Notes
Unit one growth and development
Content of the notes (52)
Page 1
Principle of growth / development
growth - physicological changes, height, head curicumference
4 principles of growth:
rate isnt constant
grows at different rates
vary between children
boys is faster than girls
development - acqulistion of skills and abilities
types:
physical development
intellecutal / cognitive development: language, memory, thinking skils
emotional development: feeling to others/ ourselves
social development: ability to form relationships, learn to be independent
development milestone - vary between individuals but follows same sequence
types:
0-3 months: use gurling, crying to communicate
18 months: say 6 to 10 words
2 years: link words together
3 years: simple sentence
8 years: reason and explain
Page 2
gross motor skils, 0-8 years
gross motor skills - control of large muscles: arms, legs
infancy 0-2yrs:
skills developm from head down
6months infant gradually control muscles in neck/back
11-13months muscles in legs develop
2 years climb onto low thing
activitys:
crawling
walking
running
balancing
climbing
Page 3
fine Motor Skills, 0-8 years
fine motor skills - control of movement in smaller muscles: fingers, hands
development of the small muscles in the fingers and hands:
new born: grasp adult fingers / pick up small objects using prince grasp
18 months: build small blocks / use a spoon using palmar gasps
3 years: use a fork and spoon / turn page of book / press buttons by developing the tripod grasp
5 years: control muscles in fingers / hand eye coordination
activities:
holding rattle
buiding blocks
playing with toys
writing
completing jigsaw puzzles
Page 4
physical development in Adlescence:
life stage between 9-18 yrs
puberty:
girls 11-13yrs
boys 13-15yrs
hormones sent to the brain - signal to the Pituary glands releases hormones that stimulate overires in girls / testes in boys produce sex hormones.
height can increase rapid over short time
role of Hormones in sexual development:
boys - testoerne produe in testes / stimulates growth of penis, testes, public hair, muscles
girls - oestrogen and progesterone in overies / stimulate growth of breast, reproductive system
primary sexual characteristics - processes related to sex organs helps birth/sex hormones
menstruation begins
penis enlargement
prostates glads produces secretion
testes enlarge and produce sperm
secondary sexual characteristics - not needed for reporduction.
growth of armpit and pubic hair
growth spurts
increased muscles
Page 5
Physical development in early adulthood:
life stage between 19-45 yrs
charateritcs physical maturity:
full height is reached
reaction time is quickest
hand eye coordination is at peak
sexual characteristcs are fully developed
physical strength / stamina at peak
fertility and permienopauce:
women are most fertile at begining of this
40-45 yrs reach end of reproductive years - perimenopauce
menopauce - reduction in oestrogen cause physical and emotional symptom.
physical and emotional sysptom of menopauce:
hot flushes
night sweats
mood swings
Page 6
physical development in middle adulthood.
life stage between 46-65 yrs
effect of ageing:
grey hair
loss of muscle tone
body shape changes
men being lose hair
loss of height
menopauce:
natural physciological change
happen over several years ending with menstruation
symptoms of menopauce are result of hormonal changes:
reduction in oestrogen : ovaries stop produceing eggs, thinning / shrinkage of vagina
reudction in oestrogen / progestrone: gradually stops menstruation impact libido
reduction in oestrogen: effect of health of hair, skin, nails / cause mood swings
Page 7
physical development in later adulthood
life stage 65+ yrs
effects of ageing:
decline in strength
loss of muscle
high suscpetibiity to infection
less elasticity in the skin
intellecutal ability:
doesnt impact cognitive ability
negatively affect how individuals processes infromation
memory
recall
speed of thinking
Page 8
intellecutal development
types:
problem solving
language development
moral development
abstract thought and creative thinking
memory
stage of life:
infancy to early childhood- 90% of brain cells are connected by the child is 5
early adulthood - gain knowledge, skills, experience
later adulthood - memory begin to decline
Page 9
Stages of cognitive development - Piaget
believed children pass through distinct development stages in sequences via play
criticism:
underestimated children development / support they can move quickly to the next stage
stages:
sensorimotor: 0-2yrs / learn about environment and develop early schemas via play
pre-operational: 2-7yrs / control their environment via symbolic behaviour / representational words and drawing and pretend play / not yet thinking logically
concrete operations: 7-11yrs / practical resources to help understand the world / classify and categories use to understand thing they see
formal operations: 11-18yrs / young people capacity for abstract thoughts / rational thought / problem solving
schematic development theory:
assimilation - an understanding of schemas
equilibrium - child experiences fits with their schemas
disequilibrium - new experiences disturbs their schemas
accommodation - child understand schemas changes to take account of new experiences
Page 10
piaget - how child thinks
believed that children think differently to adults
conservation -
the child understanding the amount remains the same even when container shapes has changed.
