Nursing Subject Health Assessment

1. ASSESSING PSYCHOSOCIAL, COGNITIVE
AND MORAL DEVELOPMENT.

2. ◦ Growth = There is a new skills or components.
◦ Development = Expansion or improvement of existing skills.

3. SIGMUND FREUD
◦Sexual Drive
◦Consciousness
◦Preconsciousness
◦Unconsciousness

4. He revised his theory:

5. SIGMUND FREUD’S PSYCHOSEXUAL
DEVELOPMENT

6. STAGES:
◦ ORAL
◦ ANAL
◦ PHALIC
◦ LATENCY
◦ GENITAL

8. Assess:
- Living with?
- Roles and responsibilities?
- Unresolved issues?
- Experienced growing up Single parent home?
-sexual relationship
-employment.

9. ERIKSON’S THEORY OF PSYCHOSOCIAL
DEVELOPMENT
◦SOCIAL, CULTURAL, AND COGNITIVE FUNCTION–
INFLUENCE PERSONALITY DEVELOPMENT.
◦PERSONALITY EVOLVE THROUGOUT THE LIFE
SPAN.
◦SEARCHED FOR FOUNDATIONS OF HEALTHY
PERSONALITY DEVELOPMENT.

12. JEAN PIAGET’S COGNITIVE
DEVELOPMENT
◦ The primary focus was the biology of thinking
◦ Schema
◦ Suggests that children move through four different stages of learning.
◦ His theory focuses not only on understanding how children acquire
knowledge, but also on understanding the nature of intelligence.

13. 4 STAGES:
◦ Sensorimotor stage: Birth to 2 years
◦ Preoperational stage: Ages 2 to 7
◦ Concrete operational stage: Ages 7 to 11
◦ Formal operational stage: Ages 12 and up

14. KOHLBERG’S THEORY OF MORAL
DEVELOPMENT
◦ Justice is the goal of moral judgement.
◦ Kohlberg's theory proposes that there are three levels of moral
development, with each level split into two stages.
◦ Kohlberg suggested that people move through these stages in a fixed
order, and that moral understanding is linked to cognitive
development.

15. 6 STAGES:
◦ Obedience and Punishment Orientation
◦ Individualism and Exchange
◦ Good Interpersonal Relationships
◦ Maintaining the Social Order
◦ Social Contract and Individual Rights
◦ Universal Principles

17. HEALTH PROMOTION DIAGNOSIS
- Young adult: Readiness for enhanced knowledge, relationship, parenting, self-management
- Middle aged adult: readiness for enhanced family coping, community coping
- Older adult: readiness for enhanced religiosity

18. Actual Diagnosis
◦ Young adult : Anxiety, disturbed body image , ineffective coping, chronic low self-esteem. Sexual dysfunction, social isolation. Etc.
◦ Middle-aged adult, anxiety, decisional conflict, compromised family coping , social isolation, spiritual distress.
◦ Older adult: caregiver role strain, deficient diversional acitvity, impaired home maintenance, powerlessness, relocation stress
syndrome, disturbed sleep pattern, social isolation, spiritual distress, impaired religiosity.

19. Risk diagnosis
◦ Young adult: Risk for disturbed personal identify, self directed violence, other- directed violence,
isolation, ineffective relationship, impaired parenting, attachment, post trauma syndrome,
loneliness, situational low self esteem , Suicide
◦ Middle aged adult: Risk for disturbed personal identity, loneliness, situational self esteem,
caregiver role strain, post trauma syndrome., grieving. Suicide.
◦ Older adult- risk for disturbed personal identity, loneliness, situational self-esteem, powerlessness,
hopelessness, post trauma syndrome, spiritual distress, impaired religiosity. Etc