Give rationale for Development stage (Erikson) for

Give rationale for Development stage (Erikson) for the case study below. The suggested Erikson stage is Gyenerativity vs. Stagnation. Case study: Chief Complaint: Ms. B is a 47-year-old morbidly obese female who was admitted to the hospital via the ED on 6/22/19 with a chief complaint of shortness of breath (SOB) and congestive heart failure (CHF). Diagnosis: Chronic diastolic heart failure and chronic respiratory failure History of Present Illness: Ms. B has had repeated admission for heart failure. She is now presenting with decompensated diastolic heart failure and acute hypoxic respiratory failure requiring BIPAP when her pulse ox desaturates to the 60-70s. Ms. B has had SOB for 2 weeks which has gotten worse over the last two days associated with dyspnea, paroxysmal nocturnal dyspnea, and BLE swelling. In the ED, she was found to be hypoxic and required 6L of O2 by NC and an ICU consult was obtained. They recommended no need to admit to ICU at that time. She’s currently on a 2g NA diet and was placed on a 1,000 mL fluid restriction. Past Medical History: The patient’s past medical history includes: 1. Congestive heart failure 2. Diabetes mellitus 3. Hypertension 4. Systemic lupus erythematosus (SLE) 5. Mixed connective tissue disease (MCTD) 6. Interstitial lung disease (ILD) 7. Pulmonary hypertension 8. Obesity hypoventilation syndrome 9. Chronic coronary artery disease 10. Upper respiratory tract infection 11. Anemia 12. Acute kidney injury (AKI) 13. Chronic kidney disease stage III Past Surgical History: The patient’s past surgical history includes: Allergies: Ms. B is allergic to atenolol (causes facial swelling) Smoking and Alcohol (and any other substance abuse): Ms. B reports she has never smoked previously or used chewing tobacco, she also reports no alcohol or drug use. Family/Social/Work History: Ms. B has a family history of diabetes, heart disease, heart attack, and hypertension from her mother’s side. Her father is deceased. She used to work as a pharmacy tech and lives with her mother and sister. She is not married and has one son. She identifies herself as a Christian and her hobbies include drawing and listening to music. SCIENCE HEALTH SCIENCE NURSING NURSING 452

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