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5 Cards in this Set

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What are the developmental considerations for psychological preparation and support for an infant?
Developmental Characteristics
• Infants are in the sensorimotor stage
• Establishing self versus others
• Forms attachments to favorite toys
• Attends to a variety of visual, auditory and tactile stimuli
• Separation anxiety (8 – 24 months)
• Stranger anxiety

Suggestions
- Include parents as often as possible
- Prepare parents for tests and procedures
- Encourage parents to support the child during the procedure
- Maintain the crib as a safe place where no procedures are performed
What are the developmental considerations for psychological preparation and support for a toddler?
Developmental Characteristics
• Engages in preoperational thinking
• Egocentric
• Understands concepts that only they have experienced
• Mixes reality and fantasy
• Limited concept of time, anatomy, verbal skills and self-expression
• Believes in imminent justice
• Pain as “punishment”, fear of needles, disruptive

Suggestions
-Be honest, especially about pain
-Prepare child for a procedure with tangible equip
-Use dolls for prep
-Provide simple explanations
-Reassure that this is not punishment
-Provide realistic choices
What are the developmental considerations for psychological preparation and support for a preschooler?
Developmental Characteristics
• Is in preoperational stage
• Better verbal skills
• Uses play for self-expression
• Egocentric, magical thinking
• Acquiring sense of initiative
• Uses/repeats words that they don’t understand

Suggestions
- Encourage questions
- Address child’s fantasies
- Visual aids for teaching
- Be honest; allow child to manipulate equipment
- Allow child to play-out events
What are the developmental considerations for psychological preparation and support for a school-aged child?
Developmental Characteristics
• Is in the stage of concrete operations
• Can think and reason logically but not abstractly
• Good concept of time
• Seeks autonomy and independence
• Understands cause and effect
• Fear of death and incompetency
• Loss of control; bodily injury or mutilation

Suggestions
- Be honest; offer help so the child can work through feelings and establish coping strategies
- Address child’s concerns about mutilation
- Allow for realistic choices
- Focus on child’s prep on sensory info and behavioral expectations
- Use pictures, dolls or models for prep
What are the developmental considerations for psychological preparation and support for an adolescent?
Developmental Characteristics
• Is in the stage of formal operations
• Thinks abstractly
• Engages in some magical thinking
• Considers socialization with peers important; perception of peers important
• Loss of control, skills and independence

Suggestions
- Allow for choices
- Develop trust
- Stress importance of compliance
- Promote peer contacts
- Include adolescent in decision making
- Use concrete details
- Maximize independence
- Respect privacy