vishwasjogk STP

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8/14/2019 vishwasjogk STP http://slidepdf.com/reader/full/vishwasjogk-stp 1/26 STRUCTURED TEACHING PROGRAMME ON “BEHAVIORAL PROBLEM OF TODDLERS” Name of the investigator: Mr. Vishwas Jog. Topic: Behavioral problems of toddlers Date: Time: Duration: 45 mins Groups: mothers of toddlers Venue: No. of group Members: Method of teaching: Lecture cum Discussion A.V.Aids: Charts and Flash Cards OBJECTIVES GENERAL OBJECTIVES: At the end of the teaching programme mothers will be able to get in depth knowledge on behavioral  problems of toddlers SPECIFIC OBJECTIVES: 1

Transcript of vishwasjogk STP

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STRUCTURED TEACHING PROGRAMME ON

“BEHAVIORAL PROBLEM OF TODDLERS”

Name of the investigator: Mr. Vishwas Jog. K  Topic: Behavioral problems of toddlers

Date:

Time:

Duration: 45 mins

Groups: mothers of toddlers

Venue:

No. of group Members:

Method of teaching: Lecture cum Discussion

A.V.Aids: Charts and Flash Cards

OBJECTIVES

GENERAL OBJECTIVES:

At the end of the teaching programme mothers will be able to get in depth knowledge on behavioral

 problems of toddlers

SPECIFIC OBJECTIVES:

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SPECIFIC

OBJECTIVES

TIME CONTENT TEACHER’S

ACTIVITY

LEARNER’S

ACTIVITY

A.V.AIDS EVALUATION

INTRODUCTION

Toddlers are children of age group

1 to 3 years. During this time

child’s activity increases, childstared to speak. The child itself 

moving towards its autonomy.And also growing child

requirement also changes, feedingand all others techniques used in

infancy must be changed in order to meet the needs of the toddler.Child’s moment towards

autonomy will be exhibits inmany ways. This may be

challenging to mothers to

understand about the conditionand also about the management of 

these kinds of problems.During toddler hood along with

the developmental and medical problems, behavioral problems are

also prominent.

Teacher introduce the

topic narrating

an incident

Learners getintroduced to

the topic

Explain what is

  behavioral problems

during toddlers

BEHAVIORAL PROBLEMS

OF TODDLERS:

Behavioral problems of toddlers

Teacher 

explains the

meaning of  

Learners listen Chart What is

Behavioral

  problems of 

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are common, and they most

commonly result from the child’s

need for autonomy andexploration behavioral problems,

toddlers hitting biting temper 

tantrums. These needs arise fromchild’s newly acquired mobility

and communication skills

Behavioral

  problems of 

toddlers

toddlers

Explain the forms of  behavioral problems

Toddlers emotional out burst may be shown as Behavioral problems.

The most common behavioral problems in toddlers are,

• Temper tantrum

• Thumb sucking

•  Negativism

• Aggressiveness

• Sibling rivalry

Teacher listdown the forms

of Behavioral  problems of 

toddlers

Learners listento the topic

Charts What are all theforms of  

Behavioral  problems of 

toddlers

Explain the causes of Behavioral problems

of toddlers

CAUSES:

• Developmental

• Response to the needs of theautonomy

• Idiopathic

Teacher listdown the causes

of Behavioral  problems of 

toddlers

Learners listento the topic

Charts What are all thecauses of  

Behavioral  problems of 

toddlers

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Explain about temper 

tantrumTEMPER TANTRUM:

Children in the toddler age shows

temper tantrum as an emotionalout burst of the bad temper. It can

  be shown by irrational crying,

screaming, angry.Every one has tantrums at one or 

other times. Temper tantrum mayworsen in severity because parents

often mistakenly reward behavior.Parents should understand that

tantrums are normal butunacceptable. If child is having

tantrum in the reasonable area like

home, the parents should ignore

him, and not maintain any verbalor physical contact such as  promising, bargaining, or even

threatening the child.

Severe temper tantrum such as 3or more times per day lasting

more than 15 mins is associatedwith other behavioral problems

and psychological risk factorstherefore continued clinical

follow-up is necessary.

Temper tantrums range from

whining and crying to screaming,kicking, hitting, and breath

holding. They're equally common

Teacher explain

about temper 

tantrum

Learners listens

the topic

Flash cards Explain about

temper tantrum

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in boys and girls and usuallyoccur between the ages of 1 to 3.

Kids' temperaments vary

dramatically — so some kids mayexperience regular tantrums,whereas others have them rarely.

They're a normal part of development and don't have to be

seen as something negative.

