Module 1. Development of child Semantic module 2. Periods of children's age

Concrete aims:

• to collect anamnesis of disease and life

• to estimate the features of current of periods of children's age

• to estimate the general condition of child

• to make a conclusion about condition of neonate

to interpret the revealing changes in a newborn child on the basis of knowledge of anatomic and physiologic features

Theme 3. Periods of child's age.

Theme 4. Features of neonatal period.

Theme of practical training: Periods of child's age, their characteristic and features.

Place: educational room in children's department.

Professional orientation of students:

One of characteristic features of children's organism is continuous growth, development, imperfection of structure and functions of organs and systems. Due to it every period of life of child has the specific features. Knowledge of these features helps to estimate harmonics of development of child, to diagnose and correctly treat various pathology of child's age in good time, to conduct the concrete measures of prophylaxis and rehabilitation.

Basic level of knowledge and abilities:

№	Discipline	To know
1. 2. 3. 4.	Anatomy Normal physiology Histology Pathological physiology	Development of human organs and systems of organism in the intrauterine period. Adjusting and functioning of organs and systems in children of a different age. Histological features of structure of organs in different age periods of childhood. Basic compensation and adaptation mechanisms in children of different age

Plan of practical training

№	Elements of practical training	Time (minutes)
1. 2. 3. 4. 5. 6. 7. 8. 9.	Announcement of theme of training with marking of its actuality. Verification of presents. Entrance test control of knowledge Demonstration of methods of collection of anamnesis and clinical examination of children of a different age. Distribution of patients for checkup. Independent observation of patients. Round and analysis of patients Registration of results of observation of patients in protocols Solving the clinical situation problems. Results and eventual estimation of knowledge and abilities of students and tasks for independent preparation to a next training.	5 min. 15 min. 20 min. 5 min. 40 min. 30 min. 20 min. 15 min. 10 min. Total: 160 min.

List of theoretical questions:

1. Features of periods of children's age:

   1. Intrauterine (phase of embryonic development, phase of placental development);

   2. Neonatal period;

   3. Infancy;

   4. Toddler’s (pre-preschool)

   5. Preschool period;

   6. Junior school (prepubescent);

   7. Senior school (pubescent).

2. Features of collecting of complaints, anamnesis of disease and life, when:

1. inquiring the parents;

2. inquiring the relatives;

3. inquiring the child;

4. inquiring medical personnel, or person, who nurse the child;

5. studying of medical documentation

3. To learn the sequence of collection of anamnesis of life of child:

1. obstetric anamnesis;

2. prenatal: intranatal and neonatal anamnesis;

3. physical and psychical development of infants and in the next periods of childhood;

4. prophylactic immunizations;

5. food anamnesis;

6. allergic anamnesis;

7. epidemiological anamnesis;

8. conditions of life

4. Features of collection of genetic anamnesis:

1. study of genealogy;

2. cases of spontaneous abortion, stillborns;

3. cases of death in family and its reasons;

4. disease in family;

5. graphic scheme of genealogical tree.

5.Studying methods of objective examination of children:

1. inspection;

2. palpation;

3. percussion;

4. auscultation.

6. Determination of the terms “new-born child”, “mature new-born”, “premature new-born”.

7. Concept about maturity and immaturity of newborn child.

8. Concept about prematurity, basic anatomic, morphological and functional signs of prematurity. Classification of prematurity.

9. Physiology and transitional states in the period of new-born:

1. transitory loss of mass of body

2. transitory infringements of thermal balance

3. physiologic hyperbillirubinemia of new-born

4. hormonal crisis

5. physiology changes of skin

6. transitory changes of urinary system

7. transitory changes of the system of blood

8. transitory dyspepsia.

Methodic of conducting of training:

1. After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing test of entrance control of knowledge. Addition №1 – 10 examples of tests.

2. Analysis of the tests and consideration of making errors.

3. Teacher demonstrates the method of collection of anamnesis and examination of children of different age

4. Teacher distributes patients for examination by the students.

5. Students fill in protocols of examination of children.

6. A teacher conducts the analysis of patients with the analysis of conclusion.

7. A teacher conducts the final control of knowledge of students on this theme with the using of situation clinical tasks. Addition №2 - situation tasks.

8. A teacher works out the total of training, gives estimation of knowledge and abilities of students. Assigns to independent preparation to a next training.

№	Task	Instructions of teacher to the students	Note
1. 2.	To collect anamnesis at a sick child. Complaints Anamnesis of disease Anamnesis of life Food anamnesis Allergological anamnesis Epidemiological anamnesis Genetic anamnesis Make a conclusion about the general condition of child	Algorithm of collection of anamnesis - basic complaints; specification of complaints: localization, time of appearance, reason, what facilitation comes from, amount, quality, concomitant phenomena; general complaints; complaints on the systems; - beginning of disease: acute, subacute or gradual; date and time; the first and next symptoms; features of development and current of the disease; time and sequence of appearance of separate symptoms, complications, date of address to the doctor; what treatment was conducted, what from the applied medications had appeared effective, which did not influence on the current of the disease or had undesirable action; - obstetric anamnesis; amount of pregnancies in mother, their current, state of health of other children in family, health of mother; are features of current of this pregnancy: early and late toxicouses, anemia of pregnant, threat of breaking, diseases of mother during pregnancy; terms of taking of pregnant on an account in woman’s consultation; intranatal traumas, estimation of newborn on Aphar’s scale, condition of child after birth: time of beginning of breast-feeding, immunizations, when was discharge from maternity home, subsequent of development of in all age periods, transmitting diseases, children's infectious; basic stages of physical and psychical development; social condition; - characteristic of the first applying to the breast: activity of suction, presence of colostrum; duration of establishment of lactation; feed of child after discharge from a maternity hospital; time of introduction of correcting additions, weaning; mixed or artificial feeding; formulas, observance of their application rules, - presence of allergic diseases in child, his parents, close relatives; presence of unusual reactions on the food, plants, smells, insects, animals and so on. - presence of contact with the infectious patients for the last 3 weeks, epidemiological surroundings in child's establishment which is visited by a child. - study of genealogy at least to the third generation; are cases of death and its reason in close relatives; diseases in family; genealogical tree.	It is necessary to expose the factors of risk of development of disease