LESSON PLAN

ON

TOPIC: COMMON BEHAVIORAL PROBLEMS IN CHILDREN

SUBJECT: CHILD HEALTH NURSING

PRESENTED BY:-

MISS SEEMA

SENIOR TUTOR/ LECTURER

CHILD HEALTH NURSING (SSNSR)

 IDENTIFICATION DATA:
 Name of the teacher: Miss Seema

 Name of the subject: Child health nursing

 Name of the topic: COMMON BEHAVIORAL PROBLEMS IN CHILDREN

 Name of the students: P.P.BSc Nursing 1ST

 Size of the group: 16

 Date and time of presentation: (16-12-2024)

 Venue/place of presentation: P.P.BSc 1st year

 Duration of teaching: 45mins

 Av aids: Yes

 Previous knowledge about the topic: Students have some idea about the topic common behavioral problems in children.
 GENERAL OBJECTIVES: At the end of the class students will be able to gain complete knowledge about

common behavioral problems in children.

 SPECIFIC OBJECTIVES: At the end of class students will able to:

 introduction of Behavioral Disorders

 definition Behavioral Disorders

 causes of Behavioral Disorders

 types of Behavioral Disorders.

 description of Behavioral Disorders

 summarization

 conclusion

 bibliography
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1 0.5 min To introduce the Introduction Teacher Student listen Lecture What is the
topic Behavioural disorders include many introduce the about the cum Behavioural
tension reducing activities that appear topic topic discussion disorders?
during childhood at various levels of
development. Some of these habits
develop from adults through imitation
where as other as purposeful
movement.

2 0.5 min To define the Definition Teacher Student learn Lecture Define the
behaviour When children cannot adjust to a define the about the cum Behaviour
disorder complex environment around them, topic behaviour discussion disorder?
they become unable to behave in the disorder
socially acceptable way resulting in
exhibition of peculiar behaviours and
this is known as behavioural problem
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3 mins Discuss the Causes of behaviour disorder:- Teacher Students are Enlist the
causes of Faulty Parental Attitude describes the able to know structure causes of
behaviour Inadequate Family causes of about the behaviour
disorder Environment behaviour causes of disorder?
Mentally and Physically Sick or disorder behaviour
Handicapped Conditions disorder
Influence of Social Relationship
Influence of Mass Media.
Influence of Social Change.

4. mins Behavioural disorder results due to Teacher Students are

Types of deprivation in any one of the area explain the able to know What are the
behavioural mentioned below :- types of about the types of
problems in  HABIT DISORDERS behavioural types of behavioral
children problems in behavioural problems in
 SPEECH DISORDERS
children problems in children?
 EATING DISORDERS
children
 SLEEP DISORDER
 PERSONALITY DISORDER
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5. mins COMMON BEHAVIORAL Teacher Students are

Enlist the PROBLEMS:- describes the able to know
common 1. Pica common about the Enlist the
behavioural 2. Bed wetting (Enuresis) behavioural common common
problems in 3. Thumb sucking problems in behavioural behavioural
children’s children’s problems in problems in
4. Anorexia nervosa
children’s children’s?
5. Temper tantrums
6. Tics
7. Bulimia nervosa
8. Encopresis
9. Nail biting
10. Juvenile delinquency

6. mins PICA - Persistent ingestion of non‐ Teacher Students are

nutritive substances for at least 1 month describes the able to know
Explain the in a manner that is inappropriate for the PICA about the
PICA disorder developmental level. disorder PICA What is PICA
Examples: mud, paint, clay, plaster, disorder disorder?
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charcoal, soil.
• It’s an eating disorder.
• Normal in infants and toddlers.
Coprophagia: Consumption of feces
Hyalophagia: Consumption of glass
Urophagia: Consumption of urine
Geophagia: Eating of mud, soil, clay,
chalk, etc.
Trichophagia: Consumption of hair
Pagophagia: Consumption of ice
Management:-
1. Parental care
2. Developing safe eating habits
3. Multivitamins and calcium
intake
4. Avoid punishment

