o$e $ore

(o"&ded o& t%e &eeds a&d desires o( ot%ers


!PIRI#;A $+.P("#


77/122

!PIRI#;A $+.P("#

C%i#dre& t%i&, i& !o&!rete ter$s

C%i#dre& e.pe!t p"&is%$e&t (or

$is+e%aior

May ie0 i##&ess or i&5"ry as

p"&is%$e&t (or a rea# or i$a'i&ed$isdeed


!.CIA $+.P("#


78/122

!.CIA $+.P("#

I$porta&!e o( t%e peer 'ro"p

Ide&ti(i!atio& 0it% peers is a stro&'

i&(#"e&!e i& a !%i#d 'ai&i&'

i&depe&de&!e (ro$ pare&ts

Se. ro#es are stro&'#y i&(#"e&!ed

+y peer re#atio&s%ips


RA#I."!HIP! >I#H A(II!


79/122

RA#I."!HIP! >I#H A(II!

Pare&ts are t%e pri$ary i&(#"e&!e i&

s%api&' a !%i#d/s perso&a#ity1 +e%aior1a&d a#"e syste$

I&!reasi&' i&depe&de&!e (ro$ pare&ts is

t%e pri$ary 'oa# o( $idd#e !%i#d%oodC%i#dre& are &ot ready to a+a&do& pare&ta#

!o&tro#

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81/122

PA

I&o#es p%ysi!a# s,i##1 i&te##e!t"a# a+i#ity1

a&d (a&tasy

For$ 'ro"ps1 !#i"es1 !#"+s1 se!ret

so!ieties

R"#es a&d rit"a#sSee t%e &eed (or r"#es i& 'a$es t%ey p#ay


PA BC."#G$


82/122

PA BC."# $

Tea$ p#ay

B"iet 'a$es a&d a!tiities

E'o $astery


#A( PA


83/122

#A( PA


$+.PI"D A ! C."CP#


84/122

$+.PI"D A !C."CP#

De(i&itio& A !o&s!io"s a0are&ess o( a

ariety o( se#(6per!eptio&s *e'1 a+i#ities1a#"es1 appeara&!es-

I$porta&!e o( si'&i(i!a&t ad"#ts i& s%api&' a

!%i#d/s se#(6!o&!ept

Positie se#(6!o&!ept #eads to (ee#i&'s o(

se#(6respe!t1 se#(6!o&(ide&!e1 a&d

%appi&ess


!ID"IICA"# A$;#!


85/122

!ID"IICA"# A$;#!


$+.PI"D A %.$ I(AD


86/122

$+.PI"D A %.$ I(AD

Ge&era##y1 !%i#dre& #i,e t%eir p%ysi!a#

se#es #ess as t%ey 'ro0 o#der

4ody i$a'e is i&(#"e&!ed +y si'&i(i!a&t

ot%ers

I&!reased a0are&ess o( =di((ere&!es> $ayi&(#"e&!e (ee#i&'s o( i&(eriority


C.PI"D >I#H C."CR"! RA#$


87/122

C.PI"D >I#H C."CR"! RA#$

#. ".R(A DR.>#H A"$

$+.P("#

S!%oo# e.perie&!e

!econd onl7 to the famil7 as a socialiEin aent

#ransmission of 9al8es of the societ7

Peer relationships ?ecome increasinl7 important


C.PI"D >I#H C."CR"! RA#$ #.


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".R(A DR.>#H A"$ $+.P("#

BC."#G$Tea!%ers

Pare&ts

Lat!%6,ey !%i#dre&

Li$it setti&' a&d dis!ip#i&e

Dis%o&est +e%aior

Stress a&d (ear


PR.(.#I"D .P#I(;( HA#H


89/122

$;RI"D #H !CH.. AR!N"tritio&

Importance of ?alanced diet to promote roth


90/122

!P A"$ R!#

T%e aera'e a$o"&t o( s#eep a &i'%t is @

%o"rs i& s!%oo#6a'e !%i#dre&1 +"t t%is is%i'%#y i&diid"a#i8ed

May resist 'oi&' to +ed at a'e < to :: years

C%i#dre& o( :2 years a&d o#der are'e&era##y #ess resista&t to +edti$es

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LRCI! A"$ AC#I+I#


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LRCI! A"$ AC#I+I#

Sports

Contro9ers7 reardin earl7 participation incompetiti9e sports

Concerns ith ph7sical and emotional mat8rit7 in

competiti9e en9ironment

A!"isitio& o( s,i##sGe&era##y #i,e !o$petitio&


AR"I"D "> !FI!


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AR"I"D "> !FI!


