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communication peds

pediatric communication temperament play humor

define communication & how is it different with pediatrics process of giving and receiving information; incorporate child's development in communicating (i.e infant -nonverbal)
general guidelines related to communication & pediatrics be brief, honest, clear, developmentally appropriate, ask & listen to pt and caregiver concern/opinions
define temperament construct of personality that is genetically linked that remains stable but can modify over time
nine traits of temperament AIR-activity level, intense, regularity MAD-mood, approach/withdrawal, distractability SPA-sensory threshold, persistence, adaptability
three types of temperament profiles easy-regular, happy (one mood), approach, sensory threshold slow to warm up difficult-active, intense, persistent, distractable
what is developmentally appropriate for newborn and infant nonverbal and crying is primary way to communicate
guidelines related to performing an exam on a newborn or infant no eye contact, lungs & heart first, ear & mouth last, ignore the crying
what is developmentally appropriate for toddlers negativism, temper tantrum, understands more than can speak, more control over body, stranger anxiety is common
guidelines related to performing an exam on toddler no eye contact, toys as peace offering, ears & mouth last, avoid yes/no choices
what is developmentally appropriate for pre-school aged children understand language more, love pretend play, can dress self
guidelines related to performing an exam on a preschooler greet child, use toys, incorporate pretend play,
what is developmentally appropriate for school age children cooperative, seek adult approval,
guidelines related to performing an exam on school age children greet child, ask child questions (but let caregiver verify), give options, explain how body work
what is developmentally appropriate for adolescents self conscious of body and self, distrust adults, trust peers, puberty, abstract thought, risk taking behaviors, autonomy vs. independence
guidelines related to performing an exam on an adolescents use "most teens your age..." build trust by asking caregiver to leave room, affirm confidentiality unless suicidal or homicidal
role of play in communication way children understand the world; use play in their experiences (to teach, to comfort,etc)
examples of play appropriate for infants manipulating objects, peek a boo, transitional object
examples of play appropriate for toddlers pretend play, concrete games
examples of play appropriate for school age fantasy, team games, collecting items, rule based games
lying done by children of all ages but the reasons change as they age
how to use humor in communication developmentally appropriate, great way to build relationships as long as child is not the object of the joke
incongruity theory and humor humor is perceived at the moment of realization of inconsistency between a concept involved in a certain situation and the real objects thought to be in some relation to the concept
McGee's Stage I 6-18 months incongruous actions towards objects laughing at the attachment figure peek a boo, tickling baby, mother sucking on bottle
McGee's Stage II 2/3 yr incongruous labeling of objects & events displace object; self-created humor finger to mean toothbrush, shoe as telephone,
McGee's Stage III 5/6 yr conceptual incongruity misnaming objects or actions knock knock jokes, show me your nose (ears)
McGee's Stage IV 7-11 yr understands ambiguity of words riddles, nonsense words
Adolescents and humor start teasing each other; zenith of humor/laughing at oneself
Created by: deleted user