1. The school age child

2. Age between 6 and 12 years
Focus on fact not fantasy
Major developmental task is forming positive self-esteem from internal sources rather than from feedback form others
Changing from concrete thinking to abstract thinking
Developing sex characteristics
Accepting more responsibility

3. Biologic development Growth rate is slow until growth spurt of puberty
Average weight gain is kg per year
Average height gain is 5cm per year
At 6 years old average height is 116cm tall and 21 kg weight
At 12 years old average height is 150cm tall and 40 kg weight
Loss of primary teeth begins at about age 6; the lower central incisor is normally the first to be lost/ 4 permanent teeth erupt per year

4. Maturation of systems
Gastrointestinal tract is more mature and stomach capacity increases
Requires less caloric intake than the preschooler and the older child snacks less
Preferences for specific foods develop
Risk for obesity especially with sedentary lifestyle.
BP increases between ages 6-12 years
More competent immune system
Bone ossification continues not complete? Care for posture and back packs

5. Exercise and play
Gross motor skills enhance ability to play independently as in bicycles, swimming, jump ropes, team play, musical instruments or dance.
Competitive play and use coping strategies to handle team cooperation.
Need daily physical activity to build strength, endurance and coordination, to slow risk for coronary risk factors and build the foundation of healthy lifestyle habits, build healthy body composition and bone mass and linked with academic achievement

6. Cognitive development
Piaget:
Concrete thinkers
They think logically and understand rules, although they learn best when they can see and handle objects, (Hands on learning most effective).
Erikson:
Industry versus inferiority
A thirst for knowledge, skills, and emulate role models
Decreased egocentricism, become more cooperative and begin to understand how their actions may affect other people (social cognition)

7. Moral development
Development of moral reasoning: understand rules and determine if an action is right or wrong.
Kohlberg suggested that moral reasoning develops as cognitive function matures (ability to think logically is related to moral behavior)

8. Cognitive styles
A school age child has an attention span of 45 minutes to process information, encode it to memory and retrieve or remember it later.

9. Communication skills
Can express themselves verbally, tell jokes that tease and express sarcasm

10. Psychosocial development
Erikson and task of industry
Gain satisfaction from achieving even small goals
Praise is important
By age 11 children are usually able to maintain work and motivation for a delayed reward

11. Peer relationships: children begin to compare family values with the values of others
Friendship with same sex peers s important
Value their possessions, privacy and should be given responsibility of managing chores and money.
Must form a socially acceptable group or they may find themselves their own group - gangs

12. Latchkey children:
Children left unsupervised after school

13. Sexuality:
Freud: sexual latency, identify with the same sex parents