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STAGE-APPROPRIATE
TEACHING STRATEGIES
By: ROMMEL LUIS C. ISRAEL III
INFANCY-TODDLERHOOD
Approximate age: Birth–2 years
Cognitive stage: Sensorimotor
Psychosocial stage: Trust vs. mistrust
(birth–12 mo) Autonomy vs. shame
and doubt (1–2 yr)
GENERAL
CHARACTERISTICS
Dependent phase of learning
Needs security
Explores self and environment
Natural curiosity
TEACHING STRATEGIES
Orient teaching to
caregiver
Use repetition and
imitation of
information
Stimulate all senses
Allow play and
manipulation of
objects
Provide physical
safety and emotional
security
HEALTHCARE INTERVENTIONS
• Welcome active involvement
• Forge alliances
• Encourage physical closeness
• Provide detailed information
• Answer questions and concerns
• Ask for information on child’s strengths/limitations and likes/dislikeS
EARLY CHILDHOOD
• Approximate age: 3–5 years
• Cognitive stage:
Preoperational
• Psychosocial stage: Initiative
vs. guilt
GENERAL
CHARACTERISTICS
• Emergence of independent phase of learning
• Egocentric Thinking is precausal, concrete, literal
• Believes illness self-caused and punitive
• Limited sense of time
• Fears bodily injury
• Cannot generalize
• Animistic thinking (objects possess life or human characteristics)
• Centration (focus is on one characteristic of an object)
• Separation anxiety
• Motivated by curiosity
• Active imagination, prone to fears Child’s “work” is play
TEACHING
STRATEGIES
Use warm, calm approach
Build trust
Use repetition of information
Allow manipulation of objects and equipment
Give care with explanation
Reassure not to blame self
Explain procedures simply and briefly
Provide safe, secure environment
Use positive reinforcement
Encourage questions to reveal perceptions/feelings Use simple drawings and stories
Use play therapy, with dolls and puppets
Stimulate senses: Visual, audiRY, tactile, motor
HEALTHCARE INTERVENTIONS
• Welcome active involvement
• Forge alliances
• Encourage physical closeness
• Provide detailed information
• Answer questions and concerns
• Ask for information on child’s strengths/limitations and
likes/dislikes
MIDDLE AND
LATE CHILDHOOD
Approximate age: 6–11
years
Cognitive stage:
Concrete operations
Psychosocial stage:
Industry vs. inferiority
GENERAL
CHARACTERISTICS
Emergence of interdependent phase of learning
More realistic and objective
Understands cause and effect
Deductive/inductive reasoning
Wants concrete information
Able to compare objects and events
GENERAL
CHARACTERISTICS
Variable rates of physical growth
Reasons syllogistically
Understands seriousness and
consequences of actions
Subject-centered focus Immediate
orientation
TEACHING
STRATEGIES
• Encourage independence and active
participation
• Be honest, allay fears
• Use logical explanation
• Allow time to ask questions Use analogies to
make invisible processes real
• Establish role models
• Relate care to other children’s experiences;
compare procedures
• Use subject-centered focus Use play therapy
GENERAL
CHARACTERISTICS
HEALTHCARE INTERVENTIONS
• Welcome active involvement
• Forge alliances
• Encourage physical closeness
• Provide detailed information
GENERAL
CHARACTERISTICS
• Answer questions and
concerns
• Ask for information on child’s
strengths/limitations and
likes/dislikes
• Foster feelings of competence
and accomplishment
ADOLESCENCE
Approximate age: 12–19 years Abstract, hypothetical
thinking
Cognitive stage: Formal operations
Psychosocial stage: Identity vs. role confusion
GENERAL
CHARACTERISTICS
Abstract, hypothetical thinking
Can build on past learning
Reasons by logic and understands scientific principles
Future orientation
Motivated by desire for social acceptance
Peer group important
Intense personal preoccupation, appearance extremely important (imaginary
audience)
Feels invulnerable, invincible/immune to natural laws (personal fable)
TEACHING STRATEGIES
Establish trust, authenticity
Know their agenda Address
fears/concerns about
outcomes of illnesses
Identify control focus
Include in plan of care
Use peers for support and
influence
Negotiate changes Focus on details
Make information
meaningful to life
Ensure confidentiality and
privacy
TEACHING
STRATEGIES
• Arrange peer group sessions in person or Identify
control focus
• Include in plan of care
• Use peers for support and influence
• Negotiate changes
• Focus on details
• Make information meaningful to life
• Ensure confidentiality and privacy
• Arrange peer group sessions in person or flexibility
HEALTHCARE
INTERVENTION
Explore emotional and financial support Determine
goals and expectatiions
