The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: 1.Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. 2.Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. 3.Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

The School-Aged Child: Developmental Assessment

 

Developmental assessment involves specific techniques that allow for evaluating whether a child has reached significant milestones in terms of physical and psychosocial development. Since children’s capabilities and skills vary greatly depending on their age, developmental assessment techniques should also be adjusted to the child’s age. Apart from knowing which methods to use, a nurse performing the developmental assessment should be aware of what capabilities the child is expected to develop at the given age. This knowledge will help nurses to notice deviations from the expected growth and development and modify their approach to care depending on these deviations (Burke, 2020b). This paper aims at comparing physical assessment techniques applied to school-aged children, and describing typical developmental stages of children, taking a 12-year-old child as an example. Further, the developmental assessment of the child based on Piaget’s developmental theory will be discussed. This paper will argue that paying attention to children’s developmental stages is essential for choosing appropriate assessment techniques and noticing abnormalities in the child’s development in time.

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On their way from infancy to adulthood, children grow and acquire multiple necessary skills and capabilities at a rapid pace. As a result, a several-year difference in the age of children signifies a considerable difference in their development, whereas, in adults, such a small difference is often insignificant. Consequently, the physical assessment of children requires the use of varying techniques that depend on the child’s age and developmental stage. For example, an important part of the physical assessment is collecting health history. To collect the health history of a 5-year-old child, the nurse will have to get a large portion of information from the child’s parents. The technique will be modified for a 12-year-old child, who will be expected to answer most of the questions himself. Furthermore, children aged 12 years become more conscious of their bodies than those aged five years (Burke, 2020b). It also influences the choice of physical assessment techniques since 12-year-old children may require privacy when changing their clothes and want their parents to be absent while they undergo a physical examination. Thus, during the physical assessment, children’s developmental stages and age-specific needs should be considered.

Children go through typical developmental stages, which will be explained by the example of Jared, a 12-year-old boy. Jared was born at 37 weeks, weighing 3.2 kg, and doubled his birth weight by six months. At four months, he was able to hold his head in a vertical position and grasp objects. By nine months, he was able to crawl, and when he was one year old, he started to walk. At the age of 2-3 years, Jared learned to tolerate separation from his parents, which allowed them to take him to a day-care center, where he enjoyed playing with toys and participative in imitative play. At the age of five, he could speak using simple but complete sentences and developed fine motor skills enabling him to use scissors and tie shoes. When Jared was six years old, he lost his first deciduous tooth. At school, he made friends with same-sex children, which is common among school-aged children (Burke, 2020a). At the age of 12, Jared began experiencing the signs of the onset of puberty, which included mood swings and a slight voice deepening.

Various developmental theories have been constructed to explain the changes occurring in children over time and guide their developmental assessment. Jean Piaget distinguished four stages of children’s cognitive development: sensorimotor, preoperational, concrete operational, and formal operational (Gilmer & Chiplis, n.d.). School-aged children belong to the preoperational stage until they are seven years old and then transit to the concrete operational stage that lasts up to the age of 11 years. Since Jared is already 12 years old, he is likely to enter the formal operational stage of development, at which children develop the ability to think and reason in abstract terms and understand hypothetical situations (Gilmer & Chiplis, n.d.). Therefore, to perform this child’s developmental assessment, it is necessary to focus on his ability to operate abstract notions and hypothetical situations.

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