By:- firoz qureshiDept. psychiatric

nursing

GROWTH AND DEVELOPMENT

PUBESCENT AND ADOLESCENT

BIOLOGICAL GROWTH

The specific changes in growth and development to be expected of the young women and men during early ,middle, late adolescent are presented. These are discussed below :

AVERAGE ACHIEVEMENT LEVELS OF THE

PUBESCENT AND ADOLESCENT 12-18

YEARS EARLY

ADULESCENCE 12-13YEARSPHYSICAL OR

BIOLOGIC

WEIGHT

MALE38-60

kg

FEMALE40 to 60 kg

HEIGHT

• 154-172 cmMALE

• 153-167 cmFEMALE

PULSE-65 (+) or (–) 8 beats per minute

RESPIRATION- 19 (+) or (–) 3 per minute

BLOOD PRESSUREMale- 114/68 +_ 10/14Female-112/66_+ 10/12

CONT……Dentition eruption of second

molars(12-13 years)Secondary sex characteristics develop.Individual differences in rate of

physical growth and development of pubescent children of same chronological age.

CONT…..MOTOR AND SELF-CAREClumsiness occurs due to rapid physical growth motor function comparable to adult eye hand coordination at adult level possesses manual dexterity.SENSORYVisual acuity: 20/20

PSYCHOSOCIAL, PSYCHOSEXUAL, SPRITUAL

DEVELOPMENTPSYCHOSOCIAL• Beginning of development of sense of identity(13-18 years).”who

am I ?” negative counterpart: self diffusion.• Egocentric- world centers around child.• Has intensive loyalty to peer groups.• Show mood swings and extremes of behavior.• Experiences sense of loss as beginning to separate from parents.• Day dreams over heroes• Continuous same sex friendshipsPSYCHOSEXUAL• Genital stage• Masturbation occurs

CONT…..SPRITUAL• Synthetic conventional faith.INTELLECTUAL OR COGNITIVE, MORAL DEVELOPMENT• Formal operational thought(11 years adulthood)• Use the scientific method for problem solving.MORAL• Post conventional stage 5(13+years)• “the individual conform to maintain others respect”LANGUAGE AND SPEECH DEVELOPMENT• Uses slang within out side peer group.• Uses distinct meaning for words .

CONT…..PLAY STIMULATION RECREATIONAL ACTIVITES• Chooses activities according to individual interests • Parties• Conversation• Helping others• Interest in world affairs• Expressive arts• Hobbies• Social drinking• Drugs

MIDDLE ADOLESCENCE 14-16 YEARS

PHYSICAL AND BIOLOGICWEIGHT• Male- approximately 50-60 kg.• Female- approximately 42-64 kg.HEIGHT• Male- approximately 164 -180 cm• Female- approximately 155-169 cm.• PULSE- 63_+ 8 beats per minute.• RESPIRATION- 17_+ 3 per minutesBLOOD PRESSURE• Male-116/70_+12/14• Female- 114/70_+ 14/12

CONT…..MOTOR SELF CARE• Motor function comparable to that of adult eye-hand

coordination at adult level processes manual dexterity.SENSORY• Visual acuity:20/20(adult values)PSYCHOSOCIAL, PSYCHOSEXUAL AND SPRITUAL DEVELOPMENT PSYCHOSOCIAL• Sense of identity (13-18 years) “who am i?” negative

counterpart: self diffusion.• Egocentritism diminishes separate from parents

continuous heterosexual relationship • Verbally attacks parents beliefs and values.

CONT….PSYCHOSEXUAL• Genital stage.SPRITUAL• Synthetic

conventional faith.

INTELLECTUAL OR COGNITIVE MORAL DEVELOPMENT

FORMAL OPERATIONAL THOUGHT(11 years to adulthood)

• Expresses concern for education vs. vocational choice.

MORAL• Post conventional stage 5 (13+years) possibly stage 6

(adulthood)

PLAY STIMULATION• Engages in organized competitive sports.

LATE ADOLESCENCE( 17-21YEARS)

PHYSICAL AND BIOLOGIC WEIGHT AND HEIGHT The weight of the male approximately 56-80 kg. The weight of the female approximately 48-72 kg. The height of the male approximately 163-182 cm. The height of the female approximately 156-170 cm. The pulse is 70 ± 10 beats per minute. Respiration is 17 ±3 per minute. Blood Pressure is 126/74 ± 26/16. Dentition eruption of third molars (wisdom teeth), 17 -

21 years.

CONT……MOTOR AND SELF CARE• Motor function comparable to that

of adult .• Eye –hand coordination at adult

level.• Posses manual dexterity.SENSORY• Visual acuity : 20/20 (adult value)

PSYCHOSOCIAL, PSYCHOSEXUAL AND SPRITUAL DEVELOPMENT

PSYCHOSOCIAL• Sense of identity (13-18 years).• Sense of intimacy. Negative counterpart : isolation.• Severe ties with parents.• Establishes interdependent relationship with parents.• Has fewer but close friends.• Heterosexual relationships are the rule.PSYCHOSEXUAL• Genital age.SPIRITUAL• Individuating reflecting faith.

INTELLECTUAL OR COGNITIVE, MORAL DEVELOPMENT

FORMAL OPERATIONAL THOUGHTS (11 YEARS ADULTHOOD)• Pursues further education or enters the job

market.

MORAL• Post conventional stage .• Orientation toward decisions of conscience : “

universal ethical principles”

PLAY STIMULATION

Recreational Activities• Chooses more

passive spectator sports.