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The School Age Child

By Kimberly Sinclair RN CPNP

The School Age period is said to be a time of latency. Where there is a period of “rest” before the work of Adolescence starts. I say this is incorrect. I believe some really important things occur during this period. However, calm it may be.


Physical:

The beat marches on and the same predictable height and weight curve progresses. About 5-6 inches in height and 5=6 pounds in weight per year. Think about comparing a 5-year-old to an 11-year-old. The physical changes are significant but not as noticeable. So are the other changes.


Mental:

The way a child thinks speeds up! The school age child builds on the words and information that builds their intelligence. They continue to grow in their ability to discuss subjects and ask questions. They are like sponges, they soak up everything around them. Parents support this effort by involving their children in after school activities. Not just athletics, but mind building and informational gathering groups. Scouting, arts, museums, musical activities. This is a great time to learn an instrument. Although, this is all beneficial, limiting to one activity a season may help prevent overwhelming tiredness from overactivity.


Vision/Hearing:

Vision and Hearing are near adult status. If hearing or vision issues are suspected. Find referrals to appropriate specialists for evaluation. Vision can be a problem at this time, as increased reading, schoolwork and computer time can put a strain on eyesight. This is the time, that if a child needs glasses, that this occurs. Don’t hesitate to seek help. Also, if there is a change to grades or a decrease, then vision could be an issue.


Nutritionally:

At this stage, diet and intake levels off. Some days they will not be able to get enough, some days they will hardly eat at all. Don’t worry… this is NORMAL. Offer food at meals, don’t be overly concerned. Look at the overall needs and intake of the child. Don’t make a big deal of the intake. Offer and let go! They will not let themselves starve. Unless there is another health problem. No child lets them starve to death.


Other Developmental Needs:

Toilet training should be accomplished. Further issues may need a consult to a Urologist. Discipline centers on expectations. Voice expectations so the child knows what to expect before an activity. If misbehavior occurs, take away activities or privileges for an appropriate amount of time. If the extreme… Dr. Phil their room. What I mean is remove everything from their room except clothes and a bed. They then have to earn everything back through chores and work. If this is not in a preapproved time frame then left overs are sold in a garage sale or donated. No exceptions for bad behavior. This last method is only a LAST result! This is not except for boundaries that you have set up that they are not keeping.


School work needs to be a priority for their future, growth and development. It should be done before any activity in the evening. If the extracurricular is right after school, then it should be completed before any evening down time. If school work is large then the extracurricular activity should be diverted in favor of the school work. I know this seems harsh but their learning is the most important thing for them!


Tutoring for children having issues with school work is always available. Through school, private agencies, even low-cost options are available. The school age time is valuable. Time for physical, mental and social growth and development. This is a wonderful time for families to grow and mature. Enjoy this time of growth and prepare for Adolescence!

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