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1. family centered family is the center of the care continuum
care
2. in family cen- there is partnership b/wn child, family, and health care providers
tered care
3. family systems a whole, not separate individuals, a change to one will affect all the other individ-
are defined as uals
4. family stress can be expected or unexpected
5. developmental developmental stages are similar to other families, and how the family responds
family theories to one stage will affect the following stage
6. the family assess- -history
ment includes -structure
-developmental tasks
-family characteristics
-family stressors
-environment
-family support system
7. social determi- -promotion of health and wellbeing of the pediatric population
nants of health -provide adequate family centered care
(SDOH) for pedi- -each needs to be addressed for e ach child and family
atrics include
8. factors to assess -family dynamics
in the pediatric -birth history
client -growth and development
-medical history
-medications
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, Week 1 - Peds - growth and development
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-special considerations
-environmental precautions
9. pediatric physical •Exams should accommodate for chronological age and developmental needs
assessments: •Involve both children and families
•Praise them for cooperation
•Observe behaviors during the assessment
•Screen language, cognition, and fine and gross motor development using a
standardized tool (ex. Denver Developmental Screening Test -Revised)
•Based on assessments child may need further evaluations
10. denver scale -gross motor
looks at -language
-fine motor-adaptive
- personal social
in addition to testing behavior:
-typical
-compliance
-interest in the surroundings
-fearfulness
-attention span
11. Erickson's stages -trust vs mistrust (birth to 1 yr)
of development -autonomy vs shame and doubt (1 yr to 3 yrs)
-initiative vs guilt (3 yrs - 6 yrs)
-industry vs inferiority (6yrs - 12 yrs)
-identify vs. role confusion (12yrs to 20 yrs)
12. height and -birth weight doubles by 6months
weight trends triples by 1 yr
quadruples by 2.5 yrs
13.
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