1. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chapter 14 Developmental Considerations in the Nursing Care of Adults

2. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Health, Wellness, and Illness Dynamic and Ever-changing States of Being

3. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition LPN/LVN Role in Helping Patient Achieve Highest Wellness Level  Mobilize Resources  Ensure Safe/Adaptable Environment  Teach Health Problem/Treatment  Perform Health-care Interventions  Anticipate Problems  Evaluate Plan/Progress Toward Goals

4. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Erikson’s Eight Psychosocial Developmental Stages  Psychosocial Development of the Person  Acquisition of Sense of Trust in Self and Others  Each Stage Completed Before Next Stage

5. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adulthood Developmental Stages  Young Adulthood  Intimacy vs. Isolation  Middle Adulthood  Generativity vs. Stagnation  Late Adulthood  Integrity vs. Despair

6. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Socialization

7. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adult Health Concerns  Young Adulthood  Lifestyle Choices May Risk Health  Sun Exposure  Poor Nutrition  Tobacco Use  Drug Use  Unsafe Sex Practices

8. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adult Health Concerns (cont ’ d)  Middle Adulthood  Tobacco Use  Alcohol Use  Sedentary Lifestyle  Obesity  Lung Disease  Heart Disease

9. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adult Health Concerns (cont ’ d)  Late Adulthood  Chronic Illness  Disability  Sensory Impairments  Falls  Dementia  Suicide

10. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chronic Illness  Long-lasting or Recurring Illness  Disability Varies  May Interfere with Activities of Daily Living

11. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Common Chronic Illnesses in Older Adults  Arthritis  Cerebrovascular Accident  Chronic Lung Disease  Diabetes  Hypertension, Heart Disease  Peripheral Vascular Disease  Sensory Losses: Vision, Hearing

12. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Gerontological Influence on Chronic Illness  Longer Life Span  Family Caregivers  Adult Children Caring for Parents  Spouses  Family Unit at Risk

13. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Effects of Chronic Illness  Daily Living Patterns Affected  Routines Need to be Established

14. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chronic Sorrow  Normal Response to Chronic Illness  Permanent Sadness to the Loss Caused by Chronic Condition  Nursing Diagnosis  Chronic Sorrow

15. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Spirituality  Used for Coping  Provides Hope and Peace  Nursing Diagnoses  Spiritual Distress  Readiness for Enhanced Spiritual Well-Being  Impaired Religiosity

16. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Powerlessness  Uncertain Illness Course  Lack of Control  Nursing Diagnoses  Powerlessness  Risk for Powerlessness

17. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Coping  Positive Attitude Toward Illness  Motivated to Continue Adapting  Nursing Diagnoses  Ineffective Coping  Compromised Family Coping  Disabled Family Coping

18. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Hope  Realistic  Enhances Quality of Life  Aids Adaptation  Nursing Diagnosis  Hopelessness

19. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Sexuality  Lifelong Identity  Femininity or Masculinity  Increases Self-worth  Nursing Diagnoses  Disturbed Body Image  Sexual Dysfunction  Ineffective Sexuality Pattern

20. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Roles  May Alter Life Roles  Families Must Adapt  Nursing Diagnoses  Ineffective Role Performance  Grieving  Deficient Knowledge

21. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Family and Caregivers  Role Strain  Respite Care  Chronic Care Coaches  Nursing Diagnoses  Risk for Caregiver Role Strain  Caregiver Role Strain

22. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Finances  Lifetime Insurance Caps  Refer to Financial Resources  Nursing Diagnoses  Compromised Family Coping  Disabled Family Coping  Readiness for Enhanced Family Coping

23. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Health Promotion  Necessary for All  Empowering  Nursing Diagnoses  Deficient Knowledge  Health-Seeking Behaviors

24. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Care for Chronic Illness  Respect Patient Wishes  Include Families  Teach  Empower  Provide Dignity