Case Study: Provide Protective Environment, Assist With Self-Care

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Provide protective environment; prevent injury. Assist with self-care. Promote interaction with others. Identify resources available for assistance. Support family involvement in therapy. Signs of physical agitation are abating and no physical injury occurs. Improved sense of self-esteem, lessened depression, and elevated mood are noted. Approaches and socializes appropriately with others, individually and in group activities. Adequate nutritional intake is achieved/maintained. Client/family displays effective coping skills and appropriate use of resources. Plan in place to meet needs after discharge. 1.Assess client's level of disorientation to determine specific requirements for safety. Knowledge of client's level of functioning…show more content…
Withdrawal is managed with rest and nutritional therapy. Substitution therapy may be instituted to decrease withdrawal symptoms, with the use of propoxyphene (Darvon) for weaker effects or methadone (Dolophine) for longer effects. c.Depressants. Substitution therapy may be instituted to decrease withdrawal symptoms using a long-acting barbiturate, such as phenobarbital (Luminal). Some physicians prescribe oxazepam as needed for objective symptoms, gradually decreasing the dosage until the drug is discontinued. d.Stimulants. Treatment of overdose is geared toward stabilization of vital signs. Intravenous antihypertensives may be used, along with intravenous diazepam (Valium) to control seizures. Chlordiazepoxide may be administered orally for the first few days while the client is "crashing." e.Hallucinogens and Cannabinols. Medications are normally not prescribed for withdrawal from these substances. However, in the event of overdose, diazepam or chlordiazepoxide may be given as needed to decrease agitation. Outcome Criteria 1. Client is no longer exhibiting any signs or symptoms of substance intoxication or…show more content…
3.Determine method of learning that is most appropriate for client (e.g., discussion, question and answer, use of audio or visual aids, oral or written method). Level of education and development are important to consider in the selection of methodology. 4.Develop teaching plan, including measurable objectives for the learner.Measurable objectives provide criteria for evaluation of the teaching experience. 5.Include significant others, if possible. Lifestyle changes often affect all family members. 6.Implement teaching plan at a time that facilitates, and in a place that is conducive to, optimal learning (e.g., in the evening when family members visit, in an empty, quiet classroom or group therapy room). Learning is enhanced in an environment with few distractions. 7.Begin with simple concepts and progress to more complex ones. Retention is increased if introductory material is easy to understand. 8.Include information on physical effects of [substance], its capacity for physiological and psychological dependence, its effects on family functioning, its effects on a fetus (and the importance of contraceptive use until abstinence has been

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