Unlike adults, kids don't have thesame inhibitions or control.

Imagine how it feels when you're

determined to program your DVD player and aren't able to do it, no

matter how hard you try, because

you can't understand how. It's pretty frustrating — do you swear,

throw the manual, walk away, andslam the door on your way out?

That's the adult version of atantrum. Toddlers are also trying

to master their world and when

they aren't able to accomplish atask, they turn to one of the only

tools at their disposal for ventingfrustration — a tantrum.

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The best way to deal with temper tantrums is to avoid them in the

first place, whenever possible.

Here are some strategies that may

help:

• Make sure your child isn't

acting up simply because he or she isn't getting enough

attention. To a child, negative

attention (a parent's responseto a tantrum) is better than no

attention at all. Try to establisha habit of catching your child

 being good ("time in"), whichmeans rewarding your little

one with attention for positive

 behavior.

• Try to give toddlers somecontrol over little things. This

may fulfill the need for independence and ward off 

tantrums. Offer minor choices

such as "Do you want orange juice or apple juice?" or "Do

you want to brush your teeth before or after taking a bath?"

This way, you aren't asking

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"Do you want to brush your 

teeth now?" — Which

inevitably will be answered"no?"

• Keep off-limits objects outof sight and out of reach tomake struggles less likely to

develop over them. Obviously,

this isn't always possible,especially outside of the home

where the environment can't becontrolled.

• Distract your child. Take

advantage of your little one's

short attention span byoffering a replacement for the

coveted object or beginning anew activity to replace the

frustrating or forbidden one.

Or simply change theenvironment. Take your 

toddler outside or inside or move to a different room.

• Set the stage for success

when kids are playing or 

trying to master a new task.Offer age-appropriate toys and

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games. Also, start with

something simple before

moving on to morechallenging tasks.

• Consider the requestcarefully when your childwants something. Is it

outrageous? Maybe it isn't.

Choose your battles;accommodate when you can.

• Know your child's limits.

If you know your toddler istired, it's not the best time to

go grocery shopping or try to

squeeze in one more errand.

If a safety issue is involved and atoddler repeats the forbidden

 behavior after being told to stop,use a time-out or hold the child

firmly for several minutes. Be

consistent. Kids must understand

that you are inflexible on safetyissues.

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Discuss in detail

about thumb suckingTHUMB SUCKING Teacher discuss

about thumb

sucking

Learners

  participated in

discussion

Flash cards What is thumb

sucking

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It is very common for babies to

suck their thumbs, both at the

toddler stage and sometimes evenafter they start school. In fact

surprisingly babies suck their 

thumb in the womb, even beforethey are born!

For children in the first year of 

life, sucking to fall asleep or for comfort is self-limiting and

wonderful. It is a self-soothingactivity, an indication of tiredness,

  boredom, and the need for 

comfort but not indication anxiety

or nervousness in an infant. Infact, it is more a means to satisfythe need in an infant to suck 

(which varies from child to child)

and it is exclusive of its feedinghabits.

It is noticed that children who

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suck their thumbs sleep better at

night, as one's thumb is easier tofind than a fallen pacifier, by a

child. If children wake up in themiddle of the night they

immediately need something to

suck on to go back to sleep and it

is when they are unable to find it,that they become restless and cryending up sleeping badly.

The theory

Earlier thumb sucking was

discouraged by doctors but now issanctioned as an accepted

  behaviour of a child in its earlyyears. The main reason why

thumb sucking was discouragedactively both by doctors and  parents, was the danger of the

child growing irregular anddeformed teeth or an affected jaw

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line. This is valid even today but

now doctors are confident that

children give up the habit of thumb sucking prior to the

formation of their permanent

teeth, which is around the age of 5-6 years, causing no dental

 problems.

But there is still this concern thatwhat if my child does not stop

sucking its thumb by theappropriate age? It is generally

noted that most children give up

the habit by the time they are a

year old, and as they are exposedto new learning experiences andskills they no longer need to be

comforted or use as stimulation.

So new parents rest assured thatthis is just a temporary and very

  basic phase in your child's life.

When does it become a

problem?

Thumb sucking becomes a problem if the child has not, evenafter 5 or 6 years of age kicked

this habit, or, if it is in some wayhindering the normal life of the

child like affecting his play

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activities or learning or causing

social ostracism.

Older children may use thumb

sucking to relieve tension or 

 because they are shy or insecure,to alleviate boredom or to help

them fall asleep. A lot of the times  parents unwittingly prolong the

habit because of forcing the childat a young age to stop thumb

sucking and the child just refusesto let the habit go.

