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Adolescent Development
What is Child Life?
 • Child Life works as part
   of a comprehensive team
   to help alleviate stress
   and anxiety while
   promoting positive
   coping skills for patients
   and families.
Roles of Child Life
 •   Non-medical preparation for tests,
     surgeries, and other medical procedures.
 •   Support during medical procedures.
 •   Therapeutic medical play using special
     dolls, stuffed animals and medical
     equipment.
 •   Activities to continue normal growth and
     development of infants, children and
     adolescents in hospital patient rooms
     and/or activity areas.
 •   Sibling support.
 •   Support for grief and bereavement
     issues.
 •   Emergency room interventions.
 •   Hospital pre-admission tours and
     information.
Child Life Specialist Qualifications

 • Minimum of a Bachelors
   Degree with an educational
   background that includes
   human growth and
   development, education,
   psychology, and
   counseling
 • Complete a minimum 480
   hr supervised internship
 • Certification Exam
Child Life Partner
    To assist in providing opportunities for
     children to gain a sense of mastery,
     through play and learning experiences,
     and encouraging family and peer
     interaction.
 •   Required education- high school
     diploma or equivalent (Associate’s
     degree in Early Childhood, Child
     Development, or related field is
     preferred). A minimum of one year
     towards a child development degree
     and/or one year paid or volunteer
     experience with children is required.
Definition of Adolescence
 1: the state or process of
   growing up
 2: the period of life from
   puberty to maturity
   terminating legally at the
   age of majority
 3: a stage of development
   prior to maturity
Developmental Theories
 • Erikson
   -Identity vs. Confusion
 • Piaget
   - Moving from Concrete
   to Formal Operations
Markers of Adolescent
Development
• Body Image
• Egocentrism
• Relationship with parents
  and peers
• Idealism
Needs of Hospitalized
 Adolescents
       • Medical Information
       • Mobility
       • Visits from Friends and
         Family
       • Independence
       • Privacy
       • Education
       • Recreational Needs

As cited from: Adolescents' perceived importance of and satisfaction with developmental needs during hospitalization
Lubbers, Jaclynn Lea. Proquest Dissertations And Theses 2000. Section 0844, Part 0569 82 pages; [M.S.N.
dissertation].United States -- Michigan: Grand Valley State University; 2000. Publication Number: AAT 1400569.
Stages of Adolescent
      Development within a
      Medical Experience
       • Passivity (early adolescence)
       • Acquiring knowledge and
         experience (middle
         adolescence)
       • Becoming self-sufficient and
         altruistic (late adolescence)


As cited from: A dimensional analysis of the adolescent's general anesthesia experience
Beebe, Jay Joseph. Proquest Dissertations And Theses 1994. Section 0034, Part 0569 177 pages;
[Ph.D. dissertation].United States -- California: University of California, San Francisco; 1994.
Publication Number: AAT 9516395.
Body Image

• What is going to be different about my
  body?
• What will I wake up with that was not
  there before?
• What changes will be temporary and
  what will be permanent?
• If it is a temporary change, when will I
  get back to normal?
Independence
 • How long will it take for me to
   get back to doing things for
   myself- like getting up and
   going to the bathroom?
 • I am going to be in a lot of
   pain? How will you handle
   my pain?
 • When can I go back to real
   life- like hanging out with my
   friends and going to school?
Idealism
 • This surgery is going to
   fix the problem and then I
   won’t have to come back
   here.
 • There are no risks
   involved in this
   procedure. Even if there
   are, I’m not going to have
   any problems.
Adolescent Development in
Chronically ill Children
 • Physically delayed
 • Socially delayed
 • Emotional issues
 • Home Life
 • Life Expectancy
 • Delay in maturity and
   independence
 • Life situations different but
   still want to be an individual
   independent from their
   disease
Hospital Visits
 • Familiar with hospitalization
   – Take time to visit with patient
     independently
 • Get to know patient (build
   trust)
 • Although familiar, still
   traumatizing
 • Use appropriate language
 • Answer questions as needed
Adolescent Activity Area
 • Social Interaction
 • Normalization
 • Independence
Teen Room
Questionnaires
 • Enjoy being at Texas Children’s
   Hospital
 • Privacy
 • Fear of needles
 • Being in the hospital is boring and
   it is like being in prison
 • Sometimes they are treated like
   little kids
 • Teens afraid of things going
   wrong during a procedure and
   being put to sleep
 • Enjoy the 16th floor
Thank You!

