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Tantrums

Tantrums. www.seethatdad.com. www.ahaparenting.com. Telana Fairchild. www.goodtherapy.org. www.bilerico.com. Objectives. Definition Characteristics Triggers/ Causes Anticipatory Guidance Normal vs. Abnormal Parents NPs. www.authenticparent.info. www.babycenter.com.au.

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Tantrums

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  1. Tantrums www.seethatdad.com www.ahaparenting.com Telana Fairchild www.goodtherapy.org www.bilerico.com

  2. Objectives • Definition • Characteristics • Triggers/ Causes • Anticipatory Guidance • Normal vs. Abnormal • Parents • NPs www.authenticparent.info www.babycenter.com.au www.howstuffworks.com

  3. Definition • Temper tantrum: a child’s way of showing frustration or anger by whining and crying to screaming, kicking, hitting, and breath holding. • Begins to occur when child wants autonomy • Have a hard time expressing what they want • Looking for limits www.newbuster.org

  4. Characteristics • Normal part of development • Equally common in boys and girls • Usually occur between the ages of 15 months to 3 years • Should taper off after 3yrs • Based on kids' temperaments • Lack inhibitions or control www.hubpages.com

  5. Triggers/Causes • Be Aware of Temperament • Family-Child Interaction • Environmental Influences • Hunger • Sleep • Attention • R/o Developmental or Health Status www.bidorbuy.co.za

  6. Anticipatory Guidance • Distraction • Give choices • Give control • Praise good behavior and accomplishments • Consistency and Routines • Discipline by teaching and protecting www.drenda.com

  7. Normal vs. Abnormal

  8. When parents need to call us • If tantrums are increasing in: frequency, intensity, or duration • If self-injurious, hurtful to others, depressed, signs of low self-esteem, or overly dependent • If have questions, uncomfortable, or keep giving in

  9. Guidance for the NP’s • 5-20% of children have severe temper tantrums • Questions we should ask (History) • Remember the abnormal characteristics • R/O physiological causes (PE) • Prevention best method • Referrals or treatment of illness www.nursing.upenn.edu

  10. What questions do you have?

  11. References • American Academy of Pediatrics. (2011). Temper Tantrums: A Normal Part of Growing Up. Retrieved from http://www.healthychildren.org/English/fa mily-life/family- dynamics/communication- discipline/Pages/Temper- Tantrums.aspx • Belden, A.C., Thomson, N.R., & Luby, J.L. (2008). Temper tantrums in healthy versus depressed and disruptive preschoolers: Defining tantrum behaviors associated with clinical problems. Journal of Pediatrics, 152 (1), 117-122. • Daniels, E., Mandleco, B., & Luthy, K.E. (2012). Assessment, management, and prevention of childhood temper tantrums. Journal of American Academy of Nurse Practitioners, 24, 569–573.doi: 10.1111/j.17457599.2012.00755.x • Hagan, J.F., Shaw, J.S., & Duncan, P.M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

  12. References • Harrington, R.G. (2004). Temper Tantrums: Guidelines for Parents. National Association of School Psychologists. Retrieved from http://www.nasponline.org/resources/behavior/tantrums_ho.aspx • Pendley, J.S. (2012). Temper Tantrums. The Nemours Foundation: KidsHealth. Retrieved from http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=107&c at_i d=146&article_set=21609 • Wakschlag, L.S., Choi, S.W., Carter, A.S., Hullsiek, H., Burns, J. McCarthy, K.,…Briggs-Gowan, M.J. (2012). Defining the developmental parameters of temper loss in early childhood: Implications for developmental psychopathology. Journal of Child Psychology and Psychiatry, 53 (11), 1099-1108. doi:10.1111/j.1469- 7610.2012.02595.x.

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