0-2 years 2-5 years 6-10 years Adolescence Able to Develop a Still think in Become more consider sense of concrete involved with several parts humor terms friends to a problem or situation Start to roll More able to Become Have an over from control the increasingly emerging their back to use of their separate from interest in their front hands and parents and sexual fingers seek activity acceptance from teachers Begin to Begin to Sometimes Struggle with recognize and understand moody and a sense of respond to and assert a disengaged identity their primary sense of self caregivers Cannot Recognize Feel under Desire for engage in letters and pressure to greater purposeful numbers, conform to privacy activities colors, shapes the style and and textures ideals of the peer group Recognize Begin to ask Acquire a letters and questions – capacity for numbers, why, what, abstract colors, shapes who? thought and textures Able to put Develop the 2–3 words ability to into phrases think through the consequences of their actions Not yet able Peer group to engage can place an more directly increasingly in social influential forms of play role on their or interaction lives Activity 2: Case study Sam is a 2-year-old boy who lives with his grandmother. His mother passed away when Sam was 3 months old. Sam started to support his head and sit unsupported at the age of 6 months. His grandmother started to feed him a supplementary diet to make sure he doesn’t go through nutritional deficiency and end up being malnourished. Sam started to crawl at 9 months and still crawls at the age of 2 years. Sam has not yet started to walk, and he doesn’t speak any words. His grandmother knows he’s hungry whenever he cries out loud continuously, since he doesn’t point at food when he wants to eat. She is worried about his developmental progress since she has had experience raising Sam’s mother. So she decides to take him to a nearby health facility. If you are to assess Sam’s condition, identify the normal and delayed development of 2-year- old Sam.
Normal Developmental Milestones for a 2-Year-Old
1. Gross Motor Skills:
Walking: Most 2-year-olds walk independently and may even start to run. Crawling: Some children may crawl and use crawling as a primary mode of mobility if they have not yet started walking. 2. Fine Motor Skills: Using Hands and Fingers: By 2 years old, children usually can stack blocks, turn pages in a book, and scribble with crayons. Hand-Eye Coordination: They can usually complete simple puzzles and manipulate small objects. 3. Language Development: Vocabulary: Many 2-year-olds can say 50 to 100 words and start to combine two words into simple phrases or sentences. Understanding: They typically understand simple instructions and can follow basic commands. 4. Social and Emotional Development: Interaction: Children engage with others, show interest in playing with peers, and exhibit a range of emotions. Imitation: They often imitate adult behavior and engage in parallel play with other children. 5. Cognitive Development: Problem Solving: They start to show curiosity, solve simple problems, and understand basic cause-and-effect relationships. Play: Engaging in pretend play and showing interest in how things work are common.
Sam’s Developmental Progress:
1. Gross Motor Skills:
o Delayed: Sam is still crawling at 2 years old, whereas most children begin walking independently between 9 to 15 months. This is a significant delay in gross motor development. 2. Fine Motor Skills: o Not Specifically Mentioned: Sam’s fine motor skills are not described in detail. However, it’s important to assess if he is reaching other fine motor milestones appropriate for his age. 3. Language Development: o Delayed: Sam is not yet speaking any words at 2 years old. By this age, many children have a vocabulary of 50 to 100 words and begin combining two words into simple phrases. This lack of speech is a notable delay. 4. Social and Emotional Development: o Typical Concerns: Sam does not point to food when he wants to eat, which could indicate a delay in communication skills, but may not be directly related to his social or emotional development. 5. Cognitive Development: o Not Specifically Mentioned: Cognitive development is not explicitly described. Observations related to problem-solving and interaction with toys or people could provide more insight.
Summary:
Normal Development:
Sam is reaching some developmental milestones typical for a 2-year-old, such as
sitting unsupported and crawling.
Delayed Development:
Gross Motor Skills: Sam is delayed in walking.
Language Skills: Sam is delayed in speech development.
Given these observations, it would be important for Sam to undergo a comprehensive
developmental evaluation to assess his overall progress and identify any underlying issues. The healthcare professional may recommend further assessments or interventions to support his development and address any concerns.
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