The Villanueva’s #2
Mateo Villanueva
#1
Mateo’s family (Multigenerational)
#3
#4
Jane (Mom) and Mateo
Rafael (Dad) and Mateo
Introduction
The Villanueva’s are a multigenerational family consisting of ● Mateo: 4 y/o boy ● Alba (Mateo’s great grandmother) ● Xiomara (grandmother) ● Rojilio (grandfather) ● Jane (mother) ● Rafael Solona (Father) They have a very healthy family dynamic that creates a stable environment Physical appearance: Brown eyes, brown hair, hispanic 4 yr old boy ● Weight - 33 lbs ● Height - 38 inches ● Slender, sturdy
#5
Social development/network: Mateo lives half time with his mother, grandmother and great grandmother and the other half with his father. He attends preschool with his two half sisters and truly has a great supportive family. Mateo has a hard time making friends because he has been aggressive towards some of the other kids. For example he has a habit of biting other kids in his class, showing aggressive behavior, which is a normal part of growth and development for his age. Other normal social development traits that Mateo has are being selfish, impatient, and taking pride in accomplishments. He loves to entertain a crowd with dancing and telling jokes. Mateo participates in associate play. He does not have an imaginary playmate, even though it is common for this age. He does associate time with events, such as we will play after lunch is done.
Growth and Development Mateo is in the preschool stage. He is not hitting the expected physical growth milestones which are 36.8lbs and 40.5 inches (Perry, 2014 pg.952). He is instead 33 lbs and 38 inches, which is okay but requires little intervention to improve. He is meeting all of the fine motor skills expect tieing shoes because he has not been exposed to shoes with laces. Mateo is meeting and advanced in his gross motor skills. Psychosocially Mateo is struggling with guilt because he is blaming his actions for the death of his step father.
Gross Motor Skills Mateo is meeting the age expected milestones for his gross motor skills. He is able to throw a ball reliably and hop/skip on one foot proficiently. He is also able to to walk downstairs using alternating feet. An advanced motor skill Mateo is able to do is balance on alternating feet with his eyes closed, which is a 5 yr old skill he is able to perform.
Fine Motor Skills Mateo is meeting the preschool milestones in this area. He loves to color and paint at preschool. He is able to use scissors to cut out a picture with an outline. He does not tie his shoes because he mainly wears velcro shoes. He is advanced in drawing pictures because he draws more than the milestone requirement which is adding three parts to a stick figure. Mateo can draw 5 parts to a stick figure He is able to dress himself properly
Growth and Development Cont. Mateo is reaching the developmental milestones for moral and cognitive development His reasons for good behavior being dictated by punishments/rewards and cognitively he is in the correct preoperational cognition that involves egocentrism. He has not transitioned into intuitive thoughts; however this is supposed to be taking place during this year of his life. His language is reaching the normal milestones with 1500 vocabulary and he is advanced with 5-6 word sentences. He is meeting the social developmental milestones of playing associatively and wanting to be around other children/adults.
Erikson Mateo is in the Initiative vs. guilt stage, meaning he is reaching the milestone for this area for a preschooler. In this stage “Children are in a stage of energetic learning” (Perry, 2014, pg 953). They are pushing their abilities to the fullest and trying to accomplish activities. On the other hand if they feel as though they have not behaved appropriate they feel a sense of guilt. Mateo is struggling with this phase because he has dealt with his step father’s death when he was 2 and thinks his bad behavior was the cause of his death at one point. This thought process indicates signs of guilt in this stage. Kohlberg Mateo is in the preconventional or premoral level, reaching the moral milestone for his age. Their moral development is mainly composed on “freedom or restriction” (Perry, 2014, pg 954). Punishment dictates whether an action is bad or no punishment means it is okay to do. Mateo is in the punishment and obedience orientation because he understands that biting people is bad soley because he was punished by not being able to play at recess with the other kids. He does not understand that biting people is bad because it hurts them, which is normal for his age.
Piaget
Mateo is meeting the cognitive milestones for his age by being in the preoperative phase and specifically the preconcentual phase that centers around egocentrism. Mateo has not shown signs of transitioning into the intuitive phase yet. Language is evident in Mateo’s everyday life and his main mode of communication. He uses 5-6 word sentences, making him a little advanced in this area because a milestone for his age is only 4-5 word sentences. He has a vocabulary of 1500 words, another milestone meet. Mateo is very inquisitive and has reached the milestone of questioning everything. He loves sings happy birthday to all of his family members. Mateo is able to name 3 colors, making him advanced because the norm is 1 color. He does associate time with events, such as we will play after lunch is done. He is not able to recognise conversation of matter, which is a normally not recognised at the preschool level.
Nutrition: “The 2010 dietary guidelines for Americans recommend an average intake of 1400-1600 calories per day for a moderately active child” (Perry, 2014, pf 962). Mateo is a highly active child that participates in many physical activities. He does not consume an adequate amount of calories due to his pickiness and unwillingness to sit at the table for an extended period of time, which is normal for his age. He does not eat vegetables on a regular basis and loves to eat cheetos, which is not recommended for his growth and development. He is going through a rebellious phase of finicky eating patterns where he is unwilling to eat a variety of foods. He loves eating cheese products. Mateo also loves drinking milk and requests it above all other drinks. He does not meet the recommended 13-19 grams of protein daily. Mateo’s mother and father have one family meal a week with his half sisters and mateo loves this. He also loves to cook with his great grandmother. His mother does not have the best diet as his main role model in the eating department and Mateo loves to snack off of her food, which is a problem.