tested to see there reason and logical of thinking
tested via water entering more than one size container but the same amount of water in each
egocentrism -
until child is 7 there only see things from there view
tested via a mountain test (child could only see one side of mountain and not side of the doll view)
criticisms:
underestimates children rate of development
support = child develop more advance concepts
some child given experiences that help them move through the stages faster
some children see things from the perspective of other before the age of 7
Page 11
language development
stages:
infancy -
0-3 months: makes mouth movement / cries for food or comfort
6-12 months: understand some words / make sounds
18months: say between 6 to 10 words / follow simple instruction
early adulthood -
2-3 yrs: link words together / vocab increases to 200 words
3-5yrs: ask question / simple sentences / may use incorrect form of words
8yrs: speak in complex sentences / reason and explain
adolences -
9-19yrs: developing vocab / language to explain abstract ideas
Page 12
language Aquisition Device (LAD)
chomsky - hypothetical part of human mind allows infants to acquire and produce language
suggest:
born with a structure in their brains that enables them to acquire language
critical period for first language development in first year of life
follow same pattern of language development
innate understanding of structure of language / basis for all language
criticisms:
lack of scientific evidence
rate of lang development affected by amount of interaction
language doesn't acquisition support system is required
Page 13
Bowlby - theory of attachment
attachment = emotional bond formed between infant and care giver
infants are biologically pre-programmed to form attachment:
early months infant form one primary attachment
critical period for developing attachment
attachment to primary caregiver is essential
disruption to attachment has neg impact on development
model for future attachment
Page 14
Schaffer and Emerson stage of attachment
0-3 months : responds to any caregiver
4-7 months : shows preference for primary caregiver but accept care from other
7-9 months: prefers primary caregiver and seeks comfort when not happy / unhappy when seperated
10+ : develop attachment with others who responds to them
18months: forms attachment with many people
Page 15
Ainsworth - theory of attachment
3 mains types of attachment based of study of children reaction when parted with parents.
types:
Secure - parents tune with child and their emotions. infant shows destress when parents leaves and greets them when they return / seek comfort from them
avoidant - unavailable to child / rejects them. shows no distress when caregiver leaves / continues to explore
resistant - inconsistent in meeting child needs. shows distress when caregiver leaves / resist contact on their return
Page 16
Emotional development - self concept
Self-images - how individuals view themselves / influenced by how they are perceived by others
self-concept - combination of self-image and self-esteem
self-esteem - how individuals value and feel about the knowledge they have of themselves
factors which may impact self-image and self-esteem:
life experiences
sexual orientation
family / cultures
life circumstances
negative self-image - feel unattractive / receiving negative comments
positive self-image - feel attractive / positive comments
high self-esteem - feel confident / willing to try anything
low self-esteem - feels worthless / less likely to try new things
Page 17
Stages of play
play in infant and early childhood:
all children play
start to play when few months old
promotes PIECS development
stages of play:
solo play - 0-2 yrs / play on its own / aware of other are present but ignores them
Parallel play - 2-3yrs / playing next to each other but still play on there own
co-orparated play - 3yrs / sharing and talking and playing with others
Page 18
Friendship and relationships
developing relationships:
formal - develop between non-related individuals
intimate - begin in Adolescence and continue and new one throughout life
informal - built between individuals and family / start with attachment in infancy / strong informal relationship
healthy relationship : trust / acceptance / respect
negative relationship : stress / blame / low self-esteem
Page 19
social development and independence
independence is influenced by :
health
culture
stage of social development
physical disability
peer pressure: influenced ab individual to change their behaviour so they become social accepted
negative affects: smoking / drugs/ depression/ stealing
positive affects: studying / befriending /sport
Page 20
Gesells - Maturation theory
explain how biological maturation is related to overall development
bases his theory of beliefs:
development is genetically determined from birth
child follows same order sequence in their development
pace of development varies
observed:
behaviour of many children which determined average or norms he called milestones of development
milestones described child physical , social, emotional Development
