Human development from the initial period of intrauterine life to the fullness of adult maturation requires the formation and the maintenance of conditions that promote known developmental processes at each period of the life cycle. Developmental self-care requisites are associated with human developmental processes and with conditions and events occurring during various stages of the life cycle and events that can adversely affect development. Developmental self-care requisites can be categorized
as: (a) Maturational or (b) Situational.
A. Maturational
Conditions that promote progress toward higher
stages of organization/maturation. The bringing about and maintenance of living conditions that support life processes and promote the processes of physical, cognitive and emotional development including growth and maturation.
1. Environment: physical setting, people, economic and social components.
2. Age.
3. Education.
4.Present knowledge, skills and attitudes and ability to acquire knowledge and skills appropriate to the following developmental stages:
a. Intrauterine stages of life and the process of birth:
(1) Nutrition (2) Smoking, drinking, drugs (3) Prenatal care(4) Childbirth classes
b. Neonatal stage of life:
(1)Term, premature, post term 2)SGA, AGA, LGA
c. Infancy (see pediatrics textbook for norms).
d. Childhood, adolescence, entry into adulthood, adulthood ( Erickson).
e. Pregnancy : (1) Planned, unplanned (2) Wanted, unwanted (3) Age
(4)Single parent (5) Prenatal care (6) Ability to care for child

B. Situational
Prevention of deleterious effects on development/situation. Provision of care either to prevent the occurrence of deleterious effects of conditions that can affect human development or to overcome these effects from conditions such as the following:
1. Educational deprivation : a. Lack of knowledge. b. Ability to learn. c. Past learning experiences.
2. Problems of social adaptation.
3. Failure of individuation: Erickson's developmental stages/signs of failure to attain.
4. Loss of relatives, friends, associates: a. When did loss occur? b. Why and how did loss occur? c. Who was lost and what was the meaning of the loss to the person? d. Is the loss potential, temporary or permanent?
5. Loss of occupational security and/or possessions: a. When, why and how did loss occur? b. Is loss potential, temporary or permanent?
6. Abrupt change of residence to an unfamiliar environment: a. Why, how and when did change occur? b. Is it potential, temporary or permanent?
7. Status-associated problems: a. Will patient status be affected by condition? b. Will it be readily observable or able to be concealed? c. Is it potential, temporary or permanent?
8. Poor health or disability: a. How does it affect ADL? b. How does it affect ability for growth, development and maturation? c. Is it potential, temporary or permanent?
9. Oppressive living conditions: a. How do they affect ability to deal with condition? b. How long have they been this way? c. What is the potential for change?
10. Terminal illness and impending death : a. Patient and family awareness. c. Support systems available. b. Stage of death and dying (Kubler-Ross). d. Cause of illness.

SUGGESTED NURSING DIAGNOSES FOR
DEVELOPMENTAL REQUISITES
MATURATIONAL: Progress toward higher stages of organization of maturation. All nursing diagnoses must be related to a specific condition or problem.
Potential for injury: related to (R/T)
Sexual dysfunction
Altered growth and development
Impaired social interaction
Altered sexuality patterns
Diversional activity deficit
Knowledge deficit
Sensory/perceptual alteration
Parenting, alteration in
Impaired verbal communication
Ineffective family coping
Spiritual distress
Family process, alteration in
Violence, potential for
SITUATIONAL: Prevention of deleterious effects on
development/situation All nursing diagnoses must be related to a
specific condition or problem.
Rape trauma syndrome: related to (R/T)
Impaired social interaction
Altered sexuality patterns
Post trauma response
Diversional activity deficit
Knowledge deficit
Self-concept, disturbance in
Grieving, anticipatory
Grieving, dysfunctional
Impaired verbal communication
Hopelessness
Powerlessness
Social isolation
Coping, effective, individual
Impaired adjustment

Seek/secure medical assistance with exposure/evidence of conditions associated with pathology
Noncompliance
Knowledge deficit
Be aware/attend to effects of pathological states
Noncompliance
Unilateral neglect
Health maintenance, alteration in
Knowledge deficit
Potential for infection
Potential for injury
Ineffective thermoregulation
Hypothermia
Hyperthermia
Potential alteration in body temperature
Carry out medically prescribed measures related to prevention/regulation/compensation for pathology
Knowledge deficit
Noncompliance
Unilateral neglect
Health maintenance, alteration in
Impaired physical mobility
Potential for infection
Potential for injury
Be aware/attend to/regulate discomforting/deleterious effects of prescribed measures
Knowledge deficit
Noncompliance
Unilateral neglect
Altered sexuality patterns
Potential for injury
Health maintenance, alteration in
Diversional activity deficit
Impaired physical mobility
Social isolation Impaired communication