7. mins Teacher Students are

ENURESIS
discuss about able to know
Enuresis or bed betting is a disorder of
Explain the the enuresis about the What is enuresis?
involuntary micturition in children who
enuresis disorder disorder enuresis
are beyond the age, when normal
disorder
bladder control is acquired. Bladder
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control is normally acquired by the age
of 2%-3 years. If it is not acquired
beyond 4-5 years of age, it is abnormal.
When bedwetting occurs repeatedly, it
is called as "enuresis".
1. Primary enuresis : It refers to
the condition in which children
have never been successfully
trained to control urination.
There may be delay in
maturation of sphincter control.
2. Secondary enuresis :- It refers to
the condition in which children
have been successfully trained,
but revert to bed wetting in
response to some stress. It may
be due to parent – child mala
adjustment.
MANAGEMENT:-
 Reassure the child and
parents
 Try to build the child's self-
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confidence.
 Parents should be explained
about the factors related to
bedwetting.
 Parents should be asked not
to scold, threat or punish the
child. Parents are advised
not to nag, criticize or
reprimand the child for bed-
wetting
 The child should not be
given any liquids like tea or
8. mins
milk after 5 pm in the
Teacher Students are
evening.
Explain the describes the able to know
encopresis encopresis about the Explain the
ENCOPRESIS
disorder disorder encopresis encopresis
Encopresis also known as paradoxical
disorder disorder?
diarrhea is invountary fecal soiling in
childrens who are past the age of toilet
training.
CAUSES:-
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Congenital defect
Chronic constipation
MANAGEMENT:-
Clearance of impacted faeces using
enemas.
Short term use of mineral oil/ laxatives
to prevent
Behavior therapy : Regular post
prandial toilet habits.
9. min Discuss the THUMB SUCKING Teacher Students What is the thumb
thumb sucking It is a habit disorder. discuss the understand sucking ?
Thumb sucking is defined as non- Thumb the thumb
nutritive sucking of fingers or thumb. sucking sucking
Age of occurrence :-
Oral stage (0-1years) usually decreases
after the age of 6 months. Most
children stop thumb sucking between 3
to 6 years of age.
MANAGEMENT:-
1. Improve parental
attention/nurturing.
2. Teach parent to ignore; and give
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more attention to positive
behaviour.
3. Provide child praise for
substitute behaviours.
4. Bitter salves may be used
reduce thumb sucking.
5. Chronic thumb sucking in older
children may affect alignment
of teeth.
TEMPER TANTRUMS
10. mins Explain the What is temper
Temper tantrums are seen mainly in
temper tantrum Teacher Students are tantrum?
toddlers. The toddlers express their
explain the able to know
anger by lying on the floor, kicking or
temper about the
stamping their feet, screaming loudly,
tantrum temper
and sometimes hurting themselves. Few
tantrum
may become stiff and few may have
“breath-holding spells” or banging of
head.
MANGMENT:-
1.In general, parents advised to:
Set a good example to child
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Spend quality time
Have open communication with child
Have consistency in behaviour .
2.During temper tantrum:
Parents to ignore child, leave child .
alone
Once child is calm, tell child calmly
that such behaviour is not acceptable .

11 Mins Explain the TICS What is TICS

disorder. disorder?
TICS Teacher Students are
These are the Repetitive movements of explains the able to know
muscle groups of face, neck, hands, TICS about the
shoulders, trunk. disorder. TICS disorder
Examples:
1. Lip smacking
2. Grimacing
3. Tongue thrusting
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4. Eye blinking
5. Throat clearing
MANAGEMENT:-.
Behavioral Therapy: The best-known
behavioral treatment for tic disorders is
a form of cognitive-behavioral therapy
(CBT) called habit reversal training.
A child is taught to recognize the
premonitory urge that precedes an
oncoming tic, and to identify the
situations that may trigger the tics.
The child and therapist develop a
12. mins Explain about the “competing” response—an action the What is anorexia
anorexia nervosa child performs nervosa ?

ANOREXIA NERVOSA Students are

Anorexia nervosa is characterized by Teacher teach able to

voluntary refusal to eat, significant about the understand

weight. loss, an intense fear of anorexia about the

becoming overweight, and a nervosa anorexia

pronounced disturbance of body image nervosa?

The individual with anorexia nervosa

may restrict food intake or engage in
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binge eating followed by self-induced
vomiting or misuse of laxatives or
diuretics.
MANAGEMENT:-
1. Nutritional counseling by a
dietician regarding healthy
eating habits and balanced diet.
2. Individual therapy to correct
distortions and deficits in
psychological thinking.
3. Family therapy to correct
disturbed patterns of interaction
in family.
13. mins Explain about the Explain the
4. In certain cases, antidepressants
Juvenile Juvenile
and selective serotonin reuptake
Delinquency Students are Delinquency?
inhibitors (SSRIs) .
Teacher able to know
Juvenile Delinquency:
explains the about the
Juvenile delinquency is one of the most
Juvenile Juvenile
important serious problems of the
Delinquency. Delinquency.
society. It is almost an outcome of
rapid urbanization and industrialization
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of modern times.
Causes of Juvenile Delinquency:
1. Bad company.
2. Mental conflicts.
3. Love of adventure.
4. School dissatisfaction.

Preventive Measures.
In order to prevent the juvenile
delinquency following measures may
be suggested.
• Creating a team at government
as well as private level for the
prevention.
• Giving proper training to the
members and staff of all
organizations concerned with
delinquency control.
• Establishing child guidance
clinics or give appropriate
treatment to the distributed and
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maladjusted children.

SUMMARY
In summarization we discuss about the introduction, definition, causes, types, description of the behavioural disorder.
 CONCLUSION
In conclusion, Behavioral disorders encompass a wide range of conditions that significantly impact an individual's ability to interact, communicate, and
function in everyday life. These disorders can arise from a combination of genetic, environmental, and neurological factors, often manifesting through
persistent patterns of disruptive, defiant, or emotionally challenging behaviors. Early diagnosis and intervention are crucial for effective management,
as untreated behavioral disorders can lead to academic difficulties, strained relationships, and social isolation

REFERENCES
BOOK REFERENCE:
 Sarin Jyoti and Arora Smriti Textbook of Pediatric Nursing,2021-22, CBS publisher page no.237-238.
 Sharma Chandra Mukesh, textbook of pediatric nursing, 1st edition, INC publisher page no. 557-558.
 Sharma Rimple, textbook of essentials of pediatric nursing, JAYPEE publisher page no.431-437.

ONLINE:
 https://www.slideshare.net/slideshow/juvenile-delinquency-16020451/16020451
 https://www.slideshare.net/slideshow/behavioral-problems-in-children-150370332/150370332
 https://www.slideshare.net/slideshow/behavioural-disorders-in-children/73779942