$"#A HA#H


93/122

$"#A HA#H

Sta'e +e'i&s 0it% t%e s%eddi&' o( t%e (irst

de!id"o"s teet%Er"ptio& o( per$a&e&t teet%

Good de&ta# %y'ie&e

Pree&tio& o( de&ta# !aries

Ma#o!!#"sio&

De&ta# i&5"ry

De&ta# a"#sio& *rep#a!e$e&t or reatta!%$e&t-


#..#H .!!


94/122

#..#H .!!

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!L $;CA#I."


95/122

!L $;CA#I."

Se. p#ay as part o( &or$a# !"riosity d"ri&'

preado#es!e&!eMidd#e !%i#d%ood is t%e idea# ti$e (or (or$a# se.

ed"!atio&

ife span approach

Information on se8al mat8rit7 and the process ofreprod8ction

ffecti9e comm8nication ith parents


";R!G! R. I" !L


96/122

";R! ! R. I" !L

$;CA#I."Treat se. as a &or$a# part o( 'ro0t% a&d dee#op$e&tB"estio&s a&d a&s0ers

Di((ere&tiatio& o( se. a&d se."a#ity

Va#"es? pro+#e$6so#i&' s,i##s

Ope& (or !o$$"&i!atio& 0it% pare&ts


I":;R PR+"#I."


97/122

I":;R PR+"#I."

Most !o$$o& !a"se o( seere i&5"ry a&d deat% i&

s!%oo#6a'e !%i#dre& is $otor e%i!#e !ras%es1pedestria& a&d passe&'er

4i!y!#e i&5"ries? +e&e(its o( +i,e %e#$ets

Appropriate sa(ety e"ip$e&t (or a## sports


%ICC !A#


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%ICC !A#

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A"#ICIPA#.R D;I$A"C'


99/122

CAR . A(II!Pare&ts ad5"st to t%e !%i#d/s i&!reasi&'

i&depe&de&!ePare&ts proide s"pport as "&o+tr"sie#y as

possi+#e

C%i#d $oes (ro$ &arro0 (a$i#y re#atio&s%ips to a

+roader 0or#d o( re#atio&s%ips

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CHAP#R 16

HA#H PR.(.#I." . #H

A$.!C"# A"$ A(I


$I"I#I."!


101/122

$I"I#I."!

Prep"+es!e&!eA?o8t 2 7ears ?efore

p8?ert7, heraldin ph7sical chanesP"+erty !e8al mat8rit7 is achie9ed

Postp"+es!e&!e== to == 7ears after

p8?ert7@ s)eletal roth is complete andreprod8cti9e f8nctions ?ecome esta?lished

Ado#es!e&!e #ime of roin into

ps7choloical, social, and ph7sical

mat8ration


101

%I..DIC $+.P("#


102/122

%I..DIC $+.P("#

Pri$ary se. !%ara!teristi!s

ternal and internal orans necessar7 forreprod8ction

Se!o&dary se. !%ara!teristi!s

Res8lt of hormonal chanes' +oice chane,hair roth, ?reast enlarement, fat deposits

Pla7 no direct role in reprod8ction


102

!L;A (A#;RA#I."


103/122

! ; ; .

Ta&&er sta'es o( se."a# $at"rity

!taes of de9elopment of secondar7se characteristics and enital

de9elopment

$efined as a 8ide for estimatinse8al mat8rit7


103

!L;A (A#;RA#I." .R


104/122

(A!T%e#ar!%e *< to : years- 4reast +"ds

Adre&ar!%e *< to : years- P"+i! %air'ro0t%

Me&ar!%e A+o"t 2 years a(ter t%e#ar!%e1

$e&str"atio& +e'i&sP"+erty =de#ay> No t%e#ar!%e +y a'e :

years


10

#A""R !#ADI"D, (A!


105/122

,


105

#A""R !#ADI"D, (A!


106/122

,

BC."#G$


106

!L;A (A#;RA#I." .R


107/122

(A!Sta'e : *@:2 to :3 years- Testi!"#ar ear'e$e&t

a&d sparse p"+i! %airSta'e Pe&i#e ear'e$e&t1 oi!e !%a&'es1 ear#y

(a!ia# %air? 'y&e!o$astia *te$porary +reast

ear'e$e&t- o!!"rs i& : o( $a#es i&

$idp"+ertySta'e Pe&i#e 'ro0t%1 (irst e5a!"#atio&1 a.i##ary1

'roi&1 a&d (a!ia# %air1 (i&a# oi!e !%a&'e


104

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,


10

P!CH.!.CIA $+.P("#


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Eri,so& Se&se o( ide&tity

arl7 adolescent' Dro8p identit7 9ers8salienation

$e9elopment of personal identit7 9ers8s role

diff8sion

!e role identit7

motionalit7


10-

PIAD#' C.D"I#I+


110/122

$+.P("#For$a# operatio&s period

A+stra!t t%i&,i&'

