Erickson's stage of development for Altered Mental Status and Mental Retardation

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I am required to document an Erikson stage of development on every patient I see during clinical rotations. How would I document a stage of development on a patient with Dementia with altered mental status, and is stupor.

And how would I document a stage of development on a Mental Retardation patient?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Based on your assessment.......At What stage are the functioning???

[TABLE]

[TR]

[TD]Stage[/TD]

[TD]Basic Conflict[/TD]

[TD]Important Events[/TD]

[TD]Outcome[/TD]

[/TR]

[TR]

[TD]Infancy (birth to 18 months)[/TD]

[TD]Trust vs. Mistrust[/TD]

[TD]Feeding[/TD]

[TD]Children develop a sense of trust when caregivers provide reliabilty, care, and affection. A lack of this will lead to mistrust.[/TD]

[/TR]

[TR]

[TD]Early Childhood (2 to 3 years)[/TD]

[TD]Autonomy vs. Shame and Doubt[/TD]

[TD]Toilet Training[/TD]

[TD]Children need to develop a sense of personal control over physical skills and a sense of independence. Success leads to feelings of autonomy, failure results in feelings of shame and doubt.[/TD]

[/TR]

[TR]

[TD]Preschool (3 to 5 years)[/TD]

[TD]Initiative vs. Guilt[/TD]

[TD]Exploration[/TD]

[TD]Children need to begin asserting control and power over the environment. Success in this stage leads to a sense of purpose. Children who try to exert too much power experience disapproval, resulting in a sense of guilt.[/TD]

[/TR]

[TR]

[TD]School Age (6 to 11 years)[/TD]

[TD]Industry vs. Inferiority[/TD]

[TD]School[/TD]

[TD]Children need to cope with new social and academic demands. Success leads to a sense of competence, while failure results in feelings of inferiority.[/TD]

[/TR]

[TR]

[TD]Adolescence (12 to 18 years)[/TD]

[TD]Identity vs. Role Confusion[/TD]

[TD]Social Relationships[/TD]

[TD]Teens need to develop a sense of self and personal identity. Success leads to an ability to stay true to yourself, while failure leads to role confusion and a weak sense of self.[/TD]

[/TR]

[TR]

[TD]Young Adulthood (19 to 40 years)[/TD]

[TD]Intimacy vs. Isolation[/TD]

[TD]Relationships[/TD]

[TD]Young adults need to form intimate, loving relationships with other people. Success leads to strong relationships, while failure results in loneliness and isolation.[/TD]

[/TR]

[TR]

[TD]Middle Adulthood (40 to 65 years)[/TD]

[TD]Generativity vs. Stagnation[/TD]

[TD]Work and Parenthood[/TD]

[TD]Adults need to create or nurture things that will outlast them, often by having children or creating a positive change that benefits other people. Success leads to feelings of usefulness and accomplishment, while failure results in shallow involvement in the world.[/TD]

[/TR]

[TR]

[TD]Maturity(65 to death)[/TD]

[TD]Ego Integrity vs. Despair[/TD]

[TD]Reflection on Life[/TD]

[TD]Older adults need to look back on life and feel a sense of fulfillment. Success at this stage leads to feelings of wisdom, while failure results in regret, bitterness, and despair.[/TD]

[/TR]

[/TABLE]

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Does the dementia pt interact with the world at all? If so then determine the stage that the pt would be in, otherwise if she is reliant on others for each and every one of her needs to be meet then she would probably fall in the trust v. mistrust stage.

A person with MR should be evaluated based on how they interact with others... most times someone with sever MR will fall into the trust v. mistrust --- but one can fall almost anywhere on the scale based on the severity of their MR.

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The patient was basically unconscious. No communication, no interaction at all,stupor..Stroke patient too. So Would a level of development even apply?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

So which patient is this for a stroke patient with dementia or a developmentally delayed patient that had a stroke. Tell me your assessment.

Stuporous: A state of impaired consciousness characterized by a marked diminution in the capacity to react to environmental stimuli. Did they withdrawal to pain? Did they localize to pain? Tell me about the patient

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Instead of using the "r" word could we refer to mentally challenged individuals as those with developmental disabilities? Or differently abled? As one who has a close relative who is differently abled individual and one who work with these individuals daily we need to be respectful in our language when referring to these folks...just a thought

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I dont like the R word either, but it was the diagnosis gave by the doctor.

And the patient with dementia is the stroke patient. The pt was stupor, nonresponsive verbally, eyes closed- asleep the entire shift. The patient's response to being bathed or touched was by gripping my hand and the bed rail with left hand. Radial pulses were stronger on the left side, and unequal to the right radial pulse.

For the time being Im more concerned on how to chart a level of development on the dementia stroke patient. I have a careplan due tomorrow.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Yes that is why we ask questions......did the patient follow any commands was any of their movements purposeful...do they eat? Are they dependent on your for everything.....Look at the chart above.....click on the icons or google what occurs at those stages....tell us what you think after you read them and we will go from there....we are happy to help but need you to use that critical thinking cap so we can help lead you to what you need to know....to make you the best nurse you can be.

You are talking about 2 patients.....what about your developmentally delayed patient what is their assessment?

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