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Adolescent presentation1

  • 2. What is Child Life? • Child Life works as part of a comprehensive team to help alleviate stress and anxiety while promoting positive coping skills for patients and families.
  • 3. Roles of Child Life • Non-medical preparation for tests, surgeries, and other medical procedures. • Support during medical procedures. • Therapeutic medical play using special dolls, stuffed animals and medical equipment. • Activities to continue normal growth and development of infants, children and adolescents in hospital patient rooms and/or activity areas. • Sibling support. • Support for grief and bereavement issues. • Emergency room interventions. • Hospital pre-admission tours and information.
  • 4. Child Life Specialist Qualifications • Minimum of a Bachelors Degree with an educational background that includes human growth and development, education, psychology, and counseling • Complete a minimum 480 hr supervised internship • Certification Exam
  • 5. Child Life Partner  To assist in providing opportunities for children to gain a sense of mastery, through play and learning experiences, and encouraging family and peer interaction. • Required education- high school diploma or equivalent (Associate’s degree in Early Childhood, Child Development, or related field is preferred). A minimum of one year towards a child development degree and/or one year paid or volunteer experience with children is required.
  • 6. Definition of Adolescence 1: the state or process of growing up 2: the period of life from puberty to maturity terminating legally at the age of majority 3: a stage of development prior to maturity
  • 7. Developmental Theories • Erikson -Identity vs. Confusion • Piaget - Moving from Concrete to Formal Operations
  • 8. Markers of Adolescent Development • Body Image • Egocentrism • Relationship with parents and peers • Idealism
  • 9. Needs of Hospitalized Adolescents • Medical Information • Mobility • Visits from Friends and Family • Independence • Privacy • Education • Recreational Needs As cited from: Adolescents' perceived importance of and satisfaction with developmental needs during hospitalization Lubbers, Jaclynn Lea. Proquest Dissertations And Theses 2000. Section 0844, Part 0569 82 pages; [M.S.N. dissertation].United States -- Michigan: Grand Valley State University; 2000. Publication Number: AAT 1400569.
  • 10. Stages of Adolescent Development within a Medical Experience • Passivity (early adolescence) • Acquiring knowledge and experience (middle adolescence) • Becoming self-sufficient and altruistic (late adolescence) As cited from: A dimensional analysis of the adolescent's general anesthesia experience Beebe, Jay Joseph. Proquest Dissertations And Theses 1994. Section 0034, Part 0569 177 pages; [Ph.D. dissertation].United States -- California: University of California, San Francisco; 1994. Publication Number: AAT 9516395.
  • 11. Body Image • What is going to be different about my body? • What will I wake up with that was not there before? • What changes will be temporary and what will be permanent? • If it is a temporary change, when will I get back to normal?
  • 12. Independence • How long will it take for me to get back to doing things for myself- like getting up and going to the bathroom? • I am going to be in a lot of pain? How will you handle my pain? • When can I go back to real life- like hanging out with my friends and going to school?
  • 13. Idealism • This surgery is going to fix the problem and then I won’t have to come back here. • There are no risks involved in this procedure. Even if there are, I’m not going to have any problems.
  • 14. Adolescent Development in Chronically ill Children • Physically delayed • Socially delayed • Emotional issues • Home Life • Life Expectancy • Delay in maturity and independence • Life situations different but still want to be an individual independent from their disease
  • 15. Hospital Visits • Familiar with hospitalization – Take time to visit with patient independently • Get to know patient (build trust) • Although familiar, still traumatizing • Use appropriate language • Answer questions as needed
  • 16. Adolescent Activity Area • Social Interaction • Normalization • Independence
  • 18. Questionnaires • Enjoy being at Texas Children’s Hospital • Privacy • Fear of needles • Being in the hospital is boring and it is like being in prison • Sometimes they are treated like little kids • Teens afraid of things going wrong during a procedure and being put to sleep • Enjoy the 16th floor