Erik Erikson’s theory of psychosocial advancement is one of the best-known theories of personality in psychology. Erikson believed that personality grows in a series of stages. Erikson’s theory identifies the impact of social knowledge across the complete lifespan. Erikson theory concentrates on physical, emotional, and emotional stages of development. In respect to Erikson personality designed in 8 developmental phases throughout life and the need of each stage must be fulfilled or resolved before the move to the next stage.
If specific requirements are not met in a particular stage, it will eventually affect the individual later in life. Erikson’s stages of development evaluation findings of each age group and potential conclusions a registered nurse may discover includes: Infancy (birth to eighteen months): Trust versus Doubtfulness.
Children set out to learn the capability to trust other folks based upon the consistency of their caregiver(s). If perhaps trust evolves successfully, the kid gains assurance and secureness in the world about him which is able to truly feel secure even though threatened.
Unsuccessful completing this level can result in a great inability to trust, and for that reason a sense of dread about the inconsistent globe. It may result in anxiety, heightened insecurities, and an more than feeling of mistrust in the world around them. Early Child years (2 to 3 years): Autonomy versus pity and doubt.
Children continue to assert their very own independence, by simply walking away from other mother, finding which toy to play with, and producing choices as to what they prefer to wear, to enjoy, etc . If children with this stage are encouraged and supported within their increased freedom, they become well informed and secure in their individual ability to endure in the world. If perhaps children are criticized, overly managed, or certainly not given a chance to assert themselves, they begin to feel inadequate inside their ability to survive, and may then simply become overly dependent upon other folks, lack self-esteem, and think a sense of disgrace or doubt in their very own abilities. Preschool (3 to 5 years): Initiative versus remorse.
Children state themselves more frequently. They begin to plan activities, make up games, and initiate actions with other folks. If given thisopportunity, kids develop a perception of effort, and experience secure in their ability to lead others and make decisions. Conversely, if this tendency is squelched, either through critique or control, children develop a sense of guilt. They may feel like a nuisance to others and will consequently remain fans, lacking in self-initiative. School Age (6 to 11 years): Industry vs inferiority.
Children begin to create a sense of pride inside their accomplishments. That they initiate jobs, see all of them through to completion, and feel good about what they have achieved. During this time period, teachers play an increased role in the infant’s development. If perhaps children are urged and sturdy for their project, they begin to experience industrious and feel confident in their capability to achieve desired goals. If this initiative is not encouraged, if it is constrained by father and mother or instructor, then the child begins to truly feel inferior, questioning his own abilities and for that reason may not reach his potential. Adolescence (12 to 18 years): Identity compared to role misunderstandings. During teenage years, the changeover from child years to adult life is most crucial. Children are becoming more independent, and commence to look at the future in terms of profession, relationships, households, housing, etc .
During this period, they will explore choices and begin to form their own personality based upon the results of their explorations. This perception of who they actually are can be hindered, which results in a feeling of confusion (“I don’t know the things i want to be when I grow up) about themselves and their part in the world. Achievement in this stage leads to a great ability to stay true and being concentrated while failing leads to role confusion and a weak sense of self or confused. Young Adulthood (19 to forty years): Closeness versus isolation. Young adults ought to form intimate, loving relationships with other persons. We check out relationships leading toward longer term commitments with someone apart from a family member.
Powerful completion can cause comfortable relationships and a feeling of commitment, protection, and proper care within a romantic relationship. Avoiding closeness, fearing commitment and associations can lead to solitude, loneliness, and often depression. Midsection Adulthood (40 to 66 years): Generativity versus. Stagnation During middle adulthood, we establish our careers, start a family within a romance, begin our own families and develop a perception of being a part of the bigger photo. We give back again tosociety through raising our kids, being productive at work, and becoming involved in community activities and organizations. This leads to feelings of usefulness and accomplishment. By failing to achieve these targets, we turn into stagnant and feel unsuccessful. Maturity (65 to death): Ego sincerity versus hopelessness.
As we grow older and be senior citizens, the company aims to slow down our productivity, and explore life as a retired person. During this time that we contemplate the accomplishments and they are able to develop integrity if we see ourselves as leading a successful existence. If we observe our lives because unproductive, feel guilt regarding our pasts, or think that we did not accomplish each of our life desired goals, we become dissatisfied with life and develop hopelessness, often leading to depression and hopelessness. Overview of how rns would take care of physical evaluation, examinations, education and conversation differently with children compared to adults. In accordance to ( Javis 2012), Assessment is the collection of info about the consumer health state. Edelman & Mandle ( 2010), identified health assessment as a instrument used to discover health problem associated with an individual through proper physical examination, screening process, health background which enable health care provider to acquire insight individuals problem.