Orem: Sleeping Habits- 12 hours at Night is very common in addition To regular naps. Mateo is a good sleeper and struggles with naps but eventually gives in and takes them, another normal trait for his age. His parents have a set routine when it comes to sleeping. This is optimal for good habits/patterns and places good expectations for Mateo. He does not appear to have any evidence of sleep disturbances. He has had a couple nightmares regarding his step father’s death but has not shown to continue or have negative outcomes regarding sleep. Self care: Mateo is sometimes reluctant to wear anything other than his superhero costumes to school. He brushes his teeth on his own and partakes in good dental hygiene. Mateo loves the water, so it makes bath time very easy for his parents. Toilet training: Mateo is toilet trained and has never showed signs of regression in this area.
Problems and Interventions 1. Nutrition: Mateo is a picky eater who loves anything with cheese in it. He lacks adequate intake of calories and protein for his current activity levels. Anticipatory Guidance: This is a time when picky eating is common and is often related to the child showing a sense of autonomy and rebellion. Interventions: It is important for parents to not force the issue and create stress for the child as long as no harm is truly being done. According to research, preschool children often are resistant to many foods (walton et al, 2017). Educate Mateo’s parents in being good role models for healthy eating habits. Tell parents to continue to reward exploration of new foods and encourage mealtimes and the dinner table to be a safe place, not a place of stress for the child. Add extra mealtimes with both parents and sisters because Mateo loves that atmosphere and is more willing to sit longer and finish meals at a table surrounded by all the family. Perhaps have the parents allow him to cook more often with his great grandmother to encourage the presence of food variation. Refer to a dietitan that can help improve eating habits. Teach parents the proper food portions and amounts of food to be feeding Mateo.
2. Physical development: Mateo is on the smaller side of physical development mostly due to his high energy activity and lack of adequate nutrition, which can be a quite normal problem for kids at this age. His weight is 33 lbs and height is 38 inches, The normal milestones for physical development are 36.8lbs and 40.5 inches. Anticipatory guidance: Based on evidence, a slow growing spurt at this age is okay because their activity level increases alongside a decrease in appetite and picky eating (walton et al, 2017). Tell parents not to worry too much but to try and improve this problem through better eating habits. Interventions: Encourage better eating habits to improve growth. Refer to a dietitian that can encourage and guide with eating to improve physical growth. Teach parents that finger foods are effective if the child cannot sit in for very long at the table. Also have the parents be fully ready with food and silver wear on the table before the child comes to sit down so he is not waiting.
Problems and interventions 3. Development/Social Development: Mateo has a problem with socially making friends because of his aggression at certain times. He has had a biting problem as well as a behavior problem to the extent that the school required he have an aid with him at all times. He is almost to the transition from preconceptual thinking to intuitive thoughts in which he will learn to shift his thoughts away from egocentrism. He also needs guidance to get out of his guilt phase psychosocially. Anticipatory guidance: Parents need to teach their children about rules as well as pay attention when the child is talking (Ward, 2014, pg. 18). “Instruct parents that discipline can be done with gentle restrain, distraction, or ‘time outs’. Tell parents to praise good behavior and give plenty of smiles and hugs” (Ward, 2014, pg. 19). Interventions: Reward positive behaviors and set boundaries, rules, and expectations. Allow the child to transition from an aggressive state to a more cooperative, sharing state. Continue to monitor and look for improvement, if none is evident, seek out guidance through a specialist in behavioral/social therapy. Parents should also assure and reinforce the child that his step father did not die because of his bad behavior. If he continues to have guilt, the nurse would need to refer out for the child to receive support and help in the psychosocial area of development.
4. Safety: Mateo is a very active child with high energy. He is not very aware of the negative consequences that could happen on accident. He has had many accidents already, such as broken bones from playing and getting too close to pools without supervision. Anticipatory guidelines: Mateo and his family need to be educated about safety and potential dangerous that could be preventable with a little adjustments. Interventions: Teach parents the importance of safety and accident prevention. Parents should have a child play in a fenced yard and have a safety gate surrounding the pool (ward, 2014). Supervision is required when water is around. They need to keep hazardous material and guns out of reach and locked up (Ward, 2014, pg. 18).
Reference #1 http://tvline.com/2015/01/28/jane-the-virgin-season-1-cast-rita-moreno-rogelio-mom/ #2 https://www.buzzfeed.com/krystieyandoli/we-need-to-talk-about-how-cute-mateo-is-on-j ane-the-virgin?utm_term=.xjXwwPmDBL#.axQyyM5LBD #3 http://janethevirgin.wikia.com/wiki/Mateo_Solano_Villanueva #4 http://www.tracking-board.com/jane-the-virgin-reviews-chapter-sixty-three/ #5 http://www.fumcclinton.org/weekday/preschool/ Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2014). Maternal Child Nursing Care (5th ed.). St. Louis, MO: Mosby: Elsevier. Walton, K., Kuczynski, L., Haycraft, E., Breen, A., & Haines, J. (2017). Time to re-think picky eating?: a relational approach to understanding picky eating. International Journal Of Behavioral Nutrition &
Physical Activity, 141-8. doi:10.1186/s12966-017-0520-0 Ward, S. (2014). Pediatric Nursing Care: Best Evidence-Based Practices. Philadelphia, PA: F. A. Davis Company.