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    Assessment of Adolescent Child

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    Pradip Chougale
    The document provides information on assessing the growth and development of an adolescent child. It outlines the objectives of understanding typical physical, mental, emotional, social, and sexual maturation during adolescence. Sections include collecting biographical data on the child, performing a physical exam to measure height, weight, blood pressure against normal ranges, and noting other physical and maturational changes. It also covers assessing the child's psychosocial, cognitive, emotional, moral, and language development, as well as their schooling, relationships, interests, nutrition, sleep, and technology use.

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    Assessment of Adolescent Child

    Uploaded by

    Pradip Chougale
    156 views15 pages
    The document provides information on assessing the growth and development of an adolescent child. It outlines the objectives of understanding typical physical, mental, emotional, social, and sexual maturation during adolescence. Sections include collecting biographical data on the child, performing a physical exam to measure height, weight, blood pressure against normal ranges, and noting other physical and maturational changes. It also covers assessing the child's psychosocial, cognitive, emotional, moral, and language development, as well as their schooling, relationships, interests, nutrition, sleep, and technology use.

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    Assessment of adolescent Child

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    The document provides information on assessing the growth and development of an adolescent child. It outlines the objectives of understanding typical physical, mental, emotional, social, and sexual maturation during adolescence. Sections include collecting biographical data on the child, performing a physical exam to measure height, weight, blood pressure against normal ranges, and noting other physical and maturational changes. It also covers assessing the child's psychosocial, cognitive, emotional, moral, and language development, as well as their schooling, relationships, interests, nutrition, sleep, and technology use.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    156 views15 pages

    Assessment of Adolescent Child

    Uploaded by

    Pradip Chougale
    The document provides information on assessing the growth and development of an adolescent child. It outlines the objectives of understanding typical physical, mental, emotional, social, and sexual maturation during adolescence. Sections include collecting biographical data on the child, performing a physical exam to measure height, weight, blood pressure against normal ranges, and noting other physical and maturational changes. It also covers assessing the child's psychosocial, cognitive, emotional, moral, and language development, as well as their schooling, relationships, interests, nutrition, sleep, and technology use.

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    © All Rights Reserved
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    of 15

    GROWTH AND DEVELOPMENT ASSESSMENT OF

    ADOLESCENT CHILD

    AIM-
    At the end of the adolescent school visit gain the brief knowledge about normal
    growth and developmental pattern and specific developmental changes at this
    age group.

    OBJECTIVES-
    At the end of the observational visit the students will be able to,

     Understand the growth pattern of adolescent from 13 to 21 years.


     Observe the physical mental emotional and social development.
     Understand the normal growth and developmental changes in adolescent.
     Help the adolescent to understand the physical and psychological changes
    they are undergoing and the scientific reasons behind the changes.
     Identify the health needs of adolescent.
    BIODATA-
    Name of child :-
    Age :-

    Sex :-

    Class :-

    Date of birth :-

    Order of birth :-

    Father/Mother name : -

    Education :-

    Occupation :-

    Address & mobile number: -

    Date of visit :-

    Name of school :-

    Likes and dislikes of child: -


    PHYSICAL EXAMINATION-
    Parameters Normal range Observed in child Remark
    Weight –
    1.early adolescence Male-38-60 kg
    (12 to 13 years) Female-40-60 kg

    2.Middle Male-50-60kg
    adolescence (14-16 Female-42-64kg
    years)

    3.late adolescence Male-56-80kg


    (17-21 years) Female48-72kg

    Height –
    1.early adolescence Male-154-172cm
    (12-13 years) Female-153-167cm

    2.middle Male-164-180cm
    adolescence(14- Female-155-169cm
    16years)

    (17-21 years) Male-163-182cm


    Parameters Female-156-170cm
    Normal range
    Pulse-
    (12-13 years) 65(+) or (-)8 beats/min
    (14-16 years) 63+-8beats/min
    (17-21 years) 70+-10 beats/min