positive views:
determined typical norms of development that are still used today
advanced methods to observe
negative views:
didn't consider who influences of individuals of cultural diffeences
believed norms of development he described were desirable
Page 21
Bandura - social learning theory
suggest way children behave is an interaction between personal / environmental factors
theory based on beliefs that learning through observing, limiting and modelling behaviour via:
attention - when child focuses attention on model behaviour
retention - child observed is retained in memory to use when occurs
reproductive
motivation
reinforcement:
positive - repeated due to personal satisfaction or reward
negative - not repeated to avoid bad experiences
vicarious - may be motivated due to role model / resist limiting the action due to model receives negative feedback
Page 22
Nature Vs Nurture:
debate:
nature - influence of merited feature on development based on genes
Nurture - influence of environmental factors based on characteristics
nature and Nurture - Piaget accepted that children develop in a predestined way but believed experiences help them develop concepts
genetic predisposition: can be trigged by their environment and life experiences
stress -diathesis model:
explain both nature and nurture play a part in development of physiological disorders
nature - diathesis (predisposition to mental disorder due to an abnormality of the brain )
nurture - stresses (traumatic events in person life)
Page 23
Genetic Factors:
predisposition to condition:
genes set to instruction the cell that determines growth and development
inherit 23 pairs of chromosomes / contain genes
dominant genes:
passed from one parents or both
developing conditions depends on recessive or dominant gene
example - Brittle bone disease (cause bone to break easily) / Huntington's disease (cause involuntary movement , cognitive and psychiatric disorders)
recessive genes:
must be passed on from both parents
example - cystic fibrosis (cause of build-up of thick sticky mucous that can damage the lungs) / PKU (cause intellectual disability and development delay)
condition caused by abnormality in an individual chromosomes:
down syndrome - extra copy of chromosomes 21
Colour blindness - mutation in the X chromosomes / more common in males
genetic susceptibility to disease:
increase likelihood of developing a disease due to an individuals genetic makeup
diseases = cancer, diabetes
Page 24
Biological factors
biological factors:
mother lifestyle during pregnancy can affect the health and development of unborn child
factors = poor diet / drugs / alcohol / smoking
effect on developing child:
poor lifestyle choice in pregnancy lead to = low birth weight / premature weight / learning disabilities
maternal infection:
infections such as Rubella or CMV be passed to the baby in the womb
causes = still birth / miscarriage / health problems
Foetal alcohol syndrome:
small head circumference
brain problems
abnormal growth
facial abnormailities
Page 25
Environmental factors
factors effecting human growth and development:
inherited
social
environmental
economic
biological
life events
pollution:
harmful substances contaminate the atmosphere
can be taken in via nose mouth skin
can cause respitory disorder - asthma/cancer
poor housing conditions:
lead to short term / long term issues
effects - depression / overcrowding /hypothemia / risk of infection
Page 26
health and social care service
available to support individuals with their health needs
relationships between health and social care service:
health services:
sexual health
mental health
eye contact
walk in centres
adult and children social care:
day centre and luncheon clubs
mousing
home care
supported living
access to service can prove difficult for some people:
service availability :
may be restricitions on delivery or service opening
pressure on service because of increased demands
lack of public transport to take individuals to and form services
individuals circumstances:
mobility difficulties restrict physical access
learning / communication difficulties can impact on person understanding of and contact with available services
Page 27
social factors - family dysfunction
dysfunctional families:
member of families don't carry out their responsabilties
needs of family member aren't met
sibling rivalry and conflict
abuse
reason on dysfunctional families:
parental perpetuate their own dysfunctional upbringing
entreated mental illness in one or more family members
alcohol or drug abuse
impact of dysfunctional:
negative self-image
low self-esteem
hard to build relationships and friendship
effects of parental divorce or separation:
isolation
stress
guilt
health problems
parenting styles:
supportive:
authoritative - child accepts for who they are
permissive - parents are indulgent
unsupportive:
authoritative - parents assert their authority / child is controlled
disengaged - parents are neglect and show lack of interest
Page 28
social factors - bullying
types of bullying:
verbal - name calling / racism
