GRADED A
pain scale= NIPS - used for 2 months or less
Pain scale= Flacc - used for more than 2 months old
Pain scale= Wong Baker - used for 3-4 year olds ( preschooler)
Pain scale =Numeric - used for 8 year old and up ( as young as 5 if the understand
value of numbers)
School age (6-12) nursing considerations - Ask why?; let them contribute; they
understand cause and effect; Don't need to be bribed
Adolescent nursing assessment finding (Erikson) - expected= they are finding
themselves; friends are very important; Confidentiality and privacy important
Erikson Adolescent - Age 12-18
Identity vs role confusion
Nutritional assessment of Adolescent - Ask Patient what they ate; also assess
weight
(body issues are common)
, Erikson Preschooler - Age 3-6
Initiate vs guilt
Parallel play - Play side by side NOT with each other. (Toddlers 1-3)
Associative play - NO group goal ( preschooler 3-6) ; example kicking ball around
Cooperative play - Sports; common goal ( School age 6-12)
Preparing School age patient for procedure - Age 6-12; Answer why questions,
allow them to contribute ; explain cause and effect
Appropriate skill set based on age= 6 months - should sit up unsupported; tripod
position
Appropriate skill set based on age = 3 years old - should walk up stairs with
alternating feet
Appropriate primative reflex should disappear at= 3-4 MONTHS - Rooting,
sucking; Palmar; Tonic neck reflexes
Appropriate primative reflex should disappear at = 1 month - Stepping reflex
Appropiate primative reflex should disappear at= 6 MONTHS - Moro reflex