    Respiration-
    (12-13 years) 19(+) or (-)3/min
    (14-16 years) 17+-3/min
    (17-21 years) 17+-3/min

    Blood pressure-
    (12-13 years) Male-114/68(+) or
    (-)10/14
    Female-112/66(+) or
    (-)10/12

    (14-16years) Male-116/70+-12/14
    Female-114/70+-14/12

    (17-21 years) 126/74+-26/16


    Parameters Normal range Observed in child Remark

    Motor and self- Motor function


    care comparable to that of
    adults.
    Eye-hand coordination
    at adult level.
    Poses manual
    dexterity.

    sensory Visual acuty:20/20

    MATURATIONAL CHANGES DURING ADOLESCENCE-


    BOYS
    Normal changes Changes in child Remark
    Growth spurt
    Muscle develops
    Skin becomes oily
    Shoulder broadens
    Voice cracks
    Underarms, chest hair
    Pubic hair appears
    Facial hair appears
    Voice cracks
    Penis, testis enlarge
    Erections in boys
    Sperm production,
    ejaculation
    Sexual desire
    Sexual attractions
    Initiation of sexual behavior
    GIRLS-
    Normal physical changes In child Remark

    Growth spurt

    Breasts develop

    Skin becomes oily

    Hips widen

    Underarm, pubic hair


    appears

    Uterus, ovaries enlarges

    External genital enlarges

    Menarche, ovulation

    Sexual desire

    Sexual attractions

    Initiation of sexual behaviors

    PSYCHOSOCIAL, PSYCHOSEXUAL, SPIRITUAL DEVOLOPMENT-


    DEVOLOPMENT CHARECTERISTICS IN CHILD REMARK

    PSYCHOSOCIAL-
    (Identity v/s role
    confusion)
    Early adolescence- -Beginning of
    (12-13 years) development of sense
    of identity (13-18
    years) negative
    counterpart: self-
    diffusion.
    -Egocentric.
    -has intensive loyalty to
    peer groups.
    -show mood swings
    and extremes of
    behavior.
    -experiences sense of
    loss as beginning to
    separate from parents.
    -Day dreams over
    heroes.
    -continuous same sex
    friendships.

    Middle -egocentrism
    adolescence- diminishes separate
    (14-16 years) from parents,
    continuous
    heterosexual
    relationship.
    -verbally attacks
    parents’ beliefs and
    values.

    Late adolescence- -sense of identity.


    (17-21 years) -sense of intimacy.
    Negative counterpart:
    isolation.
    -severe ties with
    parents.
    -establishes
    interdependent
    relationship with
    parents.
    -has fewer but close
    friends.
    -heterosexual
    relationships are the
    rule.

    PSYCHOSEXUAL Masturbation starts.


    –  Girls attain
    (Genital stage) puberty at
    around 10-15
    years of age.
     Boys attain
    puberty between
    12-16 years of
    age.

    SPIRITUAL-  Adolescent are


    (DEEP capable of
    SPIRITUAL understanding
    CONCERNS) abstract concepts
    and of interpreting
    analogies and
    symbols.
     Synthetic
    conventional faith.

    COGNITIVE, EMOTIONAL, MORAL AND LANGUAGE DEVELOPMENT-


    COGNITIVE OR -Formal operational
    INTELLECTUAL- thoughts.
    (Formal operative) -Generates
    hypotheses.
    -Uses scientific
    method for problem
    solving.
    -Expresses concern for
    education and
    vocation.

    EMOTIONAL OR -
    PSYCHOLOGICAL Fantasy/daydreaming.
    - -Rapid mood changes,
    emotional instability.
    -Attention seeking
    behavior.
    -Curious
    -Full of energy,
    restless.
    -Self-exploration and
    evaluation.
    -Conflicts with family
    over control.
    -Peer group defines
    behavioral code.
    -Formation of new
    relationships.