#hin) ?e7ond present

(ental manip8lation of m8ltiple 9aria?les

Concerned a?o8t othersG tho8hts andneeds


110

F.H%RD' (.RA


111/122

$+.P("#I&ter&a#i8ed set o( $ora# pri&!ip#es

B"estio&i&' o( e.isti&' $ora# a#"es a&dre#ea&!e to so!iety

U&dersta&d d"ty a&d o+#i'atio&1 re!ipro!a#

ri'%ts o( ot%ersCo&!epts o( 5"sti!e1 reparatio&


111

!PIRI#;A $+.P("#


112/122

So$e $ay "estio& t%e a#"es a&d +e#ie(s o(

t%e (a$i#y Capa+#e o( "&dersta&di&' a+stra!t !o&!epts

a&d i&terpreti&' a&a#o'ies a&d sy$+o#s

May (ear t%at ot%ers 0i## &ot "&dersta&d t%eir

(ee#i&'s Te&de&!y (or i&trospe!tio& a&d e$otio&a#

i&te&sity


112

!.CIA $+.P("#


113/122

Goa# is to de(i&e o&e/s ide&tity i&depe&de&t#y (ro$ pare&ta#

a"t%ority

M"!% a$+ia#e&!e

I&te&se so!ia+i#ity? i&te&se #o&e#i&ess

A!!epta&!e +y peers


113

PR DR.;P


114/122


11

RA#I."!HIP! >I#H PR!


115/122

Peers ass"$e a& i&!reasi&'#y si'&i(i!a&t ro#e i&ado#es!e&!e *=+est (rie&d>-

Peers proide a se&se o( +e#o&'i&' a&d a (ee#i&' o(

stre&'t% a&d po0er

Peers (or$ a tra&sitio&a# 0or#d +et0ee& depe&de&!e

a&d a"to&o$y

Ro#e o( so!ia# $edia a&d ada&!ed te!%&o#o'y

A !+IR I#(! A"$

$RI+$ I#(! 2013, 200-,

(.!%, I"C/, A" I(PRI"# .!+IR I"C/ 115

A$.!C"# !L;AI#


116/122

Dati&'

Se."a# orie&tatio&Se."a# e.peri$e&tatio& *0ide ra&'e-

Reaso&s (or se."a# e.peri$e&tatio&

C8riosit7

Pleas8re

ConM8est

Peer press8re to conform


116

$+.P("# . !C."CP#


117/122

A"$ %.$ I(AD

Fee#i&'s o( !o&("sio& i& ear#y ado#es!e&!eA!"te a0are&ess o( appeara&!e1 !o$pariso& o(

appeara&!e 0it% ot%ers

4#e$is%es a&d de(e!ts are $a'&i(ied o"t o( proportio&

Mat"res to se#(6!o&!ept +ased o& "&i"e&ess a&d

i&diid"a#ity


114



118/122

$;RI"D A$.!C"CAss"$ptio& o( respo&si+i#ity (or %ea#t%

Assess (or ris, (a!tors *GAPS-

I$$"&i8atio&s

N"tritio&

Eati&' %a+its a&d +e%aiors

Hea#t%y #i(esty#e %a+its


11



119/122

$;RI"D A$.!C"C BC."#G$S#eep a&d rest

E.er!ise a&d a!tiityDe&ta# %ea#t%

Perso&a# !are

+ision, hearin

Post8re

%od7 art Bpiercin and tattooin

!8ntannin, 8ltra9iolet damae


11-


$;RI"D A$.!C"C BC."#G$


120/122

$;RI"D A$.!C"C BC."#G$Stress red"!tio&

Se."a#ity ed"!atio& a&d '"ida&!e(edia infl8ences

Fnolede from peers, #+, mo9ies, maaEines

"eed fact8al information, presentation ?ased on

de9elopmental mat8rit7 and a?ilit7 to as) M8estionsRole modelin


120

I":;R PR+"#I."


121/122

Motor e%i!#e !ras%es are t%e si&'#e 'reatest

!a"se o( serio"s a&d (ata# i&5"ries i& tee&sOt%er e%i!#es

Firear$s a&d ot%er 0eapo&s

Sports i&5"ries

Water sa(ety

Poiso&i&'1 to+a!!o1 a#!o%o#1 a&d ot%er dr"'s


121

A"#ICIPA#.R D;I$A"C'

CAR . A(II!


122/122

CAR . A(II!Pare&ts &eed s"pport a&d '"ida&!e

I&(or$atio& &eeds re'ardi&'

dee#op$e&ta# !%a&'es a&d

pro!ess o( 'ai&i&' i&depe&de&!e

He#p =#etti&' 'o> a&d pro$oti&'i&depe&de&!e

health promotion fall2015(1)

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