Evaluation helps in dictating the actual diagnosis by discovering the signs or symptoms of the disease, knowing the sufferer cultures and beliefs may also help in developing proper health care plan for powerful care delivery and overall health promotion. In respect to (Javis 2012), Youngsters are unable to relay information with regards to their health issue compared to adults due to their developing stage. The nurse depend upon which parents or perhaps care givers to get health information concerning the children. The kid observation plus the parent interview should be well documented. In accordance to (Javis 2012), executing health examination to kids may not be convenient; head to bottom assessment within a toddler will not be in sequence. Endurance is needed by the nurse in conducting physical assessment in a child. Rns often gain good relationship with kids by giving toys and games, paper and crayon to them.
Healthcare professionals learning how to gain consent in adults in addition to children will assist in right physical examination of everyone and these involves: The skin: Examine for Birthmarks, pigmentation or perhaps color transform, skin disease such as rashes, lesion and pimples. Changes in the toe nail shape and bruises. Mind: Assess forhair texture, alopecia, head injury, dizziness and headache. Eyes: Assess to get glasses work with, the day of last eye trip to you doctor. Check for inflammation, drainage, pupil size, pupil reaction, cataract, glaucoma, pain. Ear: Assess for any hearing problems including drainage, myringotomy tubes in ears, cerumen, ringing in the ear. Nostril and Sinuses:
Assess to get frequent cod, nose bleed, nasal rigidity and any allergies. Mouth and Throat:
Examine for cleft lip and palate, caries, sores in the mouth, tongue and throat, mouth area breathing, difficulty in chewing, swallowing and hoarseness voice. Neck:
Assess pertaining to swollen glands and limit of moves.
Breast:
Assess for any nipple discharge, pain or any breast disease. Preadolescents and children ask questions just like when did they discovered breast within their body. Respiratory:
Assess pertaining to wheezing or noisy inhaling and exhaling, shortness of breath, long-term cough, mal de gorge or great asthma. Heart:
Assess the shape of the chest wall structure; auscultate to dictate usual heart noises or unnatural heart audio such as murmuration, murmuring, mussitation, mutter, muttering. Assess for heart palpitations, dyspnea on exertion, coldness in vulnerable parts and typical or unusual blood pressure. Gastro-intestinal System:
Examine for abs pain, recurrent nausea/ vomiting, frequent intestinal movements, the stool constituency diarrhea or perhaps constipation, usage of laxatives, rectal bleeding and history of pinworms. Urinary Program:
Assess for history of urinary tract contamination, oliguria/ polyuria, urine color. Ask for any kind of planned toilet training for your child, when it began. Is the kid bedwetting? Have you any idea if there is any factor linked to this? Man genital Program:
Assess the male organ for soreness. Check for lesions, drainage, swelling, hernia inside the scrotum during crying. Preadolescents and adolescents boys assess for growing up changes and any sexual abuse. Feminine genital Program:
Assess intended for genital irritation, vaginal discharges, and itchiness. Check for sex abuse. Preadolescents and adolescents ask if their menstruation has started. Sexual Health:
Evaluate for std such as gonorrhea/ syphilis, herpes virus, chlamydia, HIV/ AIDS. Inquire if the preadolescents or the young are into a relationship involving sexual intercourse. Do she or he know about sexually sent diseases? Assess how a child reacts towards the opposite sexual. Musculoskeletal System:
Assess for bone and joint pain, swelling, arthritis, stiffness, limited movement, skill and gait strength. Evaluate for muscle tissue strength, soreness, cramps, weakness, posture, spinal curvature. Nerve System:
Assess for pins and needles and tingling sensation. Cognitive functions, mental retardations and cerebral palsy. Hematologic System:
Examine for increased bruising, inflammation of the lymph nodes, contact with toxic real estate agents and rayonnement. Endocrine Program:
Measure the history of thyroid or diabetes disease just like excessive thirst, hunger or urination. Postpone in puberty and unnatural hair distributions. Nurse should know the anatomy and physiology associated with human body to be able to identify normal findings from unusual findings. Well being assessment is performed according to developmental periods. The parents and care givers should associate important information about health of a kid to the registered nurse for effective health care delivery. All information accumulated should be effectively documented.
References
Erickson’s Stages of Psychosocial Creation. Retrieved by
http://allpsych.com/psychology/101/social_development.html. Erickson’s Theory of Psychological Development in Infancy and Early Years as a child. Retrieved:
http://psychology.about.com/od/psychosocial.html.
Javis, Carolyn. Physical Examination & overall health Assessment, (Saunders2012). Sixth edition Carole Edelman, Elizabeth kudzma, Carol Mandle.
Wellness promotion through life span
7th Model ( 2010).
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