Bangsilan, Cherry A.
ASSESSMENT EXPLANATION OF THE PLANNING INTERVENTION RATIONALE EVALUATION
PROBLEM
SUBJECTIVE: Alcoholism is a chronic STO: DIAGNOSTIC: DX: STO:
“hindi ko mapigilan ang disease in which people Within 8 hours of Monitor patient for sign To avoid harming after 8 hours of
pag inom ng alak. become physically effective nursing of depression himself and attempts of effective nursing
Kailangan ko uminom dependent on alcohol intervention the patient suicide intervention the patient
para akong mamatay and cannot control how will be able to manifest Determine previous To identify successful was be able to manifest
pag itinigil ko ang pag much they drink even the following: methods of dealing with techniques that can be the following:
inom.” though their drinking is a) Stable vital life problems. used in current a) Stable vital
OBJECTIVE: damaging their health, signs situation. signs
BP: 154/90 mm Hg job performance, b) No complaints Determine alcohol To identify frequency of b) No complaints
PR:110 bpm friendship or family of headaches intake, sleeping and habitual intake of of headaches
RR:26 relationship. It is a LTO: eating pattern. alcohol as well as
vomiting bright red progressive disease that Within 2-3 days of nutrition and sleep LTO:
blood without treatment gets effective nursing THERAPUTIC TX: TX: After 2-3 days of
Tremors on his hands worse over time. Risk intervention client will Administer medication Anti-anxiety agents are effective nursing
Appears anxious factor also includes report a decrease in as indicated for given during acute intervention client was
Complain of Headache family history of “triggers” that drive him example withdrawal to help able to report decrease
Appears flushed alcoholism or person to drink alcoholic chlordiazepoxide, client relax, be less in “triggers” that drive
NURSING DIAGNOSIS: start drinking alcohol at beverages and the carbamazepine, hyperactive and feel him to drink alcoholic
Ineffective coping the age of 15 year old patient will no longer clonidine, disulfiram more in control beverages and the
related to learned or has history of vomit blood. Administer barbiturates These drugs are patient was no longer
response pattern of depression. Some such as phenobarbital sometimes used to vomit blood. Goal met.
dependence to alcohol people turn to alcohol or possibly secobarbital treat or prevent alcohol
to cope with anxiety to (seconal) or withdrawal seizures but
cope with anxiety and pentobarbital need to be used caution
depression they may (Nembutal) because they are
begin to drink heavily to respiratory depressants
look grown up or and REM sleep cycle
because their friends Give positive feedback inhibitors
encourage them. Also, when client applies new
heavy drinking alters effective response to Validate client positive
the levels of various difficulty “trigger” steps toward growth
chemicals in the brain situations. and change
leading the person to Work with client on
crave alcohol either to identifying triggers Mastering the issue that
get rid of bad feelings (feelings, situation and perpetuate substance
or to restore good people) that help drive use allows for effective
Bangsilan, Cherry A.
feelings also to get rid the client addiction change and target areas
of their problem. Some EDUCATIVE EDX: for acquiring new skills.
find that they Encourage client to EDX:
eventually need alcohol write notes and self- Cognition usually gets
just to feel normal. memos in order to keep better with long term
Thus, these leads to appointments and abstinence but initially
inability to valid follow treatment plans. memory aids prove
appraisal of stressors, Encourage to join helpful.
inadequate choice of relapse prevention To help client anticipate
practiced responses, groups (alcoholics and rehearse healthy
and inability to use anonymous). response to stressful
available resources. Encourage to find role situations.
model (counsellors or Role models can help
other recovering client to serve as
people) example of how client
can learn effective ways
to make necessary life
change.
