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Wednesday, July 24, 2019

Bronchial Asthma in the Age Group 6 to 11 years Essay

Bronchial Asthma in the Age Group 6 to 11 years - Essay Example In this age, children begin to learn to read and define objects in terms of use. Their time sense is as much in past as present. They are interested in relationship between home and neighborhood; knows some streets. That which is relevant to his condition was, they use sentences well; uses language to share others' experiences; may swear or use slang (Barnes, P., 1995). Psychosocially, these children still requires parental support, but pulls away from overt signs of affection. Play teaches the child new ideas and independence. The child progressively uses tools of competition, compromise, cooperation, and beginning collaboration. Body image and self-concept are fluid because of rapid physical, emotional, and social changes. The play pattern has significance to his illness. In this age, the child acts out ideas of family and occupational groups with which he has contact. When I started a conversation with him once he was stabilized, he said painting, reading, simple games, watching television, digging, running games, skating, riding bicycle, and swimming were all his enjoyed activities (Behrman, R.E., et al. Eds., 2003). In this age group, family atmosphere continues to have an impact on the child's emotional development, and he would need ongoing guidance in an open, inviting atmosphere. Limits should be set with conviction. It was important to deal with only one incident at a time. It was important to take care of the fact that the child should not feel humiliated. The parents must be aware of the environmental causes of bronchial asthma, and I made a mental note as to advise the parents that he needs assistance in adjusting to new experiences and demands of school and should be able to share experiences with family. While communicating with him, it was important to convey love and caring in communication. The child understands language directed at feelings better than at intellect. While communicating, it was better to get down to eye level with the child. In conformity to the psychological stage of this child's age group and due to the fact that he was in considerable anxiety, the child would nee d order and consistency to help in coping with doubts, fears, unacceptable impulses, and unfamiliar experiences (Davies, D., 2004). Pathophysiology of Bronchial Asthma: Asthma is a chronic inflammatory disorder of the airways in which many cells play a role, including mast cells, eosinophils, lymphocytes, neutrophils, and epithelial cells. In susceptible children, this type of inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness, and cough, particularly at night and early morning. These episodes are associated with variable airflow obstruction that is commonly reversible spontaneously or with treatment. The inflammation also causes an associated increase in the existing bronchial hyperresponsiveness to a variety of stimuli. Airway inflammation is found in all children with mild,

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