Assess stress levels Respect values and norms
Determine role responsibilities and relationships
Engage in 1:1 teaching without parents present, but
with adolescent’s permission, inform family of
content covered
YOUNG ADULTHOOD
• Approximate age: 20–40 years
• Cognitive stage: Formal operations
• Psychosocial stage: Intimacy vs. isolation
CHARACTERISTICS
• Autonomous
• Self-directed
• Uses personal experiences to enhance or interfere
with learning
• Intrinsic motivation
• Able to analyze critically
• Makes decisions about personal, occupational, and
social roles
• Competency-Based learner
TEACHING
STRATEGIES
• Use problem-centered focus Draw on meaningful
experiences
• Focus on immediacy of application
• Encourage active participation
• Allow to set own pace, be self-directed
• Organize material
• Recognize social role
• Apply new knowledge through Role-play and
hands-on practice
HEALTHCARE
INTERVENTIONS
• Explore emotional, financial, and physical support
system
• Assess motivational level for involvement
• Identify potential obstacles and stressors
MIDDLE-AGE ADULTHOOD
• Approximate age: 41–64 years
• Cognitive stage: Formal operations
• Psychosocial stage: Generativity vs. self-absorption
and stagnation
CHARACTERISTICS
Sense of self well developed
Concerned with physical changes
At peak in career
Explores alternative lifestyles
Reflects on contributions to family and society
Reexamines goals and values
Questions achievements and successes
Has confidence in abilities
Desires to modify unsatisfactory aspects of life.
TEACHING
STRATEGIES
• Focus on maintaining independence and
reestablishing normal life patterns
• Assess positive and negative past experiences with
learning
• Assess potential sources of stress caused by midlife
crisis issues
• Provide information to coincide with life concerns
and problems.
HEALTHCARE
INTERVENTIONS
Explore emotional,
financial, and
physical support
systems
01
Assess motivational
level for
involvement
02
Identify potential
obstacles and
stressors.
03
OLDER
ADULTHOOD
• Approximate age: 65 years and
older
• Cognitive stage: Formal
operations
• Psychosocial stage: Ego
integrity vs. despair
GENERAL CHARACTERISTICS
• Cognitive changes
• Decreased ability to think abstractly, process information
• Decreased short-term memory
• Increased reaction time
• Increased test anxiety
• Stimulus persistence (afterimage)
• Focuses on Past Life experiences.
TEACHING STRATEGIES
• Use concrete examples
• Build on past life experiences
• Make information relevant and meaningful
• Present one concept at a time
• Allow time for processing/response (slow pace)
• Use repetition and reinforcement of information
• Avoid written exams
• Use verbal exchange and coaching
• Establish retrieval plans (uses one or several clues)
HEALTHCARE INTERVENTIONS
• Involve principal caregivers
• Encourage participation
• Provide resources for support (respite care)
• Assess coping mechanisms
• Provide written instructions for reinforcement
• Provide anticipatory problem solving (what happens if . . .)
GENERAL CHARACTERISTICS
• Sensory/motor deficits
• Auditory changes: Hearing loss, especially high-pitched tones, consonants (S, Z,
T, F, and G), and rapid speech
• Visual changes: Farsighted (needs glasses to read) Lenses become opaque
(glare problem) Smaller pupil size (decreased visual adaptation to darkness)
Decreased peripheral perception Yellowing of lenses (distorts low-tone colors:
blue, green, violet)
• Distorted depth perception
• Fatigue/decreased energy levels
• Pathophysiology (chronic illness)
TEACHING STRATEGIES
• Speak slowly, distinctly
• Use low-pitched tones
• Avoid shouting
• Use visual aids to supplement verbal instruction
• Avoid glares, use soft white light
• Provide sufficient light
• Use white backgrounds and black print
• Use large letters and well-spaced print
• Avoid color coding with pastel blues, greens, purples, and yellows Increase safety
precautions/provide safe environment
• Ensure accessibility and fit of prostheses (i.e., glasses, hearing aid) Keep sessions short Provide for
frequent rest periods
• Allow for extra time to perform Establish realistic short-term goals
GENERAL
CHARACTERISTICS
• Psychosocial changes
• Decreased risk taking
• Selective learning
• Intimidated by formal learning
TEACHING
STRATEGIES
Give time to
reminisce
Identify and
present pertinent
material
Use informal
teaching sessions
Demonstrate
relevance of
information to daily
life
Assess resources
Make learning
positive
Identify past
positive
experiences
Integrate new
behaviors with
formerly
established ones.
