Double= 6 months Triples = 1 year

4 month

8-9 months

2 years of age

Posterior = 3 months Anterior = 9-18 months

By 1 yr

Trust (Infant=Birth-1st yr) Autonomy (Toddler=1-3yrs) Initiative (Preschooler=4-5yrs) Industry (School age=6-12yrs) Identity (Adolescent/Teenager=12yrs and older)

-It’s from birth to first year -Establish trust by feeding, changing the diaper, holding the baby.

-Occurs from 1-3 yrs. -Begins when the child is walking and ends when they are toilet trained -Their favorite word during this time is NO!!.... they’re becoming independent and this is there control over the world.

-It’s the preschooler age 4-5yrs -They are learning to cooperate, to take initiative in the things they’re doing, and beginning to draw.

-This is your school age 6-12 yrs. -They’re very involved in learning everything.

Adolescent 12 and up

-Babies like rattlers and mobiles....they are doing onlooker play/solitary play rather than interactive play -Toddlers are more into parallel play.....they aren’t playing with the other child but playing alongside each other -They enjoy things that make noise, push-pull toys bc they are walking. -Preschool age children (3-6 yrs.) are into associative play ....imitative and dramatic type play -They imitate same sex roles - Play w/ tricycle, clay, paints, swings, sliding board -School age children (6-12yrs.) are into cooperative play...... they like games with rules and collecting things. -Adolescents/Teenagers (12yrs. & older) enjoys sports, school activities, and peer group activities

All children need limits and discipline....so you still want to set limits w/them even though they may have a chronic or acute serious illness.

Wong-baker faces scale....so they can point out the face that correlates to their pain level

-If possible you still continue to hold and feed them. -If unable to eat you’ll do things like non-nutritive suck....like giving them a pacifier....particularly if they have a TE fistula then they would need that non-nutritive sucking.

you want to try a maintain rituals with them....they are very set in there rituals.....so you want to continue doing the same things they do at home

Is where they are into imitating (mom/dad)....they enjoy playing with puppets, dress up, changing their clothes frequently.

-You’ll prepare them even more by giving them more information - They will also try to negotiate with you by saying a few more minutes, I’m not ready yet, give me thirty more minutes.....and you have to establish a time with them.

The main thing they want are they’re peers there....they’ll be eager to have their peers come and visit.

-Breast milk or iron fortified formula -If less than 1 year, use iron fortified formula when weaned from breast milk. -Introduce iron-fortified cereal or formula (if on formula) at 5-6 mos.

-Busy, will not eat big meal (bc they’re busy exploring)....Need small frequent meals & snacks. -Cut food into small pieces, such as grapes, hotdogs, and carrots. -Are at risk for aspiration due to them running around.....Avoid foods like peanuts, gummies, and skittles.

Into drive through, high fat foods like burgers, pizza, etc......and they’re influenced by peers.