write the point of growth and develsfaremont
during adolescence ?
Answers
Answer:
Adolescence is a developmental period during which dependent children grow into independent adults. This period usually begins at about age 10 years and lasts until the late teens or early 20s. During adolescence, children undergo striking physical, intellectual, and emotional growth.
Answer:
Continual change is the essence of life. The rapid changes in size that we call growth, and the rapid changes in form, function and behavior that we call development, are the core of pediatrics. A good working knowledge and the skill to evaluate growth and development are necessary in the diagnostic evaluation of any patient. Subtle changes—often the failure of some change or event to occur at an expected time—may constitute the earliest sign of disease. The early recognition of growth failure or maldevelopment may be the discovery that sets in motion the investigations necessary for effective intervention in the management of a patient's problem.
Assessment of Growth
The proper evaluation and use of anthropometric measures such as height, weight, and head circumference must be accorded equal status with other clinical data. The greatest difficulty lies in the definition of normality. This is generally done statistically. Unfortunately this often leads to the common error of assuming that the average or median value represents the optimum for a given patient. That this is erroneous is clear if one imagines 100 normal children of the same age but all of different weight. Only 1 child (the median, 50th percentile child), heavier than half the others but lighter than the other 50, would be considered normal, even though this violates the original premise that all the children are normal.
The necessary concept that there is a wide range of normal allows another kind of error, that of accepting as normal for an individual some value that falls within the normal range but is in fact abnormal for the given child. This is compounded by the fact that to the eye, and in figures on paper, such abnormality may not be apparent even to the most practiced eye of a skilled physician. For this reason, it is absolutely necessary to plot the parameters of growth on a suitable graphic chart. Plotting the data brings to light even slight departures from the expected path. Small changes such as the failure to gain 1 kilogram in 3 months are at once apparent. Serial data thus plotted constitute the best standard of normality for the individual.