Client with Hepatitis C and an Alcoholism Problem Essay
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Client with Hepatitis C and an Alcoholism Problem Essay
Kate Gray, 29 years old, was having abdominal pain, nausea, and vomiting. She was admitted to the hospital thorough the emergency department. After 3 days she was discharged and referred to a community clinic and public health department. Kate has been diagnosed with hepatitis C and alcoholism.
She weighs 115 pounds. She is taking a multivitamin, cimetidine for symptoms of gastroesophageal reflux disease, gabapentin for chronic pain, and Atarax for pruritus. She had abdominal pain and a low-grade fever on discharge from the hospital. Her appetite is poor, and she often is nauseated. She becomes fatigued easily.
She agrees to comply with discharge planning from the hospital. She is unemployed and recently started Medicaid benefits.
Kate’s drug use history is as follows: marijuana use starting at age 16, alcohol use starting at age 20, MA use at age 26; she has been injecting the drug for 2 years.
She was arrested 4 months ago for drug use and mandated to participate in a community felony drug court. She has been abstinent from marijuana and MA since her arrest.
However, 2 weeks ago she violated probation by drinking and received 3 days in jail for probation violation. She has two daughters ages 6 and 8. Her children live with their father in the same city.
Assessment
Individual
The drug court team nurse practitioner sees Kate 2 days after discharge. Kate is still struggling with fatigue and poor appetite. She is afebrile. The nurse practitioner will follow her through drug court.
When participating in drug court, Kate will attend Intensive Outpatient Treatment (IOT) and Narcotic Anonymous (NA) meetings. She has an NA sponsor.
Family
Kate will meet with her daughters weekly for family therapy through drug court. She meets with her husband, daughters, and pastor weekly for family counseling.
Kate’s husband attends NA meetings. He has been clean and sober for 1 year. He also is on felony probation and has recently graduated from drug court. He works as a mechanic. Their daughters have safe and adequate housing with their father.
Community
Drug court firmly assists with keeping individuals in treatment long enough for it to work while supervising them closely. Participants are held accountable by the drug court judge for meeting their obligations to the court, society, themselves, and their families.
Participants are regularly and randomly tested for drug use. Kate is required to appear in court frequently so that the judge may review her progress and reward her for doing well or sanction her when she does not live up to drug court obligations.
Diagnosis
Individual
Altered gastrointestinal and hepatic status secondary to hepatitis C and alcoholism pain
Poor nutritional status
Inadequate coping related to substance abuse history
Need for patient education regarding hepatitis C, alcoholism, and addiction
Family
Inadequate knowledge about addictive disease and effects of alcoholism, MA abuse, and polysubstance abuse
Inadequate knowledge of treatment approaches available for alcohol abuse and the recovery process
Family dysfunction secondary to poor communication and denial of addiction in client
Community
Need for understanding of the prevalence of alcohol abuse problems in the community and adverse health effects of alcohol consumption
Inadequate knowledge in community agencies that assist alcohol abusers (e.g., local AA and counselors) regarding the need to make home visits and provide services
Planning
Planning for Kate and her family’s care involves collaboration among her family, her case management team through drug court, probation services, her pastor, and other community treatment resources.
Case management health promotion teaching, counseling, support, and advocacy are the main approaches used to directly assist the client and her family. Indirect approaches involve networking with community agencies, collaboration, and communication networks.
Individual
Short-Term Goals
Kate will follow her posthospitalization IOT attendance, drug court, and case management.
Kate will be compliant with her medications.
Long-Term Goals
Kate will continue to be clean and sober.
Kate’s health status will improve and/or stay at optimal health status as indicated by stabilization of weight and optimal pain control.
Kate will complete drug court.
Family
Short-Term Goals
Kate’s family will continue family therapy.
Communication will improve between Kate, her husband, and children.
Long-Term Goals
Family recovery in abstinence and sobriety
Community
Long-Term Goals
NA meetings and sponsorship
Successful completion of and release from probation
Optimal health status
Intervention
Individual
Nurse practitioner appointments weekly initially to monitor the client’s medication issues or problems as related to maintaining abstinence, gastrointestinal and hepatic functioning, medication compliance, and nutritional status
Health promotion and patient/family education regarding addiction, hepatitis C, and alcoholism
Patient teaching about the client’s medications, their effects and side effects, and the necessity of following recommended dosing schedules
Family
Continued support for Kate and her family through early recovery
Health promotion and education to the family on the course and treatment of addiction and other medical problems associated with Kate’s medical diagnosis
Nonjudgmental support and advocacy
Community
List of local and national referral resources for clients with substance abuse problems made available to the drug court team and physicians, with a particular focus on resources providing services for drug court participants
Educating community stakeholders about drug courts, NA and other 12-step programs, and community case management
Collaboration with community organizations that provide outreach for other individuals and families living with addiction
Evaluation
Individual
Kate was very compliant with drug court, IOT, NA meetings, and following medical treatment.
Family
Kate’s family joined her in drug court graduation. Kate continues outpatient drug court once weekly, NA meetings, and family therapy.
Community
Drug court case management will follow through with compliance in IOP attendance, NA meeting compliance, family therapy compliance, and other treatment obligations.
Levels of Prevention
Primary
Health teaching to individuals and groups on the risk factors, early symptoms, and adverse health and social consequences of substance abuse; the addictive disease process; and available treatment services
Need to gear educational approaches to the more vulnerable aggregates
Secondary
Screening and earlier treatment approaches aimed at minimizing health and social consequences of substance abuse
Involvement of physicians, nurses, and other health care professionals in various community health care settings in this process
Tertiary
More direct approaches, such as case management, IOT, family therapy, and NA meeting with sponsorship. Goals are to halt