By:- firoz qureshiDept. psychiatric
nursing
GROWTH AND DEVELOPMENT
PUBESCENT AND ADOLESCENT
BIOLOGICAL GROWTH
The specific changes in growth and development to be expected of the young women and men during early ,middle, late adolescent are presented. These are discussed below :
AVERAGE ACHIEVEMENT LEVELS OF THE
PUBESCENT AND ADOLESCENT 12-18
YEARS EARLY
ADULESCENCE 12-13YEARSPHYSICAL OR
BIOLOGIC
WEIGHT
MALE38-60
kg
FEMALE40 to 60 kg
HEIGHT
• 154-172 cmMALE
• 153-167 cmFEMALE
PULSE-65 (+) or (–) 8 beats per minute
RESPIRATION- 19 (+) or (–) 3 per minute
BLOOD PRESSUREMale- 114/68 +_ 10/14Female-112/66_+ 10/12
CONT……Dentition eruption of second
molars(12-13 years)Secondary sex characteristics develop.Individual differences in rate of
physical growth and development of pubescent children of same chronological age.
CONT…..MOTOR AND SELF-CAREClumsiness occurs due to rapid physical growth motor function comparable to adult eye hand coordination at adult level possesses manual dexterity.SENSORYVisual acuity: 20/20
PSYCHOSOCIAL, PSYCHOSEXUAL, SPRITUAL
DEVELOPMENTPSYCHOSOCIAL• Beginning of development of sense of identity(13-18 years).”who
am I ?” negative counterpart: self diffusion.• Egocentric- world centers around child.• Has intensive loyalty to peer groups.• Show mood swings and extremes of behavior.• Experiences sense of loss as beginning to separate from parents.• Day dreams over heroes• Continuous same sex friendshipsPSYCHOSEXUAL• Genital stage• Masturbation occurs
CONT…..SPRITUAL• Synthetic conventional faith.INTELLECTUAL OR COGNITIVE, MORAL DEVELOPMENT• Formal operational thought(11 years adulthood)• Use the scientific method for problem solving.MORAL• Post conventional stage 5(13+years)• “the individual conform to maintain others respect”LANGUAGE AND SPEECH DEVELOPMENT• Uses slang within out side peer group.• Uses distinct meaning for words .
CONT…..PLAY STIMULATION RECREATIONAL ACTIVITES• Chooses activities according to individual interests • Parties• Conversation• Helping others• Interest in world affairs• Expressive arts• Hobbies• Social drinking• Drugs
MIDDLE ADOLESCENCE 14-16 YEARS
PHYSICAL AND BIOLOGICWEIGHT• Male- approximately 50-60 kg.• Female- approximately 42-64 kg.HEIGHT• Male- approximately 164 -180 cm• Female- approximately 155-169 cm.• PULSE- 63_+ 8 beats per minute.• RESPIRATION- 17_+ 3 per minutesBLOOD PRESSURE• Male-116/70_+12/14• Female- 114/70_+ 14/12
CONT…..MOTOR SELF CARE• Motor function comparable to that of adult eye-hand
coordination at adult level processes manual dexterity.SENSORY• Visual acuity:20/20(adult values)PSYCHOSOCIAL, PSYCHOSEXUAL AND SPRITUAL DEVELOPMENT PSYCHOSOCIAL• Sense of identity (13-18 years) “who am i?” negative
counterpart: self diffusion.• Egocentritism diminishes separate from parents
continuous heterosexual relationship • Verbally attacks parents beliefs and values.
CONT….PSYCHOSEXUAL• Genital stage.SPRITUAL• Synthetic
conventional faith.
INTELLECTUAL OR COGNITIVE MORAL DEVELOPMENT
FORMAL OPERATIONAL THOUGHT(11 years to adulthood)
• Expresses concern for education vs. vocational choice.
MORAL• Post conventional stage 5 (13+years) possibly stage 6
(adulthood)
PLAY STIMULATION• Engages in organized competitive sports.
LATE ADOLESCENCE( 17-21YEARS)
PHYSICAL AND BIOLOGIC WEIGHT AND HEIGHT The weight of the male approximately 56-80 kg. The weight of the female approximately 48-72 kg. The height of the male approximately 163-182 cm. The height of the female approximately 156-170 cm. The pulse is 70 ± 10 beats per minute. Respiration is 17 ±3 per minute. Blood Pressure is 126/74 ± 26/16. Dentition eruption of third molars (wisdom teeth), 17 -
21 years.
CONT……MOTOR AND SELF CARE• Motor function comparable to that
of adult .• Eye –hand coordination at adult
level.• Posses manual dexterity.SENSORY• Visual acuity : 20/20 (adult value)
PSYCHOSOCIAL, PSYCHOSEXUAL AND SPRITUAL DEVELOPMENT
PSYCHOSOCIAL• Sense of identity (13-18 years).• Sense of intimacy. Negative counterpart : isolation.• Severe ties with parents.• Establishes interdependent relationship with parents.• Has fewer but close friends.• Heterosexual relationships are the rule.PSYCHOSEXUAL• Genital age.SPIRITUAL• Individuating reflecting faith.
INTELLECTUAL OR COGNITIVE, MORAL DEVELOPMENT
FORMAL OPERATIONAL THOUGHTS (11 YEARS ADULTHOOD)• Pursues further education or enters the job
market.
MORAL• Post conventional stage .• Orientation toward decisions of conscience : “
universal ethical principles”
PLAY STIMULATION
Recreational Activities• Chooses more
passive spectator sports.