Health of Adults
This assignment is a case scenario based on a 22 year old Vietnamese female and her health status. This assignment will describe an overview of the theorist Erickson and how his life span and development theory is applicable to the case study of Phuong Thi. It will discuss the cultural perspective of the Vietnamese and how this impacts on the health behaviours that need to be considered for this patient. It will describe the effects of paracetamol on the health of the patient and what effect this substance has on the body. Finally is the appropriate nursing management for this patient and the discharge plan applicable to the patient. Theoretical principles for analysis of case study
Erickson’s Development Theory is the one that most suits my case study of Phuong Thi. Erickson’s theory is based on 8 stages of development. Each stage of Erickson’s theory represents stages of development and personality growth, which expand to cover the whole life cycle. In the human psychological growth plan that is used by Erickson each stage has an opposing effect. These stages and their opposing effects result in positive or negative outcomes depending on how you choose to resolve your issue (Ereader). If the crisis that the individual encounters is not resolved it is hard to move onto the next stage. Erickson believes the more success you have in each stage the more complete and happy you are (Baldwin & Bentley 2012, p.401). In Erickson’s stage of ‘young adult’ the assigned task is intimacy verses isolation for which the guides of negative resolution are as stated by Baldwin & Bentley (2012, p.401) ’Impersonal relationships, avoidance of relationship, career or lifestyle commitments’. In the case study of Phuong Thi it states she is stressed due to recent relationship breakdown, poor uni grades and working long hours at her parents shop. Erickson’s theory best fits this case study as each stage represents the individual finding a balance between the two effects for that particular developmental stage are(Baldwin & Bentley 2012, p.401). Erickson explains the importance on people needing to adapt and change their behaviour to have more control over their life (Baldwin & Bentley 2012, p.402).
The Vietnamese believe that being stoic and showing endurance are signs of strength of character. Within this are the self control of emotions and some individuals grasp the practice of mind-body and cannot often tell the difference between physiological and psychological symptoms and their own beliefs (Culture Vision 2008). Customarily Vietnamese people prefer to have a female practitioner and are reluctant to speak about sensitive topics. Many Vietnamese people respond to questions with a smile and say ‘yes’ as their answer, this is the customary way of being polite and showing respect (Qld health). Vietnamese people talk in a quiet voice and often regard direct eye contact when talking as impolite, especially when talking to a person older than themselves (QLD health). Vietnamese practice traditional medicine, and often use prescribed medicines and traditional treatments together. Often Vietnamese patients are hesitant to inform the doctor that they have been using their own traditional medicine because the Doctor may not approve (QLD HEALTH). The Vietnamese culture is acquainted with being dependant on the family, and their traditional form of providing health. Vietnamese people often do not search for outside assistance until they have tried all forms of their traditional medicines and have no more options (Purnell 2008, pp.63-67). The health behaviours applicable to this case study are that in many cultures people believe the nurse or doctor should develop a rapport with the patient first. To ask personal questions which are direct and of a personal nature to the patient straight away is seen in many cultures as offensive to the patient. Discussing topics of a...
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