Professional Documents
Culture Documents
PSYCHOSEXUAL
COGNITIVE
MORAL
Genital
Formal Operation
DEFINITION
The Intimacy vs. Isolation conflict is emphasized around the age of 30. At the start of this stage, identity vs. role confusion is coming to an end, though it still lingers at the foundation of the stage (Erikson, 1950). Young adults are still eager to blend their identities with friends. They want to fit in. Erikson believes we are sometimes isolated due to intimacy. We are afraid of rejections such as being turned down or our partners breaking up with us. We are familiar with pain, and to some of us, rejection is painful; our egos cannot bear the pain. Erikson also argues that "Intimacy has a counterpart: Distantiation: the readiness to isolate and if necessary, to destroy those forces and people whose essence seems dangerous to our own, and whose territory seems to encroach on the extent
The fifth stage of psychosexual development is the genital stage that spans puberty and adult life, and thus occupies most of the life of a man and of a woman; its purpose is the psychologic detachment and independence from the parents. The genital stage affords the person the ability to confront and resolve his or her remaining psychosexual childhood conflicts. As in the phallic stage, the genital stage is centered upon the genitalia, but the sexuality is consensual and adult, rather than solitary and infantile. The psychological difference between the phallic and genital stages is that the ego is established in the latter; the person's concern shifts from
It marks a movement from an ability to think and reason from concrete visible events to an ability to think hypothetically; to entertain what-if possibilities about the world
Individuals make their own choices, understanding the views of other people but make their own decisions.
Stage 5: Humans Rights and Social Welfare Morality Promote fundamental human rights and values Freely entered social contract to protect members rights and ensure the welfare of all Agreements determine the obligations of relationships of the individual Stage 6: Morality of Universalizable, Reversible, and Prescriptive General Ethical Principles Morality focuses on the equal consideration of others in all aspects in the situation Actions and decisions are based on generally accepted principles of all situations (i.e. equality for
of one's intimate relations Once people have established their identities, they are ready to make long-term commitments to others. They become capable of forming intimate, reciprocal relationships (e.g. through close friendships or marriage) and willingly make the sacrifices and compromises that such relationships require. If people cannot form these intimate relationships perhaps because of their own needs a sense of isolation may result.
primary-drive gratification (instinct) to applying secondary process-thinking to gratify desire symbolically and intellectually by means of friendships, a love relationship, family and adult responsibilities.
ANALYSIS
A. PHYSICAL ASSESSMENT VITAL SIGNS: PR= bpm Date Obtained: PARTS TO BE ASSESSED
TEMPERATURE= degree
RR= cpm
TECHNIQUE
ACTUAL FINDINGS
REMARKS
1. Body built in relation to clients age, lifestyle & health 2. Clients posture & gait, standing, sitting & walking 3. Clients overall hygiene & grooming 4. Body & breath odor 5. Signs of distress in posture or facial expression 6. Obvious signs health or illness of
Inspection
He has a proportionate (endomorph) body built which is appropriate with her lifestyle
Normal
Inspection
Relax, erect posture, coordinated body movements Neat No body odor or minor body odor relative
Inspection
Inspection
no body odor
Normal
Inspection
No distress noted
No distress noted
Normal
Inspection
Healthy appearance
Healthy appearance
Normal
PARTS TO BE ASSESSED 7. Clients attitude 8. Clients affect/mood; appropriateness of the clients response 9. Quantity of speech, quality & organization
TECHNIQUE Inspection
NORMAL FINDINGS Cooperative Appropriate to the situation Understandable, moderate pace; exhibits thought association Logical sequence; makes sense; has sense of reality. SKIN
REMARKS Normal
Inspection
Normal
Inspection
Understandable
Normal
Inspection
Normal
1. Skin moisture
Inspection
Normal Deviation from normal due to the stretch skin during her pregnancy. Normal
2. Skin Texture
Inspection
smooth
3. Skin turgor
Springs back
Springs back
PARTS TO BE ASSESSED
TECHNIQUE
ACTUAL FINDINGS
REMARKS
Inspection
Convex curvature, angle of nail plate about 160 degrees. Highly vascular and pink in light skinned clients; dark- skinned clients may have brown or black pigmentation in longitudinal streaks.
Normal
Inspection
Pinkish in color
Normal
3. Tissues surroundings nails 4. Fingernail & toenail texture 5. Blanch test capillary refill of
Inspection
Intact epidermis.
She has an intact epidermis with no hangnails Smooth nail texture The color return to the original color in 2 seconds
Normal
Palpation
Smooth texture. Prompt return of pink or usual color (generally less than 4 seconds.)
Normal
Palpation
Normal
Inspection
Normal
TECHNIQUE
NORMAL FINDINGS
ACTUAL FINDINGS
REMARKS
Palpation
Thick/thin hair.
Normal
Inspection
Not present.
Not present.
