How may a 2 year old present?
- Pre cooperative stage
- Dependent on parent
- Crying
- Time issues in concentration + sitting still
- Parental support is key *
How may a 3 year old present?
Similar to 2 year old.
1. Mimic adult behaviour
2. Respond well to colourful descriptive stories
3. Verbal skills improving
How may a 4 year old present?
- Test boundaries
- Communication improves
- Potentially cooperative
How would a school child present?
- Egocentric and inflexible until around 7 - 8 years
- More independent
- Concentration improves
- Respond to praise
- Love to show off possession
How may a teenager present?
- Independent
- Emotional, hormonal and physical changes
- Sensitive to criticism
- Difficult motivation
Tactics to manage a 2 year old?
- Keep appointments short
- Avoid asking questions when answer could be no
- Invite parent into surgery
- Full concentration on child
- Avoid sudden movements or working from behind
Tactics to manage a 3 year old?
- Use curiosity
- Helping hands
- Positive attitude
Tactics to manage a 4 year old?
- Explain simple procedures
- Keep control, work steady and avoid delays
How to manage school age children?
- Show interest in them
- Give a lot of praise
3.Teach stop signals and practice reassure
How are relationships between age and behaviour characterised?
3 ways -
1. Cooperative
2. Potentially cooperative
3. Pre cooperative
What is cooperation mostly dependant on?
Age
What are the 2 types of locus of control?
- Internal
- External
What is internal locus of control?
Mindset that they can control what happens to them and are responsible for own health
What is external locus of control?
Mindset that what happens to them is down to chance, no personal input
How should you give information to internal locus children?
Specific information to give them a feeling of expectation and control - become anxious if general information given
How should information be given to external locus children?
Respond well to generic information - not detailed
What is trait anxiety?
Patients who are more anxious than others
How to communicate with patient?
- Balancing act
- Child main focus
- Tone of voice understood more than words
How to communicate with parents?
- Listen to parent
- Relieve parents feelings of guilt
- Encourage positive health promoting behaviour
4.Explain treatment and options
What are the 3 main factors to communication?
- Level - do they understand the words used
- Listening - decreases if anxious
- Retention - 50% of information forgotten
- Distortion
- Voice tone
What is critical for child management?
- Facial expression
- Tone
- Body language
- Touch
- Tell - Show - Do