emotional - ignoring / stalking
cyber bullying - posting hateful things
physical - hitting / kicking
short term effects:
stress / anxiety
poor self image
depression
ED
long term effects:
Self Harm
Substance abuse
risk of sucide
Page 29
influence of culture and religion
culture, community and beliefs influences:
diet
dress
morality
lifestyle
dietary restriction:
forbid some consumption of certain food - Muslims don't eat pork
high fibre or low fats diets lower risk of high heart disease and high blood pressure / reduce cancer (possible health benefits)
nutritional deficiencies / lack of calcium, iron, vitamin B12 (possible health risk)
medical interventions:
some don't believe in blood transfusions, transplants - jehovah's Witnesses
deterioration to health and possible death (possible health risk)
social and emotional effects of culture and beliefs:
positive effects:
share the same values, beliefs and religion
accepted and are supported by others
feel valued
negative effects:
discriminated against due to there values, beliefs and religion
feel excluded
ignored and not understood
Page 30
economic factors
economic factors:
income and expenditure
lifestyles and health
employment status
education
physical effects:
+: job improve musle tone and fitness
-: cause muscle damage
intellectual effects:
+education / work
-: being out of work / low income
emotional effects:
+: high status at work lead to postive self esteem
-:low income lead to poor health
social effects:
+: afford a healthy lifestyle
-: low income leads to unhealthy lifestyle
Page 31
life events
examples:
moving house
starting school
divorce
leaving home
tyoes if transitions:
emotional - personal divorce (divorce / marriage)
physical - change of envrionment (home / school)
intellectual - job promotion / college
physiological - injury / puberty
predictable life events:
life events you know is gonna happen
positive events
unpredictable life events:
life events youo dont know will happen
marriage
Page 32
degeneration of the nervous tissue
causes:
decline in short term memory
increase in time taken to react
decline in verbal capabiliy
effects on senses
loss of neuronese and degeneraive diseases:
from strucutres of the brain that control movement may cause degenerative disease eg Parkinson disease
average age of Parkinson 60.
subsantia nigra - dopamine-producing cells
physical effects of Parkinsons disease:
tremor - shaking / begining in hands and arms
mobility - slowness of movement / muscle stiffness
cognitive effects of Parkinson disease:
anxiety
depression
impairment in thinking and problem solving
Page 33
degeneration of the sense organs
taste with age:
number of taste buds decrease / reducing enjoyment of food / saliva decreases
touch with age:
reduce sensitivity to temp / reduced sensitivty to touch / skin become sensitive
slight with age:
vision becomes less sharp / pupil react more slowlyin bright light or darkness / increase risk of muscle
hearing with age:
hearing loss / hard to hear between sounds / tinnitus
degeneration of sense organs can cause:
low self-image
anxiety
isolation
loss of independence
Page 34
osteoarthritis and nutrition
osteoarthritis:
swelling / pain in joints
damage to soft tissue around joints
hard to walk
risk of osteoarthritis is increases:
joints abnormally
being female
obesity
absorption of nutrients:
reduced producion of gastic hydrocholric acid which prevents breakdown of poteints/fats/carboyhdrates
deteriotation of functions of digestive organs and digestive lining
effect of defincies in essentital nutrients:
vitamin D - increase in risk of osteoporosis / cancer /diabetes
calcium - bone loss / increase risk of fractures
Vitamin B12 - slows creaion of red blood cells / reduce nerve function
Magnesium - impact of immune system / function of heart
Omega-3 - increase risk of arthritis / macular degeneration
Potassium - weaken body / reduce cell function / kidney function
Vitamin C - slow healing / development of healhy tissue
iron - increase the risk of anaemia
Page 35
Dementia
facts of Dementia:
stroke may cause it
lifestyle factors may cause it - smoking / diet
risk of it increase with age
progressive
Alzheimers disease:
common in dementia patiens
people over age of 65
proteins called plaques and trangles build up in brain
lead to shorttage of chemical in brain
effect transmission of signals
effcts of Alzheimer disease:
early stage - decline in short term memory / hard to do simple tasks / problem solving
later stage - language impairment / lack of judgement / agitation
final stage - unable to recognise family member / death / lack of body control
support for Alzheimers:
medication
counselling
end of life care
Page 36
effect of illness common in ageing
phsycial - make body less able to fight illness / cause pain and discomfort / reduce stamina
intellectual - short term memory loss / affect decision-making skills
emotional - lack of control / familites closer together / low-esteem
social - abilitiy to communicate in groups / reduce opportunityties
lifestyle choices:
healthy diet - additional nutrients
exercice - keeps joints mobile
