Nursing

1. GROWTH AND DEVELOPMENT OF SCHOOL AGE [6-12 YEARS].
NAME OF THE CHILDREN: DATE:
AGE :
SEX :
DEVELOPMENTAL STAGE:
DIAGNOSIS:
WARD:
SI.
NO GROWTH & DEVELOPMENTAL – BOOK PICTURE
CHILD’S
PICTURE REMARKS
1. PHYSICAL [OR] BIOLOGICAL DEVELOPMENT
Temperature
Pulse: 90 +/- 15beats/mt.
Respiration: 20 +/- 3breath/mt.
Blood pressure: 100/60 +/- 16/10 mm of Hg.
Weight
[Age in years x 7-5/2kgs].
 12 years - 40kgs.
 (Increasing of 2–3kg /year).
Height
[Age in years x 6+77cms].
 6 years-116cms.
 12 years-150cms.
 (Increase of 5cms/year).
2. MOTOR DEVELOPMENT
GROSS MOTOR DEVELOPMENT
 Rides bicycle without training wheels.
 Runs, jumps, climbs, hops.
 Coordination improving.
 Performs tricks on bicycles, races.
 Throws a ball skill full overhand & underhand.
 Enjoy all physical activities.
 Begins to participate to organized sports like base
ball.

2. FINE MOTOR DEVELOPMENT
 Knows right from left hand
 Draws a person with 12 -16 parts.
 Prints words: learns cursive writing.
 Improved eye hand co-ordination
 Use both hands independently.
 Draws a person with 18-20 parts.
 Prints fluently: cursive writing improved.
 Coordination continues to improve.
3. SELF CARE
FEEDING SKILLS
 Likes to eat with fingers ,stuffs food in to mouth
 Talkative while eating.
 Improved table manners, less talking, may bold
food.
 Handles eating utensils skillfully.
 Criticizes table manners of parents.
GROOMING &DRESSING SKILLS
 Wears whatever is selected by parents.
 Leaves clothes where they are removed.
 Enjoys wearing current style of clothes.
 Can brush & comb hair.
 Unaware of dirty clothes.
4. SENSORY DEVELOPMENT
- Normal visual acuity
- Discriminates application of heat and cold.
- Has good sense of taste and smell
5. PSYCHOSOCIAL DEVELOPMENT [Erick Erickson].
Sense of industry Vs inferiority [6-12 years].
 Egocentric
 Craves attention
 Jealous of siblings.
 Fears injury to body & dark room.
 Considers peer opinions more important than
parents.
 Curious about ever thing.

3.  Has short burst of anger.
 Able to control anger.
 Respect parents & their role.
 Join group-formal & informal.
 Aware of appropriate sexual role
 Cheats to win game
 Likes to complete & play game.
 Likes the reward system.
 Talks about friends frequently.
 Develop self control.
6. PSYCHOSEXUAL DEVELOPMENT [Freud]
Latency stage [6-12 years]
o Associate with same sex peers.
o Seeks information regarding sex role behavior
o Participation in kissing &giggling games.
7. SPIRITUAL DEVELOPMENT [Fowler].
Mythical Vs Literal faith
 Accept the family preference.
 Follows the rituals practiced in the family/society.
 Learn many things about religion.
8. INTELLECTUAL DEVELOPMENT [Jean piaget].
Pre operational thought
Sub stage-II [4-7 years].
 Attention span increasing & memory span.
 Can describe objects in picture, knows their use.
 Knows time, date, month &season.
 Follows rules to avoid punishment.
 Can see differences more than similarities.
 Learning to read.
 Enjoy comics.
Concrete operational thought [7-11 years].
 Learn to understand & use abstract symbols
&carries out mental operations
 Understands explanations &tries to follow through
 Shows interest in causal works.
 Ashamed of failures.
 Interested in school work
 Memory spans increasing.
Formal operational thought[11years]
 Develops abstract &deductive reasoning.

4.  Uses problem-solving method
 Short interest span
 Collects facts of future use
 Begins to think about vocation
 Preoccupied with right &wrong
 Ethical sense more realistic than idealistic.
9. MORAL DEVELOPMENT [Kohl berg].
Pre conventional morality
 Stage 2[4-7years].
Child confirms to rules to please others
Child learns to conform to the group norms.
 Stage 3[7-9years] Am I a good person?
 Stage 4[10-12years] we need law and order.
10 LANGUAGE DEVELOPMENT
 Can repeat sentences of 10 to 12 words.
 Has vocabulary of 2500 words.
 Develops a sense of humor: enjoy telling jokes
 Begins to use shorter &more compact sentences.
 Oral vocabulary of 7200 words.
 Reading vocabulary of 50,000 words.
 Uses parts of speech correctly.
 Enjoys riddles.
 Uses numbers beyond 100 with meaning.
11 PLAY
Social or competitive play
 Likes group play.
 Prefers active play.
 Enjoy dramatic play.
 Continues collection- begin to develop the hobbies.
Girls
 Cooking, grooming, teaching
Boys
 Kites, cycling and team sports.
12 NUTRITION
 Calories: 1600-2600Kcal/Kg/Day.
 Protein: 3-4 gms/Kg/Day.
 Fat: 4-5gm/Kg/Day.
 Iron: 15-20 Ug/Day.
 Calcium: 800 Mg/Day.
 Magnesium: 250Mg/Day.
 Vitamin A: 3300 IU/Day.

5.  Fluids 90-100 ml/day
13 DEVELOPMENTAL PROBLEMS
- Truancy.
- Fear of darkness (night mares).
- Juvenile delinquency.
- School phobia.
- Stealing.
- Nail biting, teeth grinding.
- Lying.
- Tics.
- Hurting others.
HEALTH PROBLEM
Motor vehicle injuries
Drowning, burns, poisoning, bodily damages such as
skin lesions, wounds, scabies, dental caries, disorders of
continence etc.
14 NEED OF SCHOOL AGE [6-12 YEARS]
 Nutrition [eating habits].
 Dental hygiene.
 Exercise & activity.
 Sex education
 Accident prevention
 Love &security
 Meeting emotional need, schooling, parenting
 Immunization
 Parental guidance.
 Discipline
 Sleep & rest
 Acquisition of skills.
 Protection from danger
 Need for role of model.
SIGNATURE OF THE STAFF SIGNATURE OF THE STUDENT