How to Answer Alcohol Detox Case Questions (Complete Guide)
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What This Question Is About
This question relates to alcohol detox case and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves alcohol detox case. A strong answer should include explanation, application, and examples.
Original Question
Alcohol Detox Case Study Paper Rubric Scenario Location: Medical-Surgical Unit History: This patient is a 54 year old male who has been admitted to the Medical-Surgical unit at 2200 for an episode of acute gastritis. He is admitted for a 23 hour stay. He works full-time as an expeditor for a medium sized contracting firm but has frequent absences, is not always available by telephone and calls in sick frequently on Monday mornings. He also has two DUIs. He has a past history of recreational drug use and a recent history of consuming ½ liter of vodka daily. He has three adult children. His wife left him five years ago related to his drinking. He has been drinking since age 18 and smokes two packs of cigarettes per day for the past 37 years. He has a history of Chronic Obstructive Pulmonary Disease, hypertension, peripheral vascular disease, vitamin deficiencies, recurrent gastritis and four episodes of pancreatitis. Last year, he had a seizure related to an independent attempt to stop drinking. With pressure from his recent girlfriend and one of his children, he reluctantly admitted himself to a rehab facility three months ago. He has not made any follow up visits with the addictionologist or outpatient therapist. He has not made any commitments to regular attendance in the local recovery support group. Initial Healthcare Provider’s Orders: 9% NS at 75ml/hr, with a 22 gauge or larger angiocath Intake and Output every shift Lisinopril 20mg i po daily each AM NPO after midnight VS every shift Activity as tolerated Labwork: Lipase, BMP, LFTs, CBC EGD in AM, add on to early schedule Directions: Paper is to be typed, double-spaced, in your personal note-taking style but include citations or quotes in APA format. The paper is to be a MINIMUM of 5 pages and in a maximum of 12-point type. The paper is to focus on the scenario and include: Question Related Concept Describe the diagnostic criteria and pathophysiology of alcoholism (alcohol/substance abuse). Describe alcohol effects on the body systems. Assessment and interpreting patient’s signs and symptoms in relation to pathophysiology of alcoholism and alcohol withdrawal (Application). Information literacy with sources, technology and ethics. 2. Describe the classification of alcohol as a drug. Knowledge of substance (Recall). 3. Describe: Coping strategies Codependent and enabling behaviours in alcoholics and their families Initiates therapeutic communication techniques related to patient’s behavioural status (Application). Identifies future teaching needs for patient and significant other (Cognitive). 4. What screening tools and questions that should be used upon admission with the alcoholic patient. Selection of appropriate screening tools to assess, initiate care, and modify interventions. 5. Describe the diagnostic criteria for alcohol withdrawal assessment. Interpretation of lab values Assessments Interventions and evaluation Initiates therapeutic communication techniques related to patient’s behavioural status (Application). Collaborates with other healthcare professionals to implement plan of care and necessary modifications (Application). 6. Describe community resources available for patients in recovery. Identifies future teaching needs for patient and significant other (Cognitive). 7. Discuss bias and stigma with alcohol abuse and how this might affect treatment avoidance and the treatment given to people experiencing addiction. Global literacy: subculture of addiction/recovery Communication with content development and delivery. 8. Discuss how you think the knowledge you found writing this paper about CIWA will help with the quality of nursing care and how you might use it in the future. QSEN competency of evidence-based practice and quality improvement. EPSLOs of critical thinking, safe care, communication with team, therapeutic communication with patient, using technology in planning and providing care, and professionalism 9. Use of the following medications: Ativan Haldol Zofran Magnesium sulfate Protonix Include in discussion of medications: How to administer IV direct Y-site compatibility Side effects Utilizes knowledge of medications pertinent to patient’s symptoms to safely administer medications within therapeutic ranges (Cognitive).
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