drugs - non smoking reduces / medication prescription
Page 37
pyschological effect of ageing
social change and their effects:
loss of jobs and status - lakc of purpose / opportunities to try new things / reduce self esteem
losing own home - security when forced to move
death of partners / friends: grief can cause a loss of sense of safety and security
reduce mobilitiy / fitness - inability to move around and contiune to carry out
loss of independence - increase of feeling helplessness
finanical concerns:
less opportunity to socialise
less money to buy food
less money to pay for adequate heating
worry and stress
loneliness and dependence:
36% of people over 65yrs live alone
self esteem:
no longer useful
no longer independent and cant do things themselves
finanically insecure and anxious about how they will pay for things
Page 38
theory of ageing
activty theory:
social and psychological needs of individauls remain the same
people need activity and social interaction
individuals adjust to their declining health and mobility and strength
people contiune to invole themselves in the community
social disengagment theory:
people naturally withdraw from social contract older age
society withdraw from older people
people focus on their preious life and activities
family expect less from older people
older peopl become more dependent
Page 39
provision for the aged
provision for older people is needed for:
loss of mobility
loss of independence
increase risk of falls
age-related disease
prevetion of isolation
what type of provsion is available:
acute care
healthcare
social care
communtity equipment
psychological care
benefits and entitlements
end of life care
how are healthy older people helped to stay healthy:
ifleunza immunisation
winter fuel and cold weather payments
health monitoring and screening
occupational therapy
Page 40
ageing and economic effects
ageing population in the UK:
life expetancy = 79.2 yr male / 83.3yrs women
1/3 babies born today will reach 100 yr
impact of the % rise in older people on economy:
health and welfare
pension cost
employment
housing
government responses:
raise retirement age
increase taxes to pay for state pension and welfare
Page 41
The effect of life events
impact on health:
anxiety
digestive problems
stress / sleeping problems
headaches
Page 42
Holmes-Rahe - social adjustment rating scale
believed there was a correlation between psychological illness / stressful events
study:
listed 43 life events that individuals may experiences
applied score to each life events depending on the level of stress it was likely caused
patients were asked to indicare the life events they had experienced from the list
pateintd added up the score from their life events
results:
found ther was a correlation between number of units and their illness
Page 43
cardiovascular disease and ageing
change in the heart with ageing:
heart increases in size -thicken walls, hard to relax muscle
pacemaker cells decrease - problem with rythem in heart
arterys walls narrow due to clogging by fats
value inside heart control flow of blood
health factors that can exacerbate heart disease:
diabtes
high blood cholesterol
obesity
lifestyles factors that can increase the risk of cardiovascular disease:
alcohol
smoking
lack of exercie
diet of high salt
effect of cardiovascular disease in later life:
negative - anger, depression, loss of independence
positive - closer relationship with fam, choosing to improve lifestyles
Page 44
degeneration of the nervous tissue
degeneration of nervous tissue:
reduction in reflexes and movement
effect on senses
decline in verbal capability
decline in memory
facts of nervous tissue:
varies between old people
same symptoms of Alzheimers
new connection between nerve cells can develop
loss of neurones and degenerative disease:
structures of brain controls movement cause defenerative disease - Parkinsons
substantia nigra - dopamine producing cells
physical effects of Parkinsons diseases:
tremors - uncontrollable shaking / begins in hands and arms
mobility - slowness in movement / muscle stiffness
cognitive effects of Parkinsons disease:
depression
anxiety
impariment in thinking
problem solving
Page 45
degeneration of the sense organs
taste with age:
taste buds decrease
production of saliva decrease
smell decreases / hard to detect odours
touch with age:
reduces sensitivity to temp
reduces sensitivity to injury
increased sensitivity to touch which causes bruises
sights with age:
vision become less sharp
cataracts may develop - cloudy vision
pupils react slowly
hearing with age:
hearing weakens
hard to distinguish between sounds
tinnitus
social and emotional effects of degeneration of sense of organs:
isolation
anxiety
depression
hard to take part in activities
Page 46
Osteoarthritis and Nutrition
physical effects of Osteoarthritis:
swelling and pain in joints
damages to the soft tissues around joints
hard to walk
risk of osteoarthritis is increased by:
obesity
genetics
being female
injury to joints
Absorption of nutrients:
reduction of production of gastric hydrochloric acid - prevents breakdown of proteins, fats,carbs.
