Case Study

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Catanduanes State Colleges
COLLEGE OF HEALTH SCIENCES
Department of Nursing
Virac, Catanduanes

Name of Student: Mezil B. NazarenoWard: OB/DR
Year/Block: BSN 2ADate of Exposure: August 8, 2011 Group: 4 Clinical Instructor: Prof. Janet Lim I. Personal Data

Name: Sharon MagtangobGender: Female
Age: 25 years oldBirthdate: April 18, 1986
Address: Antipolo Del Sur Virac, CatanduanesReligion: Roman Catholic
Date Admitted: August 15, 2011Status: Married
Chief Complaint: Labor Pain
Tentative Diagnosis: PU 38-39 wks AOG, G2P1 (1001)
Final Diagnosis: G2P2 (2002) del to a live Bb Girl
Physician: Dr. Reboldera
Hospital number: 477

II. Health History

A. Present Health History

Sharon Magtangob, 25 years old, was admitted on August 15, 2011, 2:15 pm with chief complaint of labor pain. According to Sharon, her last menstrual was on November 12, 2010 and her expected date of confinement will be on August 19, 2011. She arrived at the hospital conscious and per wheelchair

B. Past Health History

Sharon Magtangob, 25 years old, gave birth to a healthy, term neonate last 2008 in Eastern Bicol Medical Center for the first time. She doesn't drink or smoke and with no allergies to medications or foods. She has no medication/s being maintained and has no history of any other hospitalization.

III. Developmental Task

(as in Erick Erikson's Stages of Psychosocial Development)

Intimacy vs. Isolation is Erick Erickson's sixth stage of psychosocial development which is emphasized at ages 20-34 years. At this time, individuals face the developmental task of forming intimate relationships with others. Erikson describes intimacy as finding oneself yet losing oneself in another. If the young adult forms healthy friendships and an intimate relationship with another individual, intimacy will be achieved; if not, isolation will result. The task is to achieve some degree of intimacy, as opposed to remaining in isolation. Body and ego must be masters of organ modes and of the other nuclear conflicts in order to face the fear of ego loss in situations that call for self-abandonment. Avoiding these experiences leads to openness and self-absorption.

At the start of this stage, identity vs. role confusion is coming to an end, and it still lingers at the foundation of the stage (Erikson, 1950). Young adults are still eager to blend their identities with friends. They want to fit in. Erikson believes we are sometimes isolated due to intimacy. We are afraid of rejections such as being turned down or our partners breaking up with us. We are familiar with pain, and to some of us, rejection is painful; our egos cannot bear the pain. Erikson also argues that "Intimacy has a counterpart: Distantiation: the readiness to isolate and if necessary, to destroy those forces and people whose essence seems dangerous to our own, and whose territory seems to encroach on the extent of one's intimate relations" (1950).

Once people have established their identities, they are ready to make long-term commitments to others. They become capable of forming intimate, reciprocal relationships (e.g. through close friendships or marriage) and willingly make the sacrifices and compromises that such relationships require. If people cannot form these intimate relationships (perhaps because of their own needs), a sense of isolation may result.

Sharon MAgtangob is 25 years old so she belongs to the “Love: Intimacy vs. Isolation” stage of Eric Erikson’s developmental stage. Upon reaching this stage, she has found the one whom she believed was destined for her. She decided to be with him legally through marriage, build a family of their own and now, they have one child. In some points in their relationship, she had been afraid of being left by his husband due to some on and off problems they encountered. Also, in their...
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