1. HEALTHCARE SCIENCE TECHNOLOGY I MRS. Burgstiner RN HUMAN GROWTH AND DEVELOPMENT

2. BIRTH TO 1 YEAR Physical Development: Most dramatic and rapid changes occur during 1 st year Wt. 6-8 lbs.: Ht: 18-22 in. at birth Wt. 18-24 lbs., Ht: 29-30 in. by 1 year Wt. Triples Has reflexes, nervous and muscular system is immature at birth, by 12 months: 10-12 teeth vision poor at birth, by 1 year can focus well coordination improves during this 1st year

3. Reflexes: Muscle changes: Moro (startle): reaction to loud or sudden movement Rooting; turns head when touched on the cheek. Sucking: response to touch on the lips Grasp: when object placed in hand will grasp it 2 months: rolls side to side 4 months: turns all the way over 6-7 mo: sit for several minutes alone, hold objects, crawl 8-9 mo: pulling up 12 months: can walk alone, throw things, grasp with thumb and fingers

4. MENTAL DEVELOPMENT EMOTIONAL DEVELOP. Newborns: respond to hunger, pain, discomfort by crying 2-4 mo become more aware of surroundings and recognize other individuals 6 months: understand some words and make basic sounds 12 months understand many words and are using single words Newborns: excitement 4-6 mo.:distress, delight,disgust, & fear 12 mo. : elation, affection for adults Events that occur during the first year of life when these first emotions are exhibited can have a major affect on an individual’s behavior as an adult.

5. SOCIAL DEVELOPMENT Goes from self-centered to recognition of others in the environment 4 mo. : smiles, stares, recognizes care givers 6 mo. : watch activity, show possessiveness,becomes shy around strangers, but socialize with those they know. They mimic, imitate facial expressions and vocal sounds. Depend on others for all of their needs; Food, cleanliness and rest are essential for physical growth. Love and security are essential for emotional and social growth. Stimulation is essential for mental growth.

6. EARLY CHILDHOOD: 1-6 YR PHYSICAL: 45 LBS./ 46 INCHES Skeletal/muscles develop helping them to assume a more adult-like appearance legs/lower body grows faster than head/arms/chest Muscle coordination develops By 2-3 most teeth are in Digestive System: Mature, adult food 2-4y bowel and bladder trained

7. Mental Development Verbal growth: 1500-2500 words by 6 yrs. 2 yrs: short attention span 4 yrs: recognize some letters and words 6 yrs: very verbal, wants to read and can now make decisions based on past experiences because memory has developed at this age.

8. Emotional Development: 1-2: children develop self-awareness and the effect they have on other people limits are set, that cause a test of wills often frustrated at not having the ability to do what others do. Like routine: get upset when it is changed understand right and wrong concept by age 6 anxiety and frustration is decreased because they have learned how to deal with different situations.

9. Social Development: Younger: attached stongly to parents begin to enjoy the company of others but are still possessive play alongside other children instead of with them. Gradually puts self aside and begins to care about others, by 6 friends are important to them. Must learn to follow rules and be responsible for actions

10. Late Childhood: 6-12 years Wt gain 5-7 lbs. A year Ht. Increases 2-3 inches a year has well developed muscle coordination loses most of primary teeth-get permanent teeth eyes are well developed, visual acuity is at it’s best at 10-12 sexual maturation begins in some children.

11. Mental Development: Life centers around school speech skills are more developed obtain reading/writing skills use information to solve problems memory becomes more complex can now understand abstract concepts (loyalty, values, morals, and honesty) use active thinking and take an active part in making judgements.

12. Emotional Development More independent: more distinct personality can be frightened at starting school at 6 gradually cope with reassurance from others depression and joy periods with sexual changes can make them restless, anxious and difficult to understand at times.

13. SOCIAL DEVELOPMENT: 7y: like activities they can do themselves more than group activities 8-10 y: more group oriented (own gender) and will accept opinions of others/ group. 10-12: Make friends easily Aware of opposite sex Dependency on parents starts to decrease, and the time spent with parents decreases Needs: reassurance, parental and peer approval

14. ADOLESCENCE: 12-20 years Often a traumatic life stage PHYSICAL DEVELOPMENT: Growth spurt can gain 25 lbs., grow several inches in a period of months muscle coordination advancement slows down. Can have awkwardness/clumsiness girls growth spurt: 11-13 years boys growth spurt: 13-14 years

15. Puberty: sexual organs develop secondary sexual characteristics develop Testosterone/Progesterone: hormone secretion causes changes….(sperm,menstration) GIRLS: widened hips breast develop fat distribution curved appearance pubic hair menstrual cycle BOYS : Deeper voice increased muscle mass widening of shoulders pubic/body/facial hair growth of sperm production and the sexual organs

16. MENTAL DEVELOPMENT Increase in knowledge and a sharpening of skills Learn to make decisions and to take responsibilities for their actions Conflict arises due to being told to “grow- up” yet reminded that they are “still children”

17. Emotional Development: Stormy and in conflict insecure/inadequate: are trying to establish identity and independence worry about appearance, abilities and relationships with others. More influenced by peers than parents at end start to develop self- identity know what they will do with their life gain control and mature emotionally

18. Social Development Peers are important spends less time with family will seek groups that have the same conflicts or problems that they have as they mature start to get self-confidence and develop more mature attitudes and shows behaviors that are associated with adult decisions and behaviors. Needs: support, understanding, reassurance if not met may turn to: drugs, sex, rebellious behavior and even suicide.