deterioration of function of digestive organs and digestive lining
effects of deficiencies in essential nutrients:
Vitamin D - increase risk of cancer, diabetes / reduction of body ability to absorb calcium
calcium - bones lose / increase risk of fractures
Vitamins B12 - slow creation of red blood cells / reduce nerves
Magnesiums - impact immune system / function of heart
Omega 3 - increase risk of arthritis
Potassium - weakens bones / reduces cell function
Vitamins C - lows healing / reduces cell function
Iron - increase risk of anaemia
Page 47
Dementia
facts -
stroke can cause it
lifestyle factors can cause it - unhealthy diet / smoking
old age
Alzheimers disease:
most common cause of Dementia
over the age of 65
proteins called PLAQUES and TRAINGLES build up in brain
lead to shortage of chemicals in brain - effects transmission to signal
effects of Alzheimers:
early stage - decline in short term memory / hard to do simple tasks
later stage - lack of judgement / language impairment
final stage - death / lack of control of body functions
support needs for Alzheimers:
medication
end of life care
memory clinics
Page 48
psychological effects of ageing
social changes and their effects:
lose of jobs and status - low self esteem
reduced mobility / fitness
loss of independence
reduces access to social networks
death of partners
losing own homes
financial concerns:
29% of retired people didn't have financial concerns
26% said they were just getting by
most orders don't have financial concerns
14% live in poverty
less opportuninitys to socialise
less money to buy food
self-esteem:
they no longer useful
no longer independents
can't do things for themselves
Page 49
effects of illness common in ageing
physical:
body less able to fight infection
reduce stamina
lost mobility
intellectual:
short term memory loss
decision making skills
difficulty in verbal communication
social:
opportunity to make friends
impact on socialising
affect ability to communicate in groups
emotional:
feeling out of control
low self esteem
families closer together
lifestyle choices:
healthy diet - additional nutriences
exercise - keeps joints moving
drugs - medicine
Page 50
theories of ageing
activity theory:
social and psychological eeds of individuals remain the same
people need activity and social interaction
individuals adjust to their decline health and mobility / strength
people continue to involce themselves in the community
social disengagement theory:
people naturally withdraw from social contact in older age
society withdraw from older people
focus on their previous life and activities
expect less from older people
older people become more dependent
ageing can result in transquility and be a positive development
Page 51
provision for the aged
provision for older people is needed for:
age related condition
chronic conditions
prevention of isolation
increase risk of injurys
types of provision:
acute care - meet immediate needs
healthcare - support for long term conditions
social care - own home care
community equipment - keeping people mobile
psychological care - mental health nursings
benefits and entitlement - adaption to home
end of life care - pain relief
how are healthy older people helped to stay healthy:
winter fuel and cold weather payment
infleunza immunisation
health monitorting and screening
integrated service:
formal health care - private / statutory
informal health care - provided by family / relgion
Page 52
ageing and economic effects:
ageing population in UK:
life expetancy women = 83.3yrs / males = 79.2yrs
1/3 babies born today will live past 100yrs
impact of the % rise in older people on the economy:
health and welfare
pension cost
employment
housing
government response:
rasing in retirement age
ecouraging people in work to take out private pension
increasing taxes pay for state pension / welfare
pressure on services:
families being unable / less willing to care for older family members
advances in medicine helps people to live longer
increase number of old people with conditions
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