Monday, November 30, 2015

Nursing Diagnoses

Nursing Diagnoses

This post contains some Nursing Diagnoses.

This may not mean much to those of you not in a healthcare field, but it is a factor that can help healthcare professional plan the care of individuals recovering from alcoholism.

People experiencing alcoholism may be diagnosed with:

Powerlessness R/T inability to quit drinking AEB mood swings and repeated episodes of alcohol abuse.

Altered Nutrition R/T liver damage AEB body not meeting nutrition requirements

Deficient Knowledge R/T effects of alcohol on body AEB excessive alcohol use

Risk for Injury R/T loss of coordination and lack of judgment AEB risky behavior and unsteady gait and movement

Denial R/T extent of alcohol abuse AEB lack of desire to reduce alcohol consumption


My focus diagnosis is Risk for Injury  R/T loss of coordination and lack of judgment AEB risky behavior and unsteady gait and movement

Risk for injury occurs due to lack of coordination, poor judgment, and high pain tolerance. Seizure activity is a possibility during withdrawal symptoms which can also lead to injury.

Goals:

1: The patient will not experience injury throughout the recovery process

2: The patient will exhibit decrease in withdrawal symptoms

Interventions:

-Identify stage of alcohol withdrawal and apply interventions appropriately

-Assess coordination

-Implement fall precautions and safety measures (such as gait belt, bed rails, encouraging walker use.

-Monitor and document seizure activity

-Assist with ambulation and ADLs

-Medication per CIWA assessment scale

-Encourage hydration and nutrition




A good site for assisting in nursing  diagnoses is

Source: Nurse Labs





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