Erik Erikson proposed eight stages of psychosocial development that occur throughout the lifespan. Each stage presents a developmental crisis centered around developing certain virtues. The stages involve developing trust as an infant, autonomy as a toddler, initiative as a preschooler, industry in middle childhood, identity in adolescence, intimacy in early adulthood, generativity in middle adulthood, and integrity in late adulthood. Successfully resolving the crisis of each stage results in healthy development and the virtue for that stage, while failure can result in unhealthy consequences for personality development.
Prenatal development: germinal, embryonic &fetal period; Factors that can have a serious negative impact on the development of the unborn: maternal health, radiation, maternal nutrition, medication and drugs, age of the parents, diseases in the pregnant woman and the emotional state of the mother.
Prenatal development: germinal, embryonic &fetal period; Factors that can have a serious negative impact on the development of the unborn: maternal health, radiation, maternal nutrition, medication and drugs, age of the parents, diseases in the pregnant woman and the emotional state of the mother.
Young child playing in squatting position
Child development entails the biological, psychological and emotional changes that occur in human beings between birth and the end of adolescence, as the individual progresses from dependency to increasing autonomy. It is a continuous process with a predictable sequence, yet having a unique course for every child. It does not progress at the same rate and each stage is affected by the preceding developmental experiences. Because these developmental changes may be strongly influenced by genetic factors and events during prenatal life, genetics and prenatal development are usually included as part of the study of child development. Related terms include developmental psychology, referring to development throughout the lifespan, and pediatrics, the branch of medicine relating to the care of children.
Erik Erikson (1902–1994) was a stage theorist who took Freud’s controversial psycho theory and modified it into an eight-stage psychosocial theory of development
psychosexual development according to erik erikson theory hitesh aasodariya
erik erikson is well known psychologist who describe how our behaviour is influence by and mould by year to year ........so from this study we can understand that why my behaviour is like this and why others behaviour like this
Young child playing in squatting position
Child development entails the biological, psychological and emotional changes that occur in human beings between birth and the end of adolescence, as the individual progresses from dependency to increasing autonomy. It is a continuous process with a predictable sequence, yet having a unique course for every child. It does not progress at the same rate and each stage is affected by the preceding developmental experiences. Because these developmental changes may be strongly influenced by genetic factors and events during prenatal life, genetics and prenatal development are usually included as part of the study of child development. Related terms include developmental psychology, referring to development throughout the lifespan, and pediatrics, the branch of medicine relating to the care of children.
Erik Erikson (1902–1994) was a stage theorist who took Freud’s controversial psycho theory and modified it into an eight-stage psychosocial theory of development
psychosexual development according to erik erikson theory hitesh aasodariya
erik erikson is well known psychologist who describe how our behaviour is influence by and mould by year to year ........so from this study we can understand that why my behaviour is like this and why others behaviour like this
Erikson’s (1959) theory of psychosocial development has eight distinct stages. Like Freud, Erikson assumes that a crisis occurs at each stage of development. For Erikson (1963), these crises are of a psychosocial nature because they involve psychological needs of the individual (i.e. psycho) conflicting with the needs of society (i.e. social).
According to the theory, successful completion of each stage results in a healthy personality and the acquisition of basic virtues. Basic virtues are characteristic strengths which the ego can use to resolve subsequent crises.
Failure to successfully complete a stage can result in a reduced ability to complete further stages and therefore a more unhealthy personality and sense of self. These stages, however, can be resolved successfully at a later time.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
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Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
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There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. Erik Erickson believed that personality is a significant part of our
development. Erickson was greatly influenced by Freud. Erickson believed
that the process of development determined by the interaction of mind, body
and cultural influences.
Erik Erikson suggested that for every person to develop themselves healthily,
they must complete various goals at all eight developmental stages. People will
face different conflicts over these eight stages of their lives, and they must
overcome these conflicts. Personality development will depend on how each
conflict is overcome.
3.
