Pediatrics: The Basics

Think of Pediatrics as the baby version of Med/Surg. Much of the content applied in med/surg parallels that of pediatric care. However, it is important to consider the factor of developmental care when studying the content.

The course introduces the basics of development in the lifespan of infant to 18 years of age. Two main revisited concepts include Erikson’s stages of psychosocial development and Piaget’s developmental theory.

Erikson’s Stages of Psychosocial Development
[0-2 years] : Trust vs Mistrust
[2-4 years] : Autonomy vs Shame & Doubt
[4-5 years] : Initiative vs Guilt
[5-12 years] : Industry vs Inferiority
[13-19 years] : Identify vs Role confusion
[20-24 years] : Intimacy vs Isolation
[25-64 years] : Generativity vs Stagnation
[65-death] : Ego Integrity vs Despair

Piaget’s Stages of Cognitive Development
[birth-2 years] : Sensori-motor
[2-7 years] : Preoperational
[7-11 years] : Concrete operational
[11 years +] : Formal operational

In studying for this course, relay back to the information you learned in Med/Surg, Assessment and Foundations, but apply them in a developmental context. For example, when caring for a child with respiratory disease, consider the capacity of their lungs or their cognitive ability to learn how to use an inhaler. Also consider the complexity of giving medications to a young population. Often times, the dosages must be calculated precisely based on their body surface area. In the clinical setting, medications are given in carefully set IV pumps which administer the medications in precise amounts.

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