Patient will be able to detect biased or condescending attitude of caregivers. 3. (I) Provide consultation for referral to detoxification and crisis center for ongoing treatment program as soon as medically stable (oriented to reality). (R) Patient is more likely to contract for treatment while still hurting and experiencing fear and anxiety from last drinking episode. Motivation decreases as well-being increases and person again feels able to control the problem. Direct contact with available treatment resources provides realistic picture of help. Decreases time for patient to “think about it,” change mind or restructure and strengthen denial systems.
Focused Care Plan 7(Alcohol Withdrawal Nursing Care Plans. (2019, April 09). Retrieved April 22, 2019, from )(I)Interventions completed: Developed trusting relationship with patient by relating to his love for cooking and being a chef. Spoke to patient about local Alcoholic Anonymous groups throughout the Cochise the area. (E) Evaluation: (Goal/outcome met or not met)After 30 minutes of practicing breathing techniques patient appeared relaxed and stated the anxiety level was reduced to manageable level for self. Identified healthy ways to deal with and express anxiety.What would you change to improve outcome?After sitting and talking with patient through breakfast I discovered that his home would be a negative place for him to go because he has alcohol remaining in the home. If there was someone to remove the temptation, I think he would have better chance of remaining sober. The environment awaiting him unfortunately did not present in this manner. If he had committed, then and there to quitting the outcome could have been improved with admission to detox/rehab facility. The patient's future disposition could potentially turn either positive or negative.Nursing Care Plan – Psychosocial Manifestation(A) Assessment Findings:Subjective psychosocial findings:Patient stated, “I feel lonely since my cousin died.” “I don’t want to do anything since the loss.”Objective psychosocial findings:Mental status: Anxious, Lack of concentration, Slowness in activity. Alert and oriented x3.General survey/Developmental Stage: Patient is cooperative but seems anxious and lacks eye contact. Hygiene is poor. Beard is overgrown and unkempt. Patient uses assistive walking device when mobile. Patient is overweight and walk is a bit unbalanced. Using Erickson’s theory of psychosocial development, it seems that after G.H. and his wife divorced he slipped into the isolation stage at the age of 40. Currently 59 years old G.H. falls into stage 7 Generativity vs. Stagnation. Without real change G.H. could remain stagnant and unproductive resulting in further withdrawal from friends, community and family.