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Meet Doug! Doug Funnie is a Caucasian 11-year-old school-age child who had recently moved to Bloatsburg. His interests include writing, superheroes, movies, comic books, and rock music. He is characterized as gullible and often insecure. He writes in his journal about his everyday life. He is strong imagination shown by comic book drawings of fictional alter egos of himself such as a superhero with quail-like powers named Quailman. In addition, he plays the banjo and writes songs. His appearance is slender with some belly fat. He is 4’10 and weighs about 100 pounds. He has short thin hair, small eyes, and a big round nose.
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The Funnie Family
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Doug’s parents are Phil and Theda Funnie. His father Phil is a photographer and his mother Theda is a housewife. His parents display an authoritative parenting style as they have high expectations for Doug while providing advice and constructive support as he grows older. Doug’s older sister Judy is currently in high school and is described as an extrovert. Doug and sister have a sibling rivalry relationship. Doug has a pet dog named Porkchop.
Doug’s Friends Doug is a student at Bloatsburg Middle School. He is the “new kid” and is adjusting to make new friends. Skeeter is Doug’s best friend who gives him social advice as well as helps him become accustomed to his new school and town. Patti is Doug’s closest female friend as well as love interest. She is an multi-talented and an athlete at school. Doug often faces insecurities trying to impress her. Roger is Doug’s rival as well as the school bully and often takes advantage of Doug’s gullible nature.
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Growth & Development: School-Age Doug is a 11-year-old child which puts him in the end of the School-Age stage of growth and development (Perry, Hockenberry, Lowdermilk, & Wilson, 2014). Being in this stage of development, he has been growing about 2 in. and has been gaining about 5 lbs. per year. Being in the latter years of being a School-age child, he is entering prepubescence (Henry et al., 2016). His permanent teeth have erupted during this stage and he no longer has any primary teeth present. His immune system has improved since his childhood. Furthermore, he is beginning his transition into the next stage of development, Adolescence. This is shown by the start of appearance of acne. He is reaching a stage of rapid growth (Henry et al., 2016).
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Fine Motor Skills
Gross Motor Skills
In this stage of development, Doug has been able to show improvement in fine motor skills. His artistic nature is shown by his drawing capabilities in drawing comic books of fictional characters. His eyehand coordination as he plays sports during physical education classes at school. His writing skill is displayed by writing in his journal regularly. He also displays improved dexterity as he plays his banjo and write songs (Ward, Hisley, & Kennedy, 2016).
In this stage of development, Doug’s gross motor skills are appropriate for age. He has learned to use his body better as his coordination, balance, and rhythm have improved. He has learned to ride a bicycle better from riding to school daily. He enjoys competition on the playground while playing games and organized sports including basketball and football. He has also learned how to ice skate during the wintertime (Ward et al, 2016)
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Piaget: Concrete Operations Doug is in the Concrete Operations stage of cognitive development (Perry et al., 2014). Doug has begun to utilize logical thought process as he had transitioned from perceptual to conceptual thinking. In addressing acceptance from his peers, he conceptualizes the perspective of others before taking action. Doug is characterized as caring and thoughtful by his peers as his actions put others before himself. His gullible nature is often taken advantage of as he takes what others say very literally. He learns to solve problems based on what he can perceive in school academically as well as socially.
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Erikson: Industry Vs. Inferiority
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Doug is in the Industry Vs. Inferiority stage of psychosocial development (Perry et al., 2014). Being enrolled in a new school, he has learned to develop social relationships, especially with his best friends Skeeter and Patti. He gets along well with others and gains happiness and confidence through acceptance from his peers in activities such as sports and games. Though he is not the most athletic or smart student, he always strives for success. He is competitive in nature, especially with his rival, Roger. He fears inferiority as he experiences insecurity in himself.
Kohlberg: Conventional Level Doug is in the Conventional Level of moral development (Perry et al., 2014). Making new friends and maintaining these relationships is important to Doug at this level of development. He acts accordingly by treating others as he would like to be treated. Rather than gain approval by being the most athletic or smartest, he is considered the most genuine and kind by his peers. He understands and conceptualizes right and wrong behaviors rather than just accepting what others say. He displays correct behaviors as he shows great respect for his elders as well as serving as a moral compass for his friends.
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Nutritional Status Doug’s current BMI is 20.9, which puts him in the overweight category. His regular breakfast consists of bananas dipped in pizza sauce. For lunch, he eats a ham and cheese sandwich. After school, he eats at the local fast food restaurant, where he eats a cheeseburger and fries and drinks milk shakes. At home, he eats plenty of junk food such as pizza and potato chips. He occasionally eats beets when he runs out of junk food.
Food Group
Amount
Fruits
2 Cups
Vegetables
3 Cups
Grains
7 Ounces
Protein
6 Ounces
Dairy
3 Cups
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Doug does not meet the recommended nutritional standards set by the USDA (Choose MyPlate, n.d.). Based on Doug’s age and BMI, he should exercise for at least 60 minutes each day and consume an average of 2,200 Calories a day (Choose MyPlate, n.d.). He should limit his intake of sodium to 2,200 milligrams, saturated fat to 24 grams, and added sugars to 55 grams per day. His diet should include the food groups listed to the left (Choose MyPlate, n.d.) Maintaining adequate nutrition as well as physical activity is essential for his growth and development
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Orem’s Self-Care Requisites Feelings Partially Met. Doug is generally happy with his life. He has formed great relationships with his peers, but is often hurt when he is bullied at school. He has a love interest in his friend Patti, but experiences insecurities which prevent him from expressing his emotions to her.
