I: Mrs Yu Yan McFarlane is a 38-year old female. S: She had an abdominal hysterectomy bilateral salpingo-oophorctomy (re

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I: Mrs Yu Yan McFarlane is a
38-year old female.
S: She had an abdominal
hysterectomy bilateral salpingo-oophorctomy
(removal of fallopian tubes and ovaries) two (2)
days ago.
B: Yu Yan lives with her
70-year-old mother Fei Hong, her husband George and their
three-year-old twins, and Yu Yan’s 17-year-old son Jason from a
previous relationship.
A: Yu Yan is on four (4)
hourly observations. The most recent recorded observations
were:
Yu Yan has received opioid analgesia for two
(2) days and has reported that she has not opened her
bowels.
She shared in confidence that she was concerned about
becoming menopausal. Her mother experienced a lot of emotional
distress when she went through menopause, and her body changed as
well. Yu Yan suffers from anxiety and has poor self-image. She
already finds it difficult to adjust to her body, and now that she
is no longer fertile she is becoming quite anxious about what might
happen to her when menopause begins.
Yu Yan feels embarrassed when undressing in front
of nursing staff. She admits to having difficulty
identifying with her own sexuality as a result of the changes she
is going through and has said it is causing issues with her
husband.
Yu Yan is sceptical of the support she might be able to
receive from you regarding the changes of her body as she does not
feel that a healthcare team can do anything to stop them, and she
feels quite pessimistic about any interventions.
R: Yu Yan requires assistance to
perform ADLs (Activities of Daily Living) due to her pain and has
expressed embarrassment at being assisted
Yu Yan has confided that she is having trouble adjusting to her
body image now that she is no longer fertile. For this question,
review the stages of adulthood and; a) Specify what developmental
stage of adulthood Yu Yan is going through after her surgery,
and
list two (2) physiological/psychological changes people may go
through at that stage.
b) List two (2) other stages of adulthood and for each, specify
two (2) psychosocial or physiological changes that might be
experienced by people going through the stage listed.