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1. Provide a one paragraph history about Sandra's life to this point.

2. Explain whether Sandra is in Integrity or Despair as defined by Erik Erikson in his Theory of Psychosocial Development. Explore how this transition crisis may be resolved by a HSP conducting a life review with Sandra.

3. Using Sandra's ecomap, describe what systems (influences) are causing the most stress and negative influence on Sandra's behavior and decision making.

4. Considering Stress Theory, what are some recommendations a HSP could make to Sandra to help her cope with her trauma/stress that may help her meet her goal of a long life expectancy?

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