Sex & Sexuality Partially Met. Doug is approaching the age of sexual maturity as he is reaching prepubescence. He is not sexually active. He has shown interest in the opposite sex but is not able to express his feelings.
Body Image Partially Met. Doug is comfortable with who he is as an individual. However, his creation of comic book alter-egos of himself show that he sometimes wishes he would portray different characteristics. He is also bullied at his school and faces insecurities related to seeking acceptance from his peers.
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Family & Friends Met. Doug has a great supportive family and formed healthy relationships with friends. His parents are very supportive. He has a sibling rivalry relationship with his sister but is shown care and love. He has a great support system, especially from his best friends, Skeeter and Patti.
Drug or Alcohol Use Met. Doug does not engage in drug or alcohol use. Though he places great significance in peer support, he does not succumb to peer pressure at the cost sacrificing his morality. He is viewed as a moral compass by his peers as he always does the right thing.
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Anticipatory Guidance Nutrition
Physical Development
Doug often eats an imbalanced diet consisting of junk food such as pizza, potato chips, and hamburgers.
Doug is overweight based on his BMI and experiences insecurities due to his physical capabilities.
Doug should be educated to minimize eating fast food as well as including adequate portions of each food group into his regular diet. He should also learn to choose healthy snack alternatives he enjoys such as bananas and beets.
In addition to maintaining a proper, balanced diet, he should exercise regularly for 60 min. a day. He should expect a stage of rapid growth during adolescence as he will grow 2-8 in and gain 15.5-55 lb. (Henry et al., 2016).
Social Development
Safety
Doug often experiences insecurities around his peers and is bullied in school by Roger.
Doug rides a bicycle to school every day and late at night when returning home from his friend’s house.
Doug should learn to stand up for himself against bullying and accept support from his peers. As he grows older, he will gain more confidence in himself through focus on his strengths and stronger support form his peers.
Doug should always wear protective gear such as a helmet when riding a bicycle. He should also wear reflective clothing when riding at night. He should also be aware of his surroundings and look both ways before crossing streets
QSEN The Quality and Safety Education for Nurses (QSEN) competencies focus on six essential components of providing safe, high-quality care. These include safety, patient-centered care, evidence-based practice, informatics, quality improvement, and teamwork and collaboration (Henry et al., 2016).
References Choose MyPlate. (n.d.). Retrieved June 24, 2017, from https://www.choosemyplate.gov/ Henry, N. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., ‌ Barlow, M. S. (2016). RN nursing care of children (10th ed.). Stilwell, KS: Assessment Technologies Institute. Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2014). Maternal child nursing care (5th ed.). Elsevier Health Sciences. Ward, S. L., Hisley, S. M., & Kennedy, A. M. (2016). Maternal-child nursing care: optimizing outcomes for mothers, children, & families (1st ed.). Philadelphia, PA: F.A. Davis Company.
Photo References 1.
https://vignette1.wikia.nocookie.net/doug/images/3/3b/Doug001.gif/revision/latest/scale-to-widthdown/351?cb=20110807170511
2. http://vignette1.wikia.nocookie.net/doug/images/8/8c/581278-image_2_quailman_large.jpeg 3. https://s-media-cache-ak0.pinimg.com/236x/ac/01/0a/ac010adc39aacd4fd0834b2a5c833d3e.jpg 4. http://www.strangekidsclub.com/wp-content/uploads/2015/06/Doug-friends.jpg 5. http://vignette3.wikia.nocookie.net/doug/images/f/fc/GrabberRaster_0009.jpeg 6. https://vignette1.wikia.nocookie.net/doug/images/1/19/Doug%27s_Dental_Disaster.jpg 7. https://vignette2.wikia.nocookie.net/doug/images/3/35/Doug%27s_Huge_Zit.jpg 8. http://i.huffpost.com/gen/1876647/images/o-DOUG-facebook.jpg 9. http://img.moviepostershop.com/doug-movie-poster-1991-1020284236.jpg
10. http://vignette4.wikia.nocookie.net/nickelodeon/images/0/0e/Doug_writing_in_journal.jpg 11. http://g33kingout.com/wp-content/uploads/2014/02/disneydoug.jpg 12. http://i986.photobucket.com/albums/ae342/dougfunnieiscrazy/Doug%20Battles%20the%20Rulemeister/0 5.jpg 13. http://i986.photobucket.com/albums/ae342/dougfunnieiscrazy/Dougs%20Cookin/28.jpg 14. http://i986.photobucket.com/albums/ae342/dougfunnieiscrazy/Doug%20Tips%20the%20Scales/01.jpg 15. http://static.tvtropes.org/pmwiki/pub/images/DougArtwork.jpg 16. https://ewedit.files.wordpress.com/2016/08/doug-and-patti-show.jpg 17. http://i986.photobucket.com/albums/ae342/dougfunnieiscrazy/Doug%20is%20Quailman/03.jpg