4. Stage 1 – Infancy period: Trust vs. Mistrust
(Birth to -1.5 Years)
• Virtue: Hope, Maldevelopment: Withdrawal
• Concomitant Freudian stage: oral stage
From birth to 18 months of age, infants must learn that adults can be trusted. This
occurs when adults meet a child’s basic needs for survival. Infants are dependent upon
their caregivers, so caregivers who are responsive and sensitive to their infant’s needs
help their baby to develop a sense of trust; their baby will see the world as a safe,
predictable place. Unresponsive caregivers who do not meet their baby’s needs can
engender feelings of anxiety, fear, and mistrust; their baby may see the world as
unpredictable. If infants are treated cruelly or their needs are not met appropriately,
they will likely grow up with a sense of mistrust for people in the world.
• Example: Secure environment provided by the caregiver, with regular access to
affection and food
5. Stage 2 – Early Childhood period: Autonomy vs. Shame, doubt
(1.5 to 3 Years)
• Virtue: Will, Maldevelopment: Compulsion
• Concomitant Freudian stage: anal stage
As toddlers (ages 1–3 years) begin to explore their world, they learn that they can
control their actions and act on their environment to get results. They begin to show
clear preferences for certain elements of the environment, such as food, toys, and
clothing. A toddler’s main task is to resolve the issue of autonomy vs. shame and doubt
by working to establish independence. This is the “me do it” stage. For example, we
might observe a budding sense of autonomy in a 2-year-old child who wants to choose
her clothes and dress herself. Although her outfits might not be appropriate for the
situation, her input in such basic decisions has an effect on her sense of independence.
If denied the opportunity to act on her environment, she may begin to doubt her
abilities, which could lead to low self-esteem and feelings of shame.
• Example: Caregiver promotes self-sufficiency while maintaining a secure
environment
6. Stage 3 – Play Age period: Initiative vs. Guilt(3 to 5 Years)
• Virtue: Purpose, Maldevelopment: Inhibition
• Concomitant Freudian stage: Genital stage
Once children reach the preschool stage (ages 3–6 years), they are capable of initiating
activities and asserting control over their world through social interactions and play.
According to Erikson, preschool children must resolve the task of initiative vs. guilt.
By learning to plan and achieve goals while interacting with others, preschool children
can master this task. Initiative, a sense of ambition and responsibility, occurs when
parents allow a child to explore within limits and then support the child’s choice. These
children will develop self-confidence and feel a sense of purpose. Those who are
unsuccessful at this stage—with their initiative misfiring or stifled by over-controlling
parents—may develop feelings of guilt.
• Example: Caregiver encourages, supports, and guides the child’s own initiatives
and interests
7. Stage 4 – School Age period: Industry vs. Inferiority (5 to 11 Years)
• Virtue: Competence, Maldevelopment: Inertia (passivity)
• Concomitant Freudian stage: latency stage
During the elementary school stage (ages 6–12), children face the task of industry
vs. inferiority. Children begin to compare themselves with their peers to see how
they measure up. They either develop a sense of pride and accomplishment in their
schoolwork, sports, social activities, and family life, or they feel inferior and
inadequate because they feel that they don’t measure up. If children do not learn to
get along with others or have negative experiences at home or with peers, an
inferiority complex might develop into adolescence and adulthood.
• Example: Reasonable expectations set in school and at home, with praise for
their accomplishments
8. Stage 5- Adolescence period: Identity vs. Identity confusion(12 to 19 Year)
• Virtue: Fidelity, Maldevelopment: Repudiation
In adolescence (ages 12–19), children face the task of identity vs. role confusion.
According to Erikson, an adolescent’s main task is developing a sense of self.
Adolescents struggle with questions such as “Who am I?” and “What do I want to do
with my life?” Along the way, most adolescents try on many different selves to see
which ones fit; they explore various roles and ideas, set goals, and attempt to discover
their “adult” selves. Adolescents who are successful at this stage have a strong sense of
identity and are able to remain true to their beliefs and values in the face of problems
and other people’s perspectives. When adolescents are apathetic, do not make a
conscious search for identity, or are pressured to conform to their parents’ ideas for the
future, they may develop a weak sense of self and experience role confusion.
• Example: Individual weighs out their previous experiences, societal expectations,
and their aspirations in establishing values and ‘finding themselves.’
