Erickson Stage

Nursing Students Student Assist

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In clinicals I had a 94 year old who had dementia and was in soft wrist restraints because he was pulling at his IV and catheter and pushing the staff when they were doing CMS checks, trying to clean him up, etc. He also reverted back to his native language (Spanish) when the dementia started, according to his wife. He was given Ativan in the AM to calm him down so between that and the language barrier he was just moaning and groaning all day.

That said, part of the assignment on my care plan is to identify the expected Erickson Stage (obviously you would expect Integrity vs. Despair due to his age) and also the actual Erickson Stage. I'm having problems with the actual stage. He was pretty much non verbal so I can't go by his speech and I just have no idea what to put and/or the reason for varience (if any).

Does anyone have any ideas?????

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Specializes in ER, ICU, Family Practice.

Hey ya!

You are right about expecting Integrity vs. Despair, but it seems as though the actual stage would be Trust vs. Mistrust. This is the stage that a person tries to establish a trust for his/her environment and primary caregiver, but this often does not happen for individuals who have cognitive impairment.

http://en.wikipedia.org/wiki/Psychosocial_development

Hope this helps!

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Specializes in Clinical Student.

I tend to agree with the trust vs mistrust myself. I just had a simuliar pt that I put in that stage. Haven't gotten the paperwork back yet, so I don't know if I was on the right track or not. I will find out next week.

R:icon_roll

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