RiksonS stage of evelopemnt (Ego Integrity vs Despair)

I will upload SPECIFIC INSTRUCTIONS. Now the scenario is an 77 year old man who has a Stroke and his left arm and leg is paralyze , he uses a wheelchair for mobility and he lives in a nursing home. His wife has been deceased x6 years and one of his two children is also decease, however the kids lives out of state. He has been in the nursing home for 5 years.
He is a retired railroad worker whom is accustomed to being very independent but his stroke has limited his physical well being . He doesnt participate in any of the nursing home activities.