Growth: refers to the measurable physical changes that occur throughout a person's life.

ex. height, weight, body shape, head circumference, physical characteristic, development of sexual organs, and dentition.

Development: refers to the changes in intellectual, mental, emotional, social and functional skills that occur over time.

During all stages of growth and development, individuals have certain tasks that must be accomplished and needs that must be met.

Physical: refers to body growth and includes height & weight changes, muscle and nerve development, & changes in body organs.

Mental: refers to intellectual development and includes learning how to problem solve, make judgments, and deal with situations.

Emotional: refers to feelings and includes dealing with love, hate, joy, fear, excitement, and other similar feelings.

Social: refers to interactions and relationships with other people.

ex. an individual first learns to sit, then crawl, then stand, then walk, then finally, run.

What reactions might we get from people when told they have a terminal illness?

5 stages of grief:

denial - "no, not me"

anger - "why me?" "its your fault"

bargaining - accept death but want more time to live

depression - may express regrets or withdraw and become quiet

acceptance - understand & accept fact that they are going to die

"a lack of something that is required or desired"

What are your needs?

Physiological:

* required to sustain life, ex: food, water, O2, sleep

* sensory & motor needs - lack of leads to atrophy

* many are automatically controlled

Safety:

* need to be free from anxiety & fear, secure in environment

* ex: individuals often prefer familiar over unknown

* how does illness influence our safety?

Love & Affection:

* warm & tender feeling for another person

* belonging, relating to others, and approval motivates actions

* what is sexuality?

Esteem:

* feeling important & worthwhile

* when others show respect & appreciation, individual gains self-respect

* how does illness influence esteem?

Self-Actualization:

* obtain full potentials or what they want to be

* @ this level people are confident & willing to express beliefs

* strong sense of self leads to reaching out to others

* successful actions and met needs leads to pleasure/ fulfillment

* if needs are not met, tension/ frustration occurs

* individuals feel needs @ different levels of intensity