REFERENCES:
9781284186475_CH05_Bastable.pdf (jblearning.com)

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STAGE-APPROPRIATE TEACHING STRATEGIES

  • 3. Approximate age: Birth–2 years Cognitive stage: Sensorimotor Psychosocial stage: Trust vs. mistrust (birth–12 mo) Autonomy vs. shame and doubt (1–2 yr)
  • 4. GENERAL CHARACTERISTICS Dependent phase of learning Needs security Explores self and environment Natural curiosity
  • 5. TEACHING STRATEGIES Orient teaching to caregiver Use repetition and imitation of information Stimulate all senses Allow play and manipulation of objects Provide physical safety and emotional security
  • 6. HEALTHCARE INTERVENTIONS • Welcome active involvement • Forge alliances • Encourage physical closeness • Provide detailed information • Answer questions and concerns • Ask for information on child’s strengths/limitations and likes/dislikeS
  • 8. • Approximate age: 3–5 years • Cognitive stage: Preoperational • Psychosocial stage: Initiative vs. guilt
  • 9. GENERAL CHARACTERISTICS • Emergence of independent phase of learning • Egocentric Thinking is precausal, concrete, literal • Believes illness self-caused and punitive • Limited sense of time • Fears bodily injury • Cannot generalize • Animistic thinking (objects possess life or human characteristics) • Centration (focus is on one characteristic of an object) • Separation anxiety • Motivated by curiosity • Active imagination, prone to fears Child’s “work” is play
  • 10. TEACHING STRATEGIES Use warm, calm approach Build trust Use repetition of information Allow manipulation of objects and equipment Give care with explanation Reassure not to blame self Explain procedures simply and briefly Provide safe, secure environment Use positive reinforcement Encourage questions to reveal perceptions/feelings Use simple drawings and stories Use play therapy, with dolls and puppets Stimulate senses: Visual, audiRY, tactile, motor
  • 11. HEALTHCARE INTERVENTIONS • Welcome active involvement • Forge alliances • Encourage physical closeness • Provide detailed information • Answer questions and concerns • Ask for information on child’s strengths/limitations and likes/dislikes
  • 13. Approximate age: 6–11 years Cognitive stage: Concrete operations Psychosocial stage: Industry vs. inferiority
  • 14. GENERAL CHARACTERISTICS Emergence of interdependent phase of learning More realistic and objective Understands cause and effect Deductive/inductive reasoning Wants concrete information Able to compare objects and events
  • 15. GENERAL CHARACTERISTICS Variable rates of physical growth Reasons syllogistically Understands seriousness and consequences of actions Subject-centered focus Immediate orientation
  • 16. TEACHING STRATEGIES • Encourage independence and active participation • Be honest, allay fears • Use logical explanation • Allow time to ask questions Use analogies to make invisible processes real • Establish role models • Relate care to other children’s experiences; compare procedures • Use subject-centered focus Use play therapy
  • 18. HEALTHCARE INTERVENTIONS • Welcome active involvement • Forge alliances • Encourage physical closeness • Provide detailed information
  • 19. GENERAL CHARACTERISTICS • Answer questions and concerns • Ask for information on child’s strengths/limitations and likes/dislikes • Foster feelings of competence and accomplishment
  • 21. Approximate age: 12–19 years Abstract, hypothetical thinking Cognitive stage: Formal operations Psychosocial stage: Identity vs. role confusion
  • 22. GENERAL CHARACTERISTICS Abstract, hypothetical thinking Can build on past learning Reasons by logic and understands scientific principles Future orientation Motivated by desire for social acceptance Peer group important Intense personal preoccupation, appearance extremely important (imaginary audience) Feels invulnerable, invincible/immune to natural laws (personal fable)
  • 23. TEACHING STRATEGIES Establish trust, authenticity Know their agenda Address fears/concerns about outcomes of illnesses Identify control focus Include in plan of care Use peers for support and influence Negotiate changes Focus on details Make information meaningful to life Ensure confidentiality and privacy
  • 24. TEACHING STRATEGIES • Arrange peer group sessions in person or Identify control focus • Include in plan of care • Use peers for support and influence • Negotiate changes • Focus on details • Make information meaningful to life • Ensure confidentiality and privacy • Arrange peer group sessions in person or flexibility