There is no need for any medical

help unless and until this habit  becomes addictive and obsessiveand it is affecting the social

relationships, emotional health

and the overall development of the child.

If these situations occur you can

talk to your pediatrician who willrecommend a therapist for your 

childPreventing thumb sucking

The best way to prevent this habit

is not by pulling out a child'sthumb/finger from its mouth but

to ignore this habit. A child has

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every right to suck his thumb if he

feels like it, but if this continues

after the child has started talkingor even later stages then do not

show affection or comfort when it

is sucking but always show a lotof when the child is not thumb

sucking. This is a time consuming process and you must be patient.

As a child if he sucks his thumb

does not pull it out, you may endup getting into a power hassle

with him, which will turn your 

child into a forced late thumb

sucker. It was found in a studythat late thumb suckers allinvariably have been the product

of well-meaning parents forcing

them to remove their thumb fromtheir mouths. Unless your child is

old enough to reason with, any  pressure applied against thumb

sucking will only turn a naturaldevelopmental phase into an

ingrained habit.

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Discuss in detail

about aggression in

toddlers

AGGRESSION

Helping a young child find an

alternative to his aggressive  behavior is an important step in

the prevention of violence. It is

very important to emphasize that  punishment increases aggression

rather than decreases it, and thatchildren need to be taught

acceptable expression of feelingsrather than merely telling them

what is not acceptable. The goal isnot to destroy feelings, but to

redirect them.

An important first stepunderstands the underlying causeof the aggression. Anger and

sadness are closely related in the

child's mind. What is going on inthe child's life? Is there domestic

violence that serves as a rolemodel for his own angry

expression? Are there other stresses contributing to resentment

and frustration? Could theaggression be a defense againstdepression? Dealing with the

source will have a more long-termeffect in addition to dealing with

the here and now situation.

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Secondly, identifying triggers to

the aggression can help the adulthead off a problem before it starts.

Do the aggressive outbursts occur 

 just before lunch when the child ishungry or just before naptime? Is

the child fine with one other child,  but displays aggression in a

group? Does the child respond toa difficult task by throwing the

object he is working on? Iswaiting a particularly hard thing

for this child to do? What about

transitions? Knowing what

triggers the response allows for   planning, even discussing thesituation with the child and asking

""what would be a better way?"

Probably the most important part

of handling an aggressive incidentis to keep calm. Children need

role models of adults who are ableto handle their own feelings. It

gives the child a sense of securityto know that even though he may be out of control, the adult can

maintain his own self control.

Many children respond to a

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soothing touch, but others just get

more upset. Know what works

with each child.

If you use a time out method, do

not refer to it as a punishment, butas a useful tool to help a person

cool off. Model to the child thatyou use time out yourself when

you feel stress coming on.

Help a child find words to expresshis feelings rather than using his

fists. Help him say "I'm angry

  because you knocked over my

tower." "I don't like to share." "Ihate it when I have to stop whatI'm doing."

After an aggressive incident ask the child to think of as many ways

as he can of what he could dodifferently if the circumstances

were repeated.

Every time you see the child  behave appropriately, draw hisattention to it. "Thank you for 

 being patient while I was on the phone." "I know sharing is hard,

 but you let Jimmy play with your 

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With independence comes

separateness from parents, along

with the child’s message “I can doit myself, and my way!” For most

  parents those words, and the

attitude that goes with them, aredifficult to tolerate

All typically developing toddlers

 push for their independence. Eachchild has a unique timetable for 

this burst of “negativism”, but

many parents will notice anincrease in this difficult behavior 

around 18 months and again

around 30 months. A commontoddler response to frustration is atemper tantrum. Toddlers are

having their own struggle, as they

try to balance their need for independence with their need for 

dependence. Toddlers oftenrespond with a loud “NO!” almost

automatically, even when they

really mean, “yes”. Toddlers often

forget the rules parents set, sothey make the same mistakes over and over again. The purpose of 

the toddler’s negativism is not to be disrespectful. He is attempting

to assert him-self as an individual,

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separate from his parents.

“Difficult” behavior during thetoddler years will not last a

lifetime. When parents allow their 

toddler to assert his independencein acceptable ways, the toddler 

can pass through this stage andmove to the more cooperative,

reasonable preschool stage. Older toddlers can be taught, with

 patience and understanding, the

 basics of appropriate social behavior 

MANAGEMENT

Prepare your child for changes: No one likes to stop what they're

doing and toddlers are no

different. If you're outside playingwarn your child that it's almost

time to go inside. Your child may be fussy, your child may even

respond with ‘no' but As this is

 practiced your child will adapt.