Normal
Palpation
Silky, resilient hair. SKULL Rounded (normocephalic and symmetrical, with frontal, parietal, and occipital prominences); smooth skull contour. Smooth, uniform consistency; absence of nodules or masses. FACE Symmetric or slightly asymmetric facial features; palpebral fissures equal in size; symmetric nasolabial
Normal
1. Size, symmetry
shape
&
Palpation
Normal
Palpation
Normal
1. Facial features
Inspection
Symmetric or slightly asymmetric facial features; palpebral fissures equal in size; symmetric nasolabial
Normal
folds. 2. Symmetry of facial movements the Inspection Symmetrical facial movements. EYEBROWS & EYELASHES Hair evenly distributed; skin intact. Eyebrows asymmetrically aligned equal movement. Eyelashes curl slightly outward. CORNEA Transparent, shiny and smooth; details of the iris are visible. In older people, a thin grayish white ring around the margin, called arcussenilis, may be evident. IRIS 1. Shape & color Inspection Flat and round PUPILS
Inspection
Eyebrows and eyelashes are both evenly distributed, symmetrical aligned. Eyelashes curl slightly outward.
Normal
Inspection
NORMAL
NORMAL
&
Inspection
Black in color; equal in size; normally 3-7 mm in diameter; round, smooth border.
NORMAL
EYELIDS Skin intact, no discharge, no discoloration. Lids close symmetrically approximately 15-20 involuntary blinks per minute; bilateral blinking. When lids open, no open, no visible sclera above corneas, and upper and lower borders of cornea are slightly covered.
Eyelids skin are intact, no noted discharge, and no noted discoloration. Lids close symmetrically. Client exhibited 18 involuntary blinks per minute.
NORMAL
CONJUNCTIVA 1. Bulbar conjunctivas color, texture & presence of lesions 2. Palpebral conjunctivas color, texture & presence of Transparent; capillaries sometimes evident. Transparent, capillaries evident, no discharge was noted. Shiny, smooth ,pink in color.
Inspection
NORMAL
Inspection
NORMAL
lesions SCLERA
color.
Inspection
NORMAL
PARTS TO BE ASSESSED
TECHNIQUE
ACTUAL FINDINGS
REMARKS
Inspection
Color same as facial skin, symmetrical, auricle aligned with outer canthus of eye, about 10cm from vertical.
Color is same with facial skin, symmetrical with each other, auricle aligned with outer canthus of eye, about 10 cm vertical
NORMAL
Palpation
Both pinna recoils after being folded. Mobile, firm and not
NORMAL
tender. EXTERNAL EAR CANAL Distal third contains hair follicles and glands. Dry cerumen in various shades of brown HEARING ACUITY TEST 1. Clients response to normal voice tones Inspection Normal voice tones audible NOSE Symmetric and straight Inspection No discharge or flaring Uniform color Mucosa pink Inspection Clear, watery discharge No lesions. Inspection Nasal septum intact and in midline, intact No discharge and/or flaring noted. Symmetrical on both sides. Also uniform in color. Mucosa are intact and pinkish; minimal moist noted inside; no swelling or nodules found. Nasal septum is intact and in midline Client responds to normal voice tones NORMAL No noted pus, blood and odor. Minimal cerumen noted. Distal third contains hair follicles.
Inspection
NORMAL
NORMAL
2. Presence of redness, swelling, growths & discharge or nares using the flashlight
NORMAL
NORMAL
Inspection
Air moves freely as the client breathes through each nares No tenderness, no lesions noted. No displacement of bone & cartilage.
NORMAL
& &
Palpation
NORMAL
LIPS Uniform pink color Uniform pink color 1. Symmetry of contour color & texture Inspection and Palpation Soft, moist, smooth texture Symmetry of contour Ability to purse lips Soft, moist, smooth texture NORMAL
TEETH 1. Inspect for color, number & condition & presence of dentures 32 adult teeth Inspection Smooth, white, shiny tooth enamel GUMS Pink gums (bluish or dark patches in dark-skinned clients) Moist, firm texture to gums 29 teeth Deviation from normal
Inspection
NORMAL
TONGUE/FLOOR OF THE MOUTH 1. Color & texture of the mouth floor & frenulum Smooth tongue base with prominent veins Smooth tongue base with prominent veins
NORMAL
Central in position Pink in color (some brown pigmentation on tongue borders in darj-skinned clients); moist; slightly rough; thin white coating Inspection and Palpation Smooth, lateral margins, no lesions Raised papillae (taste buds) Moves freely, no tenderness
, Centered; pink in color, slightly rough, has thin white coating, smooth, no lesions; moves freely.
NORMAL
ABDOMEN Unblemished skin, uniform in color, silver white striae (stretch marks) or surgical scars. Deviation from normal due to the operation performed and stretch skin during her pregnancy NORMAL Convex in shape.
1. Skin integrity
Inspection
2. Abdominal contour
Inspection
NORMAL 3. Bowel Sounds Auscultation Audible bowel sounds Audible bowel sounds
Summary of Physical Assessment: General appearance: Clients posture & gait, standing, sitting & walking: Cannot stand perfectly- Deviation from normal due to the operation performed Skin Texture: Rough at the abdomen-Deviation from normal due to the stretch skin during her pregnancy. Teeth: 29 teeth- Deviation from normal. Abdomen: Skin integrity: with stretch marks.- Deviation from normal due to the operation performed and stretch skin during her pregnancy.