Expectations on a 9-year-old Girl
At the age of nine, a child can be involved in active play such as riding a bicycle and swimming. The child can also be involved in team sports and is able to get dressed perform simple activities like brushing teeth and hair without the assistance of an adult (Webmed, 2016).
It is expected that at the age of nine, a child has developed speech to the level of an adult. The child’s vocabulary has grown and, thus, they can take part in conversations and negotiate effectively. However, at this age, the child is too inquisitive in the conversation since they are learning about the adult world (Webmed, 2016).
Cognitively, a 9-year-old can read long sentences with up to twelve words. Additionally, the child can perform simple basic operations such as totaling and subtraction. The child can evaluate the sum or difference of two-digit numbers and also think independently (Webmed, 2016).
Socially, a 9-year-old can form friendships since they have learned to be empathetic. They are also able to handle their anger since their emotions have stabilized. The child has can also differentiate between socially acceptable behavior and those that are not (Webmed, 2016).
Observations on a 9-year-old who had a Heart Surgery
Since the child has been allowed to participate in all physical activities by the physicians, an observer may not notice any difference between her and the rest of the children. She participated in normal play with her peers since her motor development is as expected.
The social development of the girl will be affected after undergoing a heart surgery. Her emotions are destabilized, and she becomes picky. Since she feeds with a G-tube, she will realize that she is unique (does not feed like others) and this may lead to low self-esteem. The girl has fewer friends since she cannot moderate her emotions (Johnson, 2015).
The attention span of a 9-year-old girl who has undergone a heart surgery is low. The girl also has problems with memory, thus, she is unable to read long sentences or perform simple basic operations (Sterken et al., 2015). She might not cope with the speed of learning of the other children since she spends a lot of time outside class during her regular visit to the nurse. She also spends a significant amount of time visiting the bathroom which consumes her learning time.
Regarding communication, the girl has problems with speech and is unable to converse effectively with her peers. The child avoids being involved in conversations or negotiations with other children and most cases, the girl was silent.
Immunizations and the Diseases Prevented
There are several important immunization dosages for elementary school children. To start with, the child needs to be immunized against influenza. Also known as flu, influenza is an infection caused by a virus and which is common in the winter season (Middleman, 2016). For the first time, two doses are highly recommended, but subsequent immunizations require just a single dose. Elementary school children should also be immunized against meningococcal. Meningococcus is responsible for meningitis which is an illness that affects tissues around the brain and the spine. The meningococcus vaccine can be given as a single dose to children at the age of two to ten years who are at risk of contracting the meningococcus disease. Elementary school children at the age of seven to ten years should also be immunized against tetanus and diphtheria as a one-time dose of Tdap. Apart from being immunized against influenza, meningococcus, and tetanus and diphtheria, children in elementary schools should also be immunized against Human Papilloma Virus (HPV). The vaccine is given in 3 shots with no need to resume a shot even if the subsequent one is delayed. There is also need to immunize elementary children against chickenpox by administering a varicella vaccine in two doses. Children aged seven years and above may also be given vaccines which they missed between 0 and 6 years (Middleman, 2016).
Parents and teachers should ensure that elementary school children are safe at school and home since they are very active. For instance, the teacher should accompany the children whenever they are out for physical exercises. The teachers should also make sure that the class surrounding is safe. At home, parents should make sure that the school children are safe. For instance, the parents should ensure that the children put on the right attire and safety gears when participating in activities such as bike riding, roller-skating, and even swimming. Since the child requires a lot of energy for growth, their appetite may be high. Therefore, teachers and other caregivers should ensure that what the child eats is safe. Parents should seek medical advice when the child seems to be unwell. The safety and well-being of the child needs be prioritized.
Health Promotion Action
In my assigned day at the nurse’s office, we engaged in a health promotion action. Since I am passionate about oral health, I decided that I would sensitize people on the importance of oral health in this day. Firstly, I explained to them why it is important to brush teeth after every meal, preferably two times in a day, and also why a toothbrush should be replaced after every 3 months. Moreover, I demonstrated the proper way of brushing teeth and advised them on the importance of regular dental checkup. The action was successful since the people went home more informed than they had been.
Johnson, B. (2015). Behaviour problems in children with congenital heart disease. BMH Medical Journal, 2(1).
Middleman, A. (2016). Patient information: Vaccines for children age 7 to 18 years. UpToDate.
Sterken, C., Lemiere, J., Vanhorebeek, I., Van den Berghe, G., & Mesotten, D. (2015). Neurocognition after paediatric heart surgery: a systematic review and meta-analysis. Open heart, 2(1), e000255.