Stages From Sunrise to Sunset
This psychiatrist created a theory regarding stages of cognitive development
Who is Jean Piaget?
Indicated when sustained movement at the sternal border at the 4th ICS is observed
What is ventricular hypertrophy?
Nasal mucosa that is red, swollen, with clear watery discharge
What are signs of allergies?
Risk factors for breast cancer
What is increased age, early menarche, 1st degree relative with breast cancer, 1st birth after age 30, menopause after 50?
Age where gross motor development tasks include sitting up
What is 6-8 months?
The age group & psychosocial stage of development when a client discusses how they want to support future generations by volunteering and becoming more involved in the community
What is Middle Adult and Generativity vs Stagnation?
Assessments for CN III, IV, VI
What are pupillary light reflex, symmetry, accommodation, extraocular movement (cardinal movements, diagnostic positions)?
Hearing loss due to cerumen, foreign body, fluid; a hearing aid helps
What is conductive hearing loss?
Abnormal breathing sound with inspiration, louder over the throat, high pitched, associated with airway obstruction and infections such as croup
What is stridor?
With this age group, you can give choices during the exam when appropriate
What is preschoolers (3-6 years old)?
Children in this cognitive development stage have logical thinking, a strong sense of what is fair, and love to collect things
What is Concrete Operations (7-11)?
Digital rectal exam and fecal occult blood test yearly, colonoscopy q10 years starting at 50
What are early detection measures for colon cancer?
Decline in near vision associated with aging
What is presbyopia?
The ABCDE of skin lesion assessment
What is Asymmetry, Border irregularity, Color variation, Diameter >6mm, Elevation or enlargement?
Setting consistent boundaries, provide positive distractions, time-out 1 minute for every year old, praise good behaviors
What is ways to discipline toddlers?
In this cognitive development stage words are taken literally, there is awareness of cause/effect, they are less egocentric and have magical thinking, very curious
What is Preoperational (preschool)?
When auscultated, associated with an aneurysm or stenosis
What is a bruit (abdominal or carotid)?
Documentation for tonsils that touch the uvula
What is 3+?
Nails that seem to float instead of being firmly attached; form a sharper angle with the cuticle; nail curves downward like an upside down spoon
What is clubbing?
Newborn reflexes
What are rooting, Babinski, Moro, Tonic Neck, Palmar Grasp, and Suck?
In this psychosocial developmental stage, life review occurs and they are either satisfied or feel a sense of failure
What is Erikson's Ego integrity vs Despair (Late Adult)?
Exaggerated convex curvature of the thoracic spine associated with aging
What is kyphosis?
Expected finding for lymph node assessment on a healthy adult
What is not palpable, nontender?
Words sound garbled and hard to localize, hearing aid does not help
What is sensorineural hearing loss?
Purpose of the Denver ll screening
What is identify developmental delays so early intervention can happen?