life review and EGO integrity

Healthy aging is aging actively. A person who chooses to identify and participate in seeking the best possible adaptations and health affirming activities will not be stymied by age as a destination.  

Theories give us context for ideas not yet proven. Many theories evolve and are validated by research, while others are disproved. Theories about aging are being challenged by the longevity and quality of life that individuals over age 65 can look forward to in the present when they make healthy decisions on how to live.

Assigned Website / readings:


Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

  • Demographics, life time education and career/employment
  • Two most significant (positive) times in their lives
  • What past hardship or loss has the client successfully negotiated in the past?
  • Two personal strengths
  • Engage them in identifying what is healthy versus non-healthy coping skills
    • Inquire of 2 healthy coping skills they have used in the past and/or now
  • Three (3) pieces of advice they would give to their younger self if they could?
  • Support the client in taking the Geriatric Depression Scale.pdf
  • Support the client in taking the Fulmer SPICES Assessment.pdf
  • Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)
  • Perform a Hall, Hall, and Chapman Article.pdf
  • Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam
  • Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
  • Describe at least two nursing diagnoses for this client.  
  • Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials no older than 2015

Please use the information below as part of the assignment

Demographic Bill M was born in NJ in 1948. He was the third child, he had an older brother and younger sister. He went to college and graduated with Associate degree in  business. He served during the Vietnam war. Late on he married his first wife Donna and they had 3 children.   For  the last 20 years of his carrier he worked  for the American Airline in Newark. hi In 2012 his wife Donna passed as a result of her long battle with cancer and depression, they lost one of the daughter to car accident and according to Bill his wife  was never the same.  In the year after his wife death Bill stated that he did not have any will to live, he was drinking excessively daily. Despite the fact that he was past his retirement age he chose to work to get out of the empty house. At times he stated he would drive to work after a night of heavy drinking.  He had multiple “girlfriends” during that time who enabled him with his drinking.  After about 2 years he met his current wife Carmen who helped him to stop drinking, to start exercise and eat healthy.  According to Bill he has only 1-2 glasses of wine per week and mostly with dinner. He is  biking and walking 3-4 times per week. He also stay active by remodeling his house, building outdoor shed, maintaining landscape of his yard.  Bill states that he is happy with his life now and he would not change anything about it because all those past mistakes helped him to be with the woman he loves.

Two most significant ( happy ) events in his life was the birth of his children ( 3) and meeting his new wife later on in his life during the “dark” times.

Bill stated the hardest and most difficult times in his life was the loss of his daughter and loss of his wife. When his daughter died tragically he was there to take care of his 2 other children and his wife who was severely depressed for a long period of time.  Bill states that he believes his wife never fully recovered from it.

Two personal strengths would be resilience – to be able to function after his daughter died and faith. He believes that he will meet his daughter and his wife  one day again.

When asked about coping skills  and pointed out that drinking is not a healthy coping mechanism Bill stated that he realizes now that he was depressed and at that time drinking was, in his mind, the only way to “kill the depression and the sorrow”.  He did not want to remember the loss of his wife. In the past, he acknowledged, that one of his healthy coping skills was praying and going to the church. He often would drive his wife to the house of warship.  Another  positive coping mechanism in his opinion was working, to stay active and busy. He credits work for  getting out of the house and meeting his second wife.

Geriatric Depression scale pt scored 0

Fulmer SPICES assessment pt reported no problems with the following: no sleep problem, no eating problems, no incontinence issues, no confusion, no history of falls, skin intact


Patient Stress questionnaire pt scored  4 points total

Hall, Hall  ( depression assessment) pt reported -no changes to sleep, denied lack of interest, denied feeling guilty, denied decreased energy,  sometimes he does have difficulty to concentrate, denies changes in appetite, denies decreases in psycho motor activity ( biking 3-4 per week, walking 3-4 per week),  denies  any suicidal thoughts, denies excessive consumption of alcohol ( 1-2 drinks  per week usually wine )

Patient Bill M lost his wife about 6 years ago to cancer, shortly after her death he stated that he was very depressed, he isolated himself, lost the will to do any activity, was drinking.   He stated that his work saved him because even though he could retire he chose to work.  He met his new wife about 2 years after his first wife died.  With her help he was able to stop drinking, with her encouragement he started to exercise, and eat healthy. He retired last year but keeps himself busy by renovating his house, building  an outdoor shed, maintaining the landscape of his house.

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