9. Stage 6 – Young Adulthood period: Intimacy vs. Isolation(20 to 30 Years)
• Virtue: Love, Maldevelopment: Distantiation
People in early adulthood (20s through early 30s) are concerned with
intimacy vs. isolation. After we have developed a sense of self in
adolescence, we are ready to share our life with others. However, if other
stages have not been successfully resolved, young adults may have
trouble developing and maintaining successful relationships with others.
Erikson said that we must have a strong sense of self before we can
develop successful intimate relationships. Adults who do not develop a
positive self-concept in adolescence may experience feelings of loneliness
and emotional isolation.
• Example: Individual forms close friendships or long-term partnership
10. Stage 7-Adulthood period: Generativity vs Stagnation/Self-absorption
(30to60Years)
• Virtue: Care, Maldevelopment: Rejectivity
When people reach their 40s, they enter the time known as middle adulthood,
which extends to the mid-60s. The social task of middle adulthood is generativity
vs. stagnation. Generativity involves finding your life’s work and contributing to
the development of others through activities such as volunteering, mentoring, and
raising children. During this stage, middle-aged adults begin contributing to the
next generation, often through childbirth and caring for others; they also engage in
meaningful and productive work which contributes positively to society. Those
who do not master this task may experience stagnation and feel as though they are
not leaving a mark on the world in a meaningful way; they may have little
connection with others and little interest in productivity and self-improvement.
• Example: Engagement with the next generation through parenting, coaching, or
teaching
11. Stage 8 – Old Age period: Integrity vs. Despair(60 years plus)
• Virtue: Wisdom, Maldevelopment: Disdain
From the mid-60s to the end of life, we are in the period of development known as
late adulthood. Erikson’s task at this stage is called integrity vs. despair. He said
that people in late adulthood reflect on their lives and feel either a sense of
satisfaction or a sense of failure. People who feel proud of their accomplishments
feel a sense of integrity, and they can look back on their lives with few regrets.
However, people who are not successful at this stage may feel as if their life has
been wasted. They focus on what “would have,” “should have,” and “could have”
been. They face the end of their lives with feelings of bitterness, depression, and
despair.
• Example: Contemplation and acknowledgment of personal life
accomplishments.
12. Stage Basic Conflict Important
Events
Outcome
Infancy (birth to 18
months)
Trust vs.
Mistrust
Feeding Children develop a sense of trust when caregivers provide reliability,
care, and affection. A lack of this will lead to mistrust.
Early Childhood (2
to 3 years)
Autonomy vs.
Shame and Doubt
Toilet Training Children need to develop a sense of personal control over physical skills
and a sense of independence. Success leads to
feelings of autonomy, failure results in feelings of shame and doubt.
Preschool (3 to
5 years)
Initiative vs.
Guilt
Exploration Children need to begin asserting control and power over the environment.
Success in this stage leads to a sense of purpose.
Children who try to exert too much power experience disapproval,
resulting in a sense of guilt.
School Age (6 to 11
years)
Industry vs.
Inferiority
School Children need to cope with new social and academic demands. Success
leads to a sense of competence, while failure results in
feelings of inferiority.
Adolescence (12
to 18 years)
Identity vs. Role
Confusion
Social
Relationships
Teens needs to develop a sense of self and personal identity. Success leads
to an ability to stay true to yourself, while failure leads to role confusion
and a weak sense of self.
Young
Adulthood (19
to 40 years)
Intimacy vs.
Isolation
Relationships Young adults need to form intimate, loving relationships with other
people. Success leads to strong relationships, while failure results in
loneliness and isolation.
Middle
Adulthood (40
to 65 years)
Generativity vs.
Stagnation
Work and
Parenthood
Adults need to create or nurture things that will outlast them, often by
having children or creating a positive change that benefits other people.
Success leads to feelings of usefulness and accomplishment, while failure
results in shallow
involvement in the world.
Maturity(65 to
death)
Ego Integrity vs.
Despair
Reflection on
Life
Older adults need to look back on life and feel a sense of fulfillment.
Success at this stage leads to feelings of wisdom, while failure results in
regret, bitterness, and despair.