  • 25. HEALTHCARE INTERVENTION Explore emotional and financial support Determine goals and expectatiions Assess stress levels Respect values and norms Determine role responsibilities and relationships Engage in 1:1 teaching without parents present, but with adolescent’s permission, inform family of content covered
  • 27. • Approximate age: 20–40 years • Cognitive stage: Formal operations • Psychosocial stage: Intimacy vs. isolation
  • 28. CHARACTERISTICS • Autonomous • Self-directed • Uses personal experiences to enhance or interfere with learning • Intrinsic motivation • Able to analyze critically • Makes decisions about personal, occupational, and social roles • Competency-Based learner
  • 29. TEACHING STRATEGIES • Use problem-centered focus Draw on meaningful experiences • Focus on immediacy of application • Encourage active participation • Allow to set own pace, be self-directed • Organize material • Recognize social role • Apply new knowledge through Role-play and hands-on practice
  • 30. HEALTHCARE INTERVENTIONS • Explore emotional, financial, and physical support system • Assess motivational level for involvement • Identify potential obstacles and stressors
  • 32. • Approximate age: 41–64 years • Cognitive stage: Formal operations • Psychosocial stage: Generativity vs. self-absorption and stagnation
  • 33. CHARACTERISTICS Sense of self well developed Concerned with physical changes At peak in career Explores alternative lifestyles Reflects on contributions to family and society Reexamines goals and values Questions achievements and successes Has confidence in abilities Desires to modify unsatisfactory aspects of life.
  • 34. TEACHING STRATEGIES • Focus on maintaining independence and reestablishing normal life patterns • Assess positive and negative past experiences with learning • Assess potential sources of stress caused by midlife crisis issues • Provide information to coincide with life concerns and problems.
  • 35. HEALTHCARE INTERVENTIONS Explore emotional, financial, and physical support systems 01 Assess motivational level for involvement 02 Identify potential obstacles and stressors. 03
  • 37. • Approximate age: 65 years and older • Cognitive stage: Formal operations • Psychosocial stage: Ego integrity vs. despair
  • 38. GENERAL CHARACTERISTICS • Cognitive changes • Decreased ability to think abstractly, process information • Decreased short-term memory • Increased reaction time • Increased test anxiety • Stimulus persistence (afterimage) • Focuses on Past Life experiences.
  • 39. TEACHING STRATEGIES • Use concrete examples • Build on past life experiences • Make information relevant and meaningful • Present one concept at a time • Allow time for processing/response (slow pace) • Use repetition and reinforcement of information • Avoid written exams • Use verbal exchange and coaching • Establish retrieval plans (uses one or several clues)
  • 40. HEALTHCARE INTERVENTIONS • Involve principal caregivers • Encourage participation • Provide resources for support (respite care) • Assess coping mechanisms • Provide written instructions for reinforcement • Provide anticipatory problem solving (what happens if . . .)
  • 41. GENERAL CHARACTERISTICS • Sensory/motor deficits • Auditory changes: Hearing loss, especially high-pitched tones, consonants (S, Z, T, F, and G), and rapid speech • Visual changes: Farsighted (needs glasses to read) Lenses become opaque (glare problem) Smaller pupil size (decreased visual adaptation to darkness) Decreased peripheral perception Yellowing of lenses (distorts low-tone colors: blue, green, violet) • Distorted depth perception • Fatigue/decreased energy levels • Pathophysiology (chronic illness)
  • 42. TEACHING STRATEGIES • Speak slowly, distinctly • Use low-pitched tones • Avoid shouting • Use visual aids to supplement verbal instruction • Avoid glares, use soft white light • Provide sufficient light • Use white backgrounds and black print • Use large letters and well-spaced print • Avoid color coding with pastel blues, greens, purples, and yellows Increase safety precautions/provide safe environment • Ensure accessibility and fit of prostheses (i.e., glasses, hearing aid) Keep sessions short Provide for frequent rest periods • Allow for extra time to perform Establish realistic short-term goals
  • 43. GENERAL CHARACTERISTICS • Psychosocial changes • Decreased risk taking • Selective learning • Intimidated by formal learning
  • 44. TEACHING STRATEGIES Give time to reminisce Identify and present pertinent material Use informal teaching sessions Demonstrate relevance of information to daily life Assess resources Make learning positive Identify past positive experiences Integrate new behaviors with formerly established ones.