1.2 Erikson

Question 1

Erikson
Middle adult
Older adult

Answer 1

Middle adult 40-65
Generativity vs stagnation
achieving sense of generativity while avoiding self absorption and stagnation

Older adult 65+
Ego integrity vs despair
Acquiring sense of integrity while avoiding despair

Question 2

Middle adult: behaviors (40-65 yr)

Generativity

Answer 2

Middle adult (40-65 yr): Generativity:
New hobbies, friends, work endeavors

Enjoys challenges/changes

Gives time to others
Care for others: children, grandchildren, parents

Community involvement

Accepts physical changes

Accepts own life as creative and productive

Focus on supporting future generations

Question 3

Middle adult: behaviors (40-65 yr)

Stagnation

Answer 3

Middle adults (40-65 yr): Stagnation:
Avoids changes, tries to keep status quo

Inflexible

Egocentric, selfish

Self indulgent

Lack of involvement with others or concern for others

Worries more, enjoys less

Dislikes physical changes

Substance abuse

Question 4

Older adult: behavior (65 yr+)

Ego integrity

Answer 4

Older adult (65 yr+): Ego integrity:
Sense of worth with review of life, goals, even if not met

Travels, maintains social contracts

Sense of dignity from life experiences

Does not fear death, views it as a phase of life, accepts its is inevitable

Recognize and accept the worth of one’s own life

Accepts/adjusts to declining health

Adjusts to retirement

Lives within means and savings

Adjusts to loss of mate

Adjusts to new living arrangements

Question 5

Older adult: behaviors (65 yr+)

Despair

Answer 5

Older adult: Despair (65 yr+):
Feels worthless and powerless to change

Focus on past failures

Anger, depression

Loneliness

Irritable, complainer

Fears or denies death

Substance abuse

Question 6

Nursing role

Answer 6

Assess client’s developmental level

Assist client toward return to previous level or grow toward the expected level

Encourage healthy adaptation to changes r/t aging

• Nutrition
• Coping with sensory changes
• Dealing with changes in body systems: integumentary, cardio, resp, GI, GU, reproductive, endocrine
• Prevention
• Exercise

Question 7

Where does Maslow fit?

5 Levels

Answer 7

Basic physiological

Safety and security

Love and belonging

Self esteem

Self actualization

• Meet basic needs first to achieve higher levels
• Not everyone is high level
• Regression can occur
• Where is your pt’s energy going?

Question 8

Middle adult (40-65)
Development tasks

Answer 8

Achieving civic and social responsibilities
Assisting teenage children to independence
Adjusting to helping aging parents
Relating to mate as person, friend, romantic
Accepting/adjusting to body changes
Maintaining satisfactory work performance
Providing security for later years
Reaffirming the values of life

Question 9

Older adult (65+)
Developmental tasks

Answer 9

Accepting/adjusting to decreasing strength/health
Accepting/adjusting to retirement, loss of job identity
Adjusting to living within means/savings
Adjusting to loss of mate
Establishing new relationships with others of same age
Adjusting to different living arrangements, reorganized family patterns
Developing a point of view about death