·Except ‘no' as a response: Allowyour child to say ‘no' sometimes,

expect it and respect this buddingnew person. Think of ways your 

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child can say ‘no'. Play a game,

ask your child silly questions like,

"Do pigs say ‘Meow'?" and youcan even find books with ‘no' built

into the story as a response that

your child will love to scream.

·Be patient with your little adult:Let your child know that you

understand the frustration he/shefeels. Encourage your child in a

loving way, respond to him/her calmly and get through this stage

together. Your positive attitude

will result in less stressful times in

the end.

In the End

In essence a parent can expect alot from their child's development

and not all of those developmentalstages will be quite as exciting as

their first steps, first words or firsttrip to the potty. Some stages of 

development are down rightaggravating but a parent shouldexpect these times, deal with them

times gracefully and take the goodwith the bad.

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Parenting can be a real challenge

and parents don't always know

what to do, taking the time tolearn is invaluable. Be

constructive and reap the benefits

of a smart, healthy child.Describe about

sibling rivalry

SIBLING RIVALRY

Sibling rivalry in toddlers can beespecially difficult for parents to

deal with. The fact of the matter isthat toddlers are much more

difficult to reason with than older 

children. In addition, it can bemore difficult to understand

exactly what it is that is causing

sibling rivalry in toddlers. Still,there are some things that you cando to help address sibling rivalry

in your toddlers.

First, you need to watch out for aggressive behavior. When

toddlers experience siblingrivalry, or any other sort of 

frustrating situation for that

matter, they will often act out.

Make sure that you intervenewhen your toddlers begin to act inan aggressive manner.

 Next, you will want to encouragecooperation among toddlers who

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are experiencing sibling rivalry.

Find ways for them to work 

together. Help them to share acommon goal, such as cleaning

their rooms in order to earn a trip

to the park. At the same time thatyou are encouraging cooperation,

you can encourage friendlycompetition while discouraging

negative competition. Emphasizeeach child’s strengths, and find

ways for them to compete inhealthy ways. For example, you

might have them see who can

come up with the most

compliments for the other. Try toavoid situations where there is acompetition for your attention,

your time, or your affection,

however. Making sure that eachchild receives enough

individualized attention will go along way in helping to reduce

sibling rivalry in your toddlers.Ultimately, it is up to you to help

your toddlers who areexperiencing sibling rivalry tohelp them work things out. In

some instances, sibling rivalrymay work itself out, but in other 

case you will need to help teach

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them to resolve their conflicts.

Help them to learn how to talk 

about their feelings, and to listento their sibling as well. Help them

to use words instead of acting out

  physically. When you cant getthem to back off from one

another, separate them physically  by asking them to play by

themselves for MANAGEMENT

Figuring out a solution to siblingrivalry can be a difficult task for 

any parent. The fact of the matter 

is that sibling rivalry cannot beeliminated entirely. However, asmany parents know, sibling

rivalry can often get out of hand,

making for a difficult homeenvironment. While it may not be

 possible to do away with siblingrivalry, there may be things that

you can do to work with your 

children to find a solution to

sibling rivalry.

The solution to sibling rivalry

rests, mainly, on communication.

Just like any other sort of conflict,sibling rivalry very often escalates

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when there is a lack of good

communication. This is not to saythat sibling rivalry is caused by

 problems with communication. In

fact, most sibling rivalry is caused by completely other things, such

as jealousy, anger, or a feeling of a loss of privacy. When these

things occur, if the children arenot communicating in an effective

way, it is likely that a simple

dispute will turn into full-fledgedsibling rivalry. So, while

communication problems are not

the cause of sibling rivalry, theyare part of the solution to siblingrivalry.

Good communication for siblingsincludes being able, first of all, to

identify their own wants and

needs. Often sibling rivalry beginswhen one siblings needs or wants

are not being met. Being able to

identify those needs and then tocommunicate them to their siblingin a non-threatening way is the

first step in the solution to sibling

rivalry. The next step in thesolution to sibling rivalry is a bit

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more difficult, however. It

includes the siblings being able tolisten effectively to each others

wants and needs. Finally, the most

important part in the solution tosibling rivalry is for the siblings to

 be able to put themselves in their sibling’s shoes, not only listening

to their wants and needs but tryingto see things

Summarize the topic SUMMARY

Behavior problems in toddlers are

common, and they mostcommonly result from the child'sneed for autonomy and

exploration behavior problems,

toddlers, hitting, biting, temper tantrums. These needs arise from

the child's newly acquiredmobility and communication

skills

.

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