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Mental Health Nursing I NURS 1300 Unit III Developmental Stages Throughout the Life Span

Mental Health Nursing I NURS 1300 Unit III Developmental Stages Throughout the Life Span. Objective 1 Review concepts specific to health and development. Health level of functional and metabolic efficiency ability to respond efficiently to stressors

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Mental Health Nursing I NURS 1300 Unit III Developmental Stages Throughout the Life Span

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  1. Mental Health Nursing INURS 1300Unit IIIDevelopmental Stages Throughout the Life Span

  2. Objective 1Review concepts specific to health and development • Health • level of functional and metabolic efficiency • ability to respond efficiently to stressors • effective restoration and sustenance of homeostasis

  3. Objective 1 (cont’d) • Growth • measurement of increase in physical dimensions • Development • behavioral changes • increasing competency in functional abilities and skills • Maturation • biological plan for growth and development

  4. Objective 2Review Erikson’s 8 stages of development and describe how mastery of each task relates to one’s self-concept

  5. Stage 1 – Trust vs. MistrustBirth to 18 monthsDevelop a sense of trust in others

  6. Stage 2 – Autonomy vs. Shame and Doubt18 months to 3 yearsLearn self-control

  7. Stage 3 – Initiative vs. Guilt3 to 6 yearsInitiate spontaneous activities

  8. Stage 4 – Industry vs. Inferiority6 to 12 yearsDevelop necessary social skills

  9. Stage 5 – Identity vs. Role Confusion12 to 20 yearsIntegrate childhood experiences into a personal identity

  10. Stage 6 – Intimacy vs. Isolation18 to 25 yearsDevelop commitments to others and to a career

  11. Stage 7 – Generativity vs. Stagnation21 to 45 yearsEstablish a family and become productive

  12. Stage 8 – Integrity vs. Despair45+ yearsView one’s life as meaningful and fulfilling

  13. Objective 3Describe the major developmental characteristics and concerns of each of the 8 stages

  14. Stage 1 • Characteristics • social attachment • maturation of sensory, perceptual, and motor functions • Concerns • may develop emotional dissatisfaction with self and others, suspiciousness, and difficulty with interpersonal relationships if one fails to master this stage of development

  15. Stage 2 • Characteristics • self-control • language development • fantasy play • Concerns • failure to master this task may result in lack of self-confidence, lack of pride in the ability to perform, a sense of being controlled by others, and rage against self

  16. Stage 3 • Characteristics • early moral development • self-esteem • group play • egocentrism • Concerns • feelings of inadequacy and guilt • accepting of liability in situations for which individual is not responsible

  17. Stage 4 • Characteristics • friendship • skill learning • self-evaluation • team play • Concerns • difficulty in interpersonal relationships caused by feelings of inadequacy

  18. Stage 5 • Characteristics • physical maturation • emotional development • membership in peer group • sexual relationships • Concerns • failure results in self-consciousness, doubt, and confusion about one’s role in life

  19. Stage 6 • Characteristics • stable relationships • childbearing • work • Concerns • withdrawal • social isolation • aloneness • inability to form lasting, intimate relationships

  20. Stage 7 • Characteristics • nurturing of close relationships • management of career and household • parenting • Concerns • may develop a lack of concern for the welfare of others and total preoccupation with the self if one fails to master this task

  21. Stage 8 • Characteristics • promote intellectual vigor • redirect energy to new roles and activities • develop a point-of-view about death • Concerns • failure may result in self-contempt and disgust with how life has progressed

  22. Objective 4Describe the basic human needs in each level of Maslow’s Hierarchy of Needs

  23. Objective 5List factors which influence the client’s ability to meet physiological and safety needs • Age • Cultural beliefs • Spirituality • Self-concept • Family and community resources • Emotional responses to illness

  24. Objective 6Describe nursing measures that will assist the client in meeting physiological and safety needs

  25. Nursing diagnoses for clients’ physiological needs: • Ineffective airway clearance • Sleep pattern disturbance • Impaired skin integrity • Fluid volume deficit • Pain • Impaired mobility

  26. Nursing diagnoses for clients’ safety needs: • Risk for falls • Risk for injury • Risk for infection • Anxiety or fear • Memory impairment • Confusion

  27. Objective 7Discuss priority needs of the client • Lower needs on Maslow’s Hierarchy of Needs require fulfillment before those at higher levels can be achieved • The basic needs for human functioning are the physiological needs, and safety and security needs

  28. Objective 8Relate how self-esteem can affect the hospitalized individual Hospitalization takes away locus of control, highly impacting self-esteem

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