1st Care Plan question on Erikson's developmental stage

[crb613, BSN, RN]

My client is an 87 yr. old female admitted to hosp. from nursing home dx cva.She has diminshed gag reflex, trouble swallowing, left side facial drooping, left arm flaccid.She now has to be fed as the right arm doesn't work either the poor thing has had many broken bones on right side from falls.I have to put Erikson's developmental stage on my care plan. I don't know what to put for her.She is very alert when awake, intelligent and aware of what's going on.She is also in pain I asked her as few questions as I could because she just seemed so weak and tired. All she seemed to want was for me just to stay with her. We were to ask alot more questions than I did but the poor thing was miserable and I was absolutely not going to add to it so now I'm not sure what to put for her developmental stage. She also has copd and has not walked in 1 1/2 years and the list goes on and on. Do ya think immortality vs extinction would work? if so how to explain it? Or trust vs mistrust I know this is the 0-2 yr. stage but with her amount of falls, broken bones and state of health she can't feel very safe. Thanks for your help.

[kathy_79]

what i would do is to put stage development accepted to er age that is "integrity vs. despair" (person view her life as fulfillment and meaningfull; accept death; positive self-esteem; person in despair possess a sence of self-contempt and revulsion how her life progress, development of self-confidence, self-identity, and concern for other remain unfulfilled). she still havs hope or wants to think that she will fully recover, it is type of regress but it is also low self-esteem, seeking for attention; she is awear of her condition as you say she is alert, but she does not accept it fully, she seeks somebody to be with her for her, i do not say it is wrong but person need to be responsible for own actions too, need to do try to take care for herself what she does not do - almost two years no ambulation; i would say she is scared to upcoming end, even if she knows it will happen. i would consider her social life (family involvment, what she does for herself, if there are any activities she takes part); what are her beliefs about death, how she views her life; but i will go with despair part of this.

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good luck to you, i hope you do fine, :)