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Question: Discuss About The Paediatric Nursing Skills Australian Nurses? Answer: Introducation Life transitions refer to the continual change in physical and mental health along the life span that every individual has to go through. It is the passage from one status, condition or phase to another, and indicates the outcomes of person-environment interactions. Human relationships come into the limelight in this regard as relationships existing between two individuals are a result of the transition phase an individual is going through (Fraser et al., 2017). Nursing practice demands an in-depth understanding of the concept of life transition, especially when it comes to child care. The essay put forward in here is an attempt to highlight the transition of a three-year-old child Jack from social and cognitive developmental viewpoint. The paper includes the theories of Piaget and Erikson. The next section of the essay would focus on the association between cognitive and social development concepts. Lastly, the significance of understanding the implications of the development of thi s age group in nursing practice is highlighted. Jean Piaget, a well-known psychologist, had outlined the famous life span theory of cognitive development that is widely referred to while analysing different case studies. Cognitive development is an essential component of human development. The theory primarily focuses on how factors guide its development (Overton, 2013). The second stage of human development, as mentioned in theory, is termed as the Pre-operational Stage. This stage considers children of age between two years and seven years. The mental representation of the previous stage enables a swift transition to this stage. It implies that a child can ow exhibit a representation of self through different modes, particularly language. A child moves forward from using only words for self-expression to using sentences that are structured appropriately. The relationship a child forms between language is evident, and actions depend on the ability to express self. A key feature of the stage is egocentrism, as defined by the perce ption of surrounding in relation to self. A child might be struggling to perceiving situations from viewpoint of others (Carey et al., 2015). Drawing facts from the given case study it is to be mentioned that Jack has not been able to achieve the milestones pointed out in the theory of Piaget. This can be explained by the fact that Jack is not capable of speaking in complete sentences and instead uses two or three words to raise his views. As he babbles constantly, it is perceived that he is not willing to communicate with others. Limitation in language development and can be attributed to lesser support from his mother Vanessa, a key reason for being egocentric. Another important feature of this stage is conservation. This means that a chid might be finding it difficult to understand the measurements of different situations (Beilin Pufall, 2013). In the present case, the child could be having difficulty in measuring the time he spends at the day care unit and home, compelling him to think that he is away from the best care source, that is his mother, for a longer period. This could give rise to feelings of solitude and rejection. Erik Erikson is known to explain child development concepts through his theory of social development. Erikson has divided a life span of human into eight distinct phases each with a discreet set of features. As per this theory, a child of three years age is considered to be in the second life stage, that has the virtue of will. Socialisation at this stage is evidently strong as motor skills develop. A child is torn between doubt and shame on one hand and autonomy on another. Eliminative function improves significantly at this stage with the hep and support form parents (Johnson Anderson, 2016). Hockenberry et al., (2016) in this regard state that a child relies on the support and guidance of the mother for improving the skills he is taught. If the assertion is provided by the mother, a child will consider imbibing the social skills he is taught and demonstrating them to the outer world. Autonomy of a child is only evident when the parent is there constantly to drive him towards posi tive change. It is an important aspect that a child would want to explore his surrounding if he is permitted to do so. From the present case study, we find that Jack has not made much improvement in his toileting skills as desired at his age. The fact that he is left behind at day care unit by his mother is of chief importance in this regard. Vanessa, his mother, is away most of the times for her work, leaving him in the care of a nurse. The care provided by a mother cannot be substituted by that of others, and this is the same in this case. The essence of continual support and warmth and encouragement is not there for Jack that could have helped in developing the toileting skills. Confidence has not built up within Jack by which he could improve his skills and show the same at the care unit. Absence of a trusted guardian has restricted Jack from achieving the milestones. Autonomy has not been established in the absence of motivation from his mother. The relationship between social development and cognitive development of a child is noteworthy as one exerts a deep impact on the other (Fraser Fraser, 2017). The author pinpoints that the impact of cognitive development on social development is far-reaching. The rationale behind this thought is that if a child is able to think in a rational manner and express himself through proper language, he is able to express his emotions and establish social relationships. The child is also abe to understand concepts of self. The physical development also leads to mental development or cognitive development. From the present case study, it can be highlighted that Jack has not developed his cognitive skills, that might be a reason for his ability to demonstrate toileting skills. Considerate knowledge of the life stage of a child between 2-5 years is decisive for a nurse to deliver good quality care. In case of day care unit, a nurse is responsible for delivering care that is comprehensive and revolves around physical, social and cognitive milestones. Developing knowledge of this life transition phase would enable a nurse to plan a care chart for the child as per his needs. The development of the child is to be compared with the milestones outlines in the theories so that the further needs of the chid can be highlighted. Care can be fostered if the child is helped with the skills he is not competent with. The overall outcome would be better outcomes for the child care (DiCenso et al., 2014). The above paper gave an opportunity to explore the different dimensions of social and cognitive development of children at the stage of three years. The theories that were explained pertaining to this life stage was cognitive development theory of Piaget and social development theory of Erikson. From the paper, it can be concluded that a nurse plays an important role on how a chid is cared for so that he is able to attain the desirable milestones of his age. Understanding the multi-faceted concepts of human development is an essential element of nursing practice. References Beilin, H., Pufall, P. B. (Eds.). (2013).Piaget's theory: Prospects and possibilities. Psychology Press. Carey, S., Zaitchik, D., Bascandziev, I. (2015). Theories of development: In dialog with Jean Piaget.Developmental Review,38, 36-54. DiCenso, A., Guyatt, G., Ciliska, D. (2014).Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences. Forster, E., Fraser, J. (2017).Paediatric Nursing Skills for Australian Nurses. Cambridge University Press. Fraser, J., Waters, D., Forster, E., Brown, N. (2017).Paediatric Nursing in Australia: Principles for Practice. Cambridge University Press. Hockenberry, M. J., Wilson, D., Rodgers, C. C. (2016).Wong's Essentials of Pediatric Nursing-E-Book. Elsevier Health Sciences. Johnson, A. L., Anderson, E. D. (2016). Birth and Infancy: Emotional and Social Development.Human Growth and Development Across the Lifespan: Applications for Counselors, 151. Overton, W. F. (Ed.). (2013).The relationship between social and cognitive development. Psychology Press.