12 Ps of Pediatric Nursing

Prepared by Ray

Michael V. Casupanan, RN

Psychosexual Psychosocial
by S. Freud by E .Erikson

Piagets Cognitive
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Personal
Virtue

Play

Pulse

Pain
Harsh & shrill cry, Tremors of extremities, grimace

Pressures (Fears and Anxiety)

------Separation anxiety Fear of needles, thermometer,
school (3yrs old)

Problems
(Common risks) Asphyxiation, Suffocation, Aspiration (ASA) Burns, Poisoning, Drowning, Child abuse, Fractures (Shinbone) UTI, AGN, AGE,
sibling rivalry,

Point (Focus)

Priority
(Nsg Care)

Phonetics (Vocalization)
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Newborn
(birth-28days)

------ORAL Trust vs. Mistrust Autonomy vs. Shame & Doubt

-------

120

Mother

Nutrition Da-da, de-de, ma-ma, ya-ya 15mos 4-6 words 18mos >10 words 2-3yrs 300 words 4yrs 800 words 6yrs >1,500 words

Infant
(1mo-1yr)

HOPE Sensorimotor stage WILL

Solitary

100-120

Toddler
(1yr-3yrs)

ANAL

Parallel

90-110

Guarding, tantrum

I (self)

Safety

Preschooler
(3yrs-6yrs)

PHALLIC

Initiative vs. Guilt

Preoperational thought stage

PURPOSE

Cooperative

80-100

Pain is believed as punishment

Fear of darkness, punishment, mutilation, castration, blood/wound Fear of bodily harm (dogs, snakes, spiders, and even bullies)

Family

insomnia
(bedtime)

Love (Appreciation)

Schooler
(6yrs-13yrs)

LATENT

Industry vs. Inferiority

Concrete operational thought stage

COMPETENCE Competitive

70-100

Pain can be described

Scabies, Pediculosis, Tinea capitis, Tinea pedis, Fractures (Greenstick)

Teacher (School)

Society (Friends)

--------

60-100

Adolescent
(13yrs-18yrs)

GENITAL

Identity vs. Role Confusion

Formal operational thought stage

FIDELITY

Associative (Social)

(Nonathlete)

55-90
(Athlete)

Pain can be bargained

Fear of peer rejection

STD, MVA, Substance Abuse (SMS)

Peers

Image

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