    MORAL- -Fixed rules in moral


    (Internalized set of decisions.
    moral principles) -Obligation to do no
    harm and to do duty.
    -Social contracts
    understood and
    formulated.
    -Laws recognized as
    changeable.
    -Correct actions
    depend on standards
    and individuals’
    rights.

    LANGUAGE-
    -Uses slangs within
    and outside peer
    group.
    -Uses distinct
    meanings for words.
    SCHOOLING: -
    (how is the child progress, academic and curriculum activities, competition at school
    and inter school level, mid-day meal program)

    RELATIONSHIP WITH PARENTS-


    (During adolescence the parent-child relationship changes from protection-dependency
    to mutual affection and equality. Adolescents are accepted as maturing preadults. They
    must conform to regulations and restrictions set by adults.)

    TEACHER STUDENT RELATIONSHIP: -


    RELATIONSHIP WITH PEERS-
    (The peer group serves as a strong support to teenagersproviding them with a sense of
    belonging and feeling of strength and power.
    Within the larger groups smaller, distinct, and rather exclusive crowds or cliques of
    selected close friends who are emotionally attached to each other.
    To be ignored or criticized by peers creates feelings of inferiority, inadequacy and
    incompetence.)

    INTEREST AND ACTIVITY-


    (Adolescent spend a large amount of time engaging inleisure time activities. Chooses
    activities according to individual interests• Parties, Conversation, Helping others,
    Interest in world affairs, Expressive arts, Hobbies, social drinking, drugs etc.)

    SMART PHONE USES: -


    (how many hours, which video games played mostly)
    NUTRITION-
    Increased nutritional requirements. The calorie and protein requirement during this
    time are higher. there is a substantial increase in the need for the minerals, calcium,
    iron and zinc for the generation of both skeletal and bone tissue.
    NUTRIENTS REQUIRMENTS
    calories Average teenage Boy-2,800 Cal/day
    Average teenage girl-2,200 Cal/day
    Grains Boys (14-19 years)-9 oz
    Girls (14-19 years)-6 oz
    (1 oz=1/2 cup)

    Protein Boys (14-19 years)- 54.3 to 61.5 g/day


    Girls (14-19 years)-51.9 to 55.5 g/day

    Calcium 800 mg/day

    MEAL PATERN OF CHILD-

    BREAKFAST-

    LUNCH-

    SNACKS:

    DINNER-

    SLEEP AND REST-


    (Rapid physical growth the tendency towards overexertion, and the overall increased
    activity of this age contribute to fatigue in adolescents.
    Adequate sleep and rest at this time are important to a total health regimen
    In child-

    IMMUNIZATION-
    VACCINE CRITERIA IN CHILD REMARK
    TT Booster at 10 and 16 years

    Rubella As part of MMR vaccine 1 dose to


    girls at 12-13 years of age, if not
    given earlier

    MMR 1 dose at 12-13 years of age. (if not


    given earlier)

    Hepatitis B 3 doses (0,1, and 6) if not given


    earlier

    Typhoid TA,Vi or oral typhoid vaccine every


    3 years

    Varicella 1 dose up to 12-13 years, and 2


    doses after 13 years of age. (if not
    given earlier)

    Hepatitis A 2 doses (0 and 6 months) if not


    given earlier

    HEALTH SERVICES PROVIDED TO CHILDREN FOR PREVENTION OF


    DISEASE AND PROMOTION OF HEALTH: -
    IDENTIFICATION OF NEEDS ON PRIORITY-

    HEALTH EDUCATION-
    CONCLUSION-

    BIBLIOGRAPHY-
    1. Mayoor K Chheda, practical aspects of paediatrics, CBS publishers and
    distributors 7th edition.
    2. O P Ghai, Essential paediatrics, CBS publishers and distributors, edition 9 th
    edition,2019.
    3. Parul Datta, Pediatric Nursing, second edition, Jaypee.
    4. Marlow’s, Text book of pediatric nursing, south asian edition, ELSEVIER
    publisher.
    5. Rimple Sharma’s Essentials of Pediatric Nursing, second edition

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