Peds PPT - show FINAL 6

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PowerPoint Presentation:

Erickson’s Developmental Theory Autonomy vs. doubt & Shame Toddlers: 1-3yrs

Psychosocial Stages Erickson’s Theory:

Psychosocial Stages Erickson’s Theory Erik Erickson

What to Expect ??:

What to Expect ?? Toddler invoking independence, self-control, & mastery of tasks Emotional development progresses Negativism, - the “NO!” stage Toddler’s inability to take turns Nooo! No! No!

This presentation will focus on….. :

This presentation will focus on….. Toilet training is an important developmental milestone. To be successful, parents should know… How to determine readiness; Useful strategies to aid in potty training; Problems & setbacks to be aware of; & Nursing interventions TOILET TRAINING

PowerPoint Presentation:

Determining readiness: Physical

Signs that your toddler is emotionally ready to start toilet training::

Determining Readiness: Emotional Signs that your toddler is emotionally ready to start toilet training:

Toilet Training: Strategies:

Toilet Training: Strategies Introduce the potty chair & routinely have your child sit on the chair (fully clothed) each day Use simple words for voiding & stooling that your toddler can pronounce Toddler is free to leave at will; there should never be any pressure to stay After a week of cooperation, routinely sit the infant on the chair with diaper off Do not attempt to catch the urine or stool This gradual intro avoids strangeness and the feeling of losing a “part of himself” Then, after soiling his diaper, infant can be taken to his pot and his diaper dropped under him Point out that this is the eventual function of his potty chair Now he can be taken several times a day to “catch” his urine or stool Place the toilet chair in his room or play area Toddler’s ability to perform this task by himself should be pointed out Poo Poo Pee Pee Number 2….

Toilet Training: Strategies cont.:

Toilet Training: Strategies cont. If there is no potty chair, face the toddler toward the tank to avoid sinking and make him/her feel more secure. Teaching a boy how to stand to urinate is best taught by imitation after bowel training is completed Parents should use gentle praise and no scolding or punishments Set clear, reasonable expectations and avoid excessive nagging about toileting Also, don’t forget about nap & night training: This can be implemented well after your child shows an interest in staying clean & dry during the day Offer your child a chance to potty before bedtime A painted pot with luminous pain by the bedside is often a useful “gimmick”

Toilet Training: RN Interventions What can your nurse do for you?:

Toilet Training: RN Interventions What can your nurse do for you? Toddler Assessment help * Medications * Temperament * Readiness Parent Assessment – are YOU ready ? * provide information on normal child development & behaviors * Help with realistic expectations * Identifying helpful resources & support systems * Provide educational materials

Toilet Training: Problems & Setbacks:

Toilet Training: Problems & Setbacks Rushing or forcing a toddler Some toddlers may have difficulty with urinary incontinence as a consequence of a medical disorder or surgery Punishment for accidents anxiety & stress Parents should not set impossible goals, or use negative pressure that will shame the toddler

Autonomy vs. Shame:

Autonomy vs. Shame Successful completion of this milestone (toilet training) helps the toddler achieve autonomy. In contrast, the child may feel shame if unsuccessful. This outcome can result if: Parents do not maintain a reassuring and confident attitude Parents that do not reinforce the child’s efforts to master basic skills

Autonomy vs. Shame:

Autonomy vs. Shame The Dos: be calm, positive, and nonthreatening Use gentle praise Show the child what you‘re doing When accidents occur, remind them about toileting and let them help clean up.

PowerPoint Presentation:

Autonomy vs. Shame The Dos:

Autonomy vs. Shame :

Autonomy vs. Shame The DON’TS: * DON’T expect too much too soon * DON’T scold, punish, or shame *DON ’T deny drinks *DON’T nag or force * DON’T start a bathroom battle

PowerPoint Presentation:

Autonomy vs. Shame The DON’TS:

Autonomy vs. Shame:

Autonomy vs. Shame Mastery of this psychosocial stage will allow the toddler to progress to the next stage of development  initiative vs. guilt. If there is no mastery, psychosocial development is altered and may result in feelings of shame.

PowerPoint Presentation:

CREDITS Brenda Byrd ppt presentation & narrator Sarah Carter intro, conclusion, topics of discussion Stacy Cranford articles, citations, summary

PowerPoint Presentation:

CREDITS Crystal MARTINEZ Problems/setbacks with training Jessica Murillo Developmental theory Phuong (Jane) Nguyen Training readiness/teaching

PowerPoint Presentation:

CREDITS Claudia Perez Strategies & Interventions Laura Othersen Skit: The Don’ts (bad mom) Crista Schult – Skit: the dos

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