Health Assessment the Eight-Year-Old Child Term Paper

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The child of this age often has a strong desire to feel independent and competent, and while the dependence on insulin may be frustrating, showing the child how to administer his or her medication with adult supervision (using an orange or a doll) may be one important way to create a reinforcing sense of autonomy.

A child of this age is likely to be interested in understanding why things are right and wrong, and making the child understand that the diabetes is not a 'punishment' is important.

Social development

Children of this age have an intense need to feel a sense of belonging, including playing with others as part of a group. Eating and food issues will invariably arise at times. The child's different dietary needs may make him or her feel less a part of a group, and less like everyone else. Children of this age are often impatient and the child may need to learn patience, discipline, and self-control in a way that can be difficult around food (Keith 2007:1).

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Assessing the knowledge level of the child's peers may also be critical, as children this age may be very influenced by peer pressure and wonder why they cannot eat cake like their best friend.

General assessment

The child should be assessed in the context of the holistic family and peer environment. Do the child and the child's family understand the severity and the seriousness of the child's illness, and does the family have an effective health and social support network to enable them to manage the child's diabetes? The child's psychological need for competency can be reinforced through teaching the child how to actively mange the illness and educate others, including his or her peer group, about how diabetes must be managed, and the causes of the illness. Although the child's physical well-being may have been impacted by the effects of diabetes, there is no reason that these setbacks cannot be overcome, and the child can lead a healthy, normal life.

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