19. Early Adulthood: 20-40 frequently the most productive life stage Physical Development: basically complete muscles well developed and strong motor coordination is at its peak prime child bearing time: usually produces the healthiest babies sexual development for m/f is at its peak

20. MENTAL DEVELOPMENT: Additional education is pursued Establish career (s) Deals with independence as a young adult and decision/judgement making Establishes a lifestyle Marriage partner selection Starts a family Establishes values EMOTIONAL DEVELOPMENT: Finds a way to establish stability based on past experiences Stress subjection: job, marriage, family,etc. If emotional structure is strong -the young adult can cope with “life”. Find satisfaction in achievements Take responsibility for actions, take criticism and profit from it

21. Social Development: Moves away from peer group and associate with those who have similar goals, ambitions and interests Family / mate is important Frequently adapt non-traditional sex roles Example: Men as nurses and secretaries Women as construction workers

22. Social Development: Moves away from peer group and associate with those who have similar goals, ambitions and interests Family / mate is important Frequently adapt non-traditional sex roles Example: Men as nurses and secretaries Women as construction workers

23. Middle Adulthood: 40-65 yrs frequently called middle age PHYSICAL DEVELOPMENT Hair grays and thins Skin: wrinkles Muscle Tone: decreases Hearing: Loss…Visual Acuity: Declines Weight gain occurs Females: Menopause, Men: male climacteric

24. MENTAL DEVELOPMENT: Mental acuity can increase during this age. Acquire an understanding of life and have learned to cope with many stresses. More confident with decision making and excellent at analyzing situations EMOTIONAL DEVELOPMENT Can be a period of content and satisfaction Can be a time of crisis depending on circumstance Job stability, financial worries, children leaving, health issues…etc Can cause depression is coping skills aren’t there. Anxiety, insecurity, anger.. At this stage events that occur can shape emotional development

25. SOCIAL DEVELOPMENT: Family relationships show a decline as children begin their lives and parents die. Relationships between spouses become stronger or divorce occurs as children leave Friendships are usually with people who have the same interests and lifestyles

26. LATE ADULTHOOD: 65 and up Senior Citizens PHYSICAL DEVELOPMENT: People are living longer and this age group is increasing daily! On the Decline: all body systems are affected Skin: dry, thin, wrinkled, thin, age spots Hair: thin, loses it’s luster and shine Bones: brittle..more likely to break or Fx. Cartilage: thins in vertebrae: causing stooping Muscle: loses tone, coordination decreases Nervous System: hearing loss, visual loss, temp.intolerance.

27. Memory loss can occur Reasoning ability decrease Heart is less efficient and circulation decreases Kidney and Bladder are less efficient Breathing capability decrease: get SOB Note: These changes occur slowly over a period of time. Due to better and healthier living many individuals do not show signs of physical aging until their seventies or eighties.

28. MENTAL DEVELOPMENT Varies among individuals Short-term memory is usually the first to decline Can remember events from 20 years ago, but not events that happened yesterday Diseases such as Alzheimers can lead to irreversible memory loss, disorientation, speech and gait disturbances. Arteriosclerosis can decrease blood flow to the brain and decrease mental ability as well.

29. EMOTIONAL DEVELOPMENT Varies in this age group Some elderly cope well with stresses presented by aging while others do not. Those who don’t can experience: loneliness, depression, frustration and withdrawal Emotional adjustments are necessary…retirement loss of loved ones/friends/spouse, physical disability,financial problems, loss of independence, knowledge that life will end all can cause emotional distress. Again if they have goo coping skills they do well, if not….problems arise emotionally.

30. SOCIAL DEVELOPMENT Retirement: can lead to a loss of self-esteem Less contact with co-workers and circle of related friends Some limit their relationships, some find new friends Death of a spouse and friends, having to move to a new environment cause loss of contact Senior citizen groups, church groups, golden age groups, etc are very important at this stage. They need a sense of belonging, love, security, social acceptance, and love

31. In Conclusion: All life stages have many changes…As you go through them find a way to be the best that you can be!! Make wise choices: Lasting relationships and true satisfaction will follow!!