Capitol Medical Center Colleges

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CAPITOL MEDICAL CENTER COLLEGES

#4 Sto. Domingo Ave., Quezon City

In partial fulfillment of the requirement for NCM 102 RLE- CMC

Case Analysis of
The Growth and Development of an Infant

Presented by:

BUENAFE, DREXLER JUSTINE A.


II Bachelor of Science in Nursing

Presented to:

Mrs. Filomena Mercardo


Clinical Instructor
I. PATIENT PROFILE

Name: ZMG
Age: 2 y/o
Birthday: October 17, 2016
Address: San Mateo, Rizal
Weight: 28.4 lb
Height: 88 cm
Chief complaint: Swelling at left eyelid
Admitting Diagnosis: Presaptal cellulitis secondary to insect bute
Date of Admission: February 9, 2019
History of past illness: First hospitalization
II. GROWTH & DEVELOPMENT

Growth is the process of physical maturation resulting an increase in size of the


body and various body organs. It occurs by multiplication of cells and an increase in
intracellular substance. It is quantitative changes of the body while Development refers
to a progressive increase in skill and capacity of function. It is a qualitative change in
child’s functioning. It can be measured through observation. During ages 1 to 3, you
can promote excellent growth and development through encouraging age
appropriate physical activity, helping your toddler create healthy eating habits, creating
a safe and engaging environment for him or her to explore, providing interaction
with peers, encouraging language development and building self-esteem.

During the toddler years, your child will continue change dramatically in the
following five main areas of development: physical, cognitive, emotional and social,
language, and sensory and motor skills.

Every child develops and grows at his or her own pace, but it is important to
know when to call your doctor about developmental concerns or delays. Your child’s
growth and physical development are an important aspect of overall health and you
should never hesitate to reach out to your pediatrician if you have questions or concerns
about his or her development.

ZMG is a 2 year old with normal weight and length for his age. The motor
development for a toddler involves standing alone for short times; walks with help;
moves around by holding onto furniture, sits down from standing position without help,
can eat spoon and cup but needs help; prefers using fingers, and helps in dressing like
putting an arm through sleeves. ZMG can exhibit all of this motor development as stated
by the mother since he was unable to perform any of the following during
hospitalization.
Psychosocial Developmental Theory

Erik Erikson was an ego psychologist who developed one of the most popular and
influential theories of development. Erikson's theory centered on psychosocial
development rather than psychosexual development. The stages that make up his
theory are as follows:

 Stage 1 - Trust vs. Mistrust


 Stage 2 - Autonomy vs. Shame and Doubt
 Stage 3 - Initiative vs. Guilt
 Stage 4 - Industry vs. Inferiority
 Stage 5 - Identity vs. Confusion
 Stage 6 - Intimacy vs. Isolation
 Stage 7 - Generativity vs. Stagnation
 Stage 8 - Integrity vs. Despair
Patient ZMG falls under the stage of early childhood (toddler). The patient is in
the second stage of Erikson's theory of psychosocial development which takes place
during early childhood and is focused on children developing a greater sense of
personal control.

At this point in development, ZMG is just starting to gain a little independence.


They are starting to perform basic actions on their own and making simple decisions
about what they prefer. By allowing him to make choices and gain control, parents
and caregivers can help him develop a sense of autonomy. Other important events
that took place during his hospitalization include gaining more control over food
choices, toy preferences, and clothing selection. Children who successfully complete
this stage feel secure and confident, while those who do not are left with a sense of
inadequacy and self-doubt. Erikson believed that achieving a balance between
autonomy and shame and doubt would lead to will, which is the belief that children
can act with intention, within reason and limits.

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