Erikson 's Stage : Intimacy Vs. Isolation

depressed and passive. She can also think that she can't leave the abusive situation at all

The following is a case study of a female client name “Verna Marie”. This section presents a brief patient assessment, including a case history of the client considered in the study. “Verna” is a beautiful thick proportioned Hawaiian who is about five feet ten inches tall. She is a sixty-year-old native Hawaiian who was born and raised on the island of Oahu in the state of Hawaii. She is a very humble and wise lady who has very strong family values. “Verna Marie” classifies herself as heterosexual. She has been happily married to her husband “Zane” for almost forty-two years. They were young and in love and tied the knot at eighteen years old. At the age of twenty, “Verna” had her first baby boy. Later down the road they had conceived three boys and two girls all who are within three years apart. Her six children and twenty-eight grandchildren all live in walking distance to her home.

The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with

Physical assessment reveals intermittent heart palpitations with strong carotid and radial pulses, brisk deep tendon reflexes, 1+ non-pitting edema of bilateral ankles, hair thinning, onycholysis, orbital lid lag and an enlarged neck with positive audible bruit. Mrs. J.P. denies pain upon palpation of neck as slight thyroid enlargement is noted. Orders to perform complete blood count (CBC), complete metabolic panel (CMP), thyroid stimulating hormone (TSH), thyroxine index, free (T4), triiodothyroine (T3), and pregnancy test result in abnormal values including:

No known allergies, no sinus, tenderness, no epistaxis, no bleeding gums, patient has partial dentures, one dental carrier noted, tongue is slightly coated, no swelling, lumps or tenderness noted in throat,

Client last physical exam was 1 year and 22 months ago, gynecological exam normal. Client reports that she does self-breast exams, regularly, and have yearly physicals. She states her immunizations are current since beginning law school las year. Previous medical history indicates that immunizations are current. Client admits she is sexually active and practice safe sex with the usage of condoms.

Gait is slow. Diagnoses include cervical radiculopathy/muscle spasms/sprain status post surgery, fatigue and myofascial pain syndrome.

This condition is distinguished by a mass of glandular tissue that measures approximately 0.5 cm in diameter with glandular

Social history: The patient does not have problems in the community or society. There is no domestic violence.

patient was not having any pain or significant discomfort in the area. The throat was

The patient’s eyebrows are symmetrically aligned and show equal movement when asked to raise and lower eyebrows. Eyebrows are of equal length and width and hair is equally distributed between both brows. Eyelashes appeared to be equally distributed, equal in length and curled slightly outward. There is a presence of mild eye discharge that is clear in color. No matting of the eye noted. No discoloration of the exterior eye or lids. No ptosis or edema. Lids close symmetrically with involuntary blinks. The eyes converge appropriately. The Bulbar conjunctiva are clear with few capillaries present. The sclera appear white. The palpebral conjunctiva appeared shiny, smooth and slightly red in color. There is no edema of the lacrimal gland. There

“Sixth or seventh grade education; housewife and mother of five. Breathing difficult since childhood due to recurrent throat infections and deviated septum in patient’s nose. Physician recommended surgical repair. Patient declined. Patient had one toothache for nearly five years; tooth eventually extracted with several others. Only anxiety is oldest daughter who is epileptic and can’t talk. Happy household. Very occasional drinker. Has not traveled. Well nourished, cooperative. Patient was one of ten siblings. One died of car accident, one from rheumatic heart, and one was poisoned. Unexplained vaginal bleeding and blood in urine during last two pregnancies; Physician recommend

HEENT: Head: No tenderness to maxillary or frontal sinus cavities on palpation. No pain at temporomandibular joint. Eyes: Pupils round, reactive to light and accommodation. Conjunctiva was pink, sclera identified to be white Ears: Pinna visible and intact, tympanic membrane grey, and no erythema noted. Nose: Septum midline, no airway obstruction noted, no visible nasal discharge or flaring noted. Throat: tonsils visible and were grade 1+ and parotid glands were not identified on examination. Oral mucosa appears dry.

With respect to his family history, his mother is diabetic and his father died of IHD at 50 years of age. The patient is a social drinker and an ex smoker with a pack year history of 20, quitting 6 months ago.