Mental Health Remediation
Discharge plan for alcohol disorder:
Safety is the primary focus of nursing care during acute intoxication or withdrawal.
Direct the client’s focus to the substance abuse problem
Educate client/family about codependent behavior
Educate client/fam...
discharge plan for alcohol disorder safety is the primary focus of nursing care during acute intoxication or withdrawal direct the client’s focus to the substance a
Written for
Rasmussen College
Nur 1172
All documents for this subject (73)
2
reviews
By: benitalopez97 • 2 year ago
By: doctorsolutions65 • 2 year ago
thank you so much for reviewing.
By: Bookkeeper • 3 year ago
By: doctorsolutions65 • 3 year ago
thanks so much.
Seller
Follow
doctorsolutions65
Reviews received
Content preview
Mental Health Remediation
Discharge plan for alcohol disorder:
Safety is the primary focus of nursing care during acute intoxication or withdrawal.
Direct the client’s focus to the substance abuse problem
Educate client/family about codependent behavior
Educate client/family about addiction and tx goal of abstinence
Hold client firmly to reasonable limits, consistently reinforcing rules, with reasonable consequences of breaking rules
Do not share medications. Hold accountable
Develop motivation and commitment for abstinence
Help develop emergency plan, people to contact
Encourage attendance at group therapy/support group
Alcohol withdrawal: Severe
Hallucinations, diaphoresis, hyperthermia, tachycardia
Withdrawal DELIRIUM is a medical emergency. Death can occur from MI, fat emboli, peripheral vascular collapse, electrolyte imbalance, aspiration pneumonia, or suicide.
Treatment: oWithdrawal: benzos, clonidine (sedative/antihypertensive), phenobarbital, naltrexone
oAbstinence: disulfiram, naltrexone, acamprosate
Depressive Disorders: Priority findings to share with treatment team
****** Monitor both a depressed client and a client who has recently been prescribed an antidepressant medication closely for signs of suicidal ideation. If the client presents with increased energy, monitor closely because it could mean that the client now has the energy to perform the suicide act‼‼
Assess the client’s risk for suicide and implement appropriate safety precautions .
Self-care: Monitor the client’s ability to perform activities of daily living and encourage independence as much as possible.
Communication: Make observations rather than asking direct questions, which can cause anxiety in
the client. For example, the nurse might say, “I noticed that you attended the unit group meeting today,” rather than asking, “Did you enjoy the group meeting
Females are more likely at risk for depression
Priority assessment for a client who has delirium Rapid over a short period of time (hours or days)
S/S: restlessness, anxiety, motor agitation, and fluctuating moods. Personality change is rapid. Provide safe and therapeutic environment: assess for potential injury, wandering. Assign close to nurses’ station. Decrease any stimuli. Well- lit room. Wear alert bracelet. Use restraints as last resort. Assess for injury.
Primary step is determining underlying cause!
Best way to prevent is to minimize risk factors and promote early detection
Use of restraints on a child (chp 12)
8 years and younger: every 4 hrs. Seclusion is every 1 hr
Need doctor’s order (NO PRN)
2 fingers fit in between wrist
Reassess and rewrite rx every 24 hrs.
Assess (safety and physical needs)
Offer food/fluid/toileted/vital signs
Monitor pain
Complete documentation every 15 to 30 mins
Restraints, from the least restrictive to the most restrictive, are:
Mitten restraints that are used to prevent the dislodgment of tubes, lines and catheters
Wrist restraints that are used to prevent the dislodgment of tubes, lines and catheters
A vest restraint that is used to prevent falls as well as disturbed violent behavior
Arm and leg restraints that are used to prevent violent behavior
Leather restraints that are also used to prevent violent behavior
Applying restraints (chp 2)
Obtain order from provider (current and specific)
Plan for one on one observation
Ensure 2 fingers fit between wrist
Document client’s behavior every 15 min while on restrains
Contributing factors to development of conduct disorder oClients who have conduct disorder demonstrate a persistent pattern of behavior that violates the rights of others or rules and norms of society. Categories of conduct disorder include the following: -Aggression to people and animals
-Destruction of property
-Deceitfulness or theft
-Serious violations of rules
Childhood onset develops before the age of 10, with males being more prevalent.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller doctorsolutions65. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £12.90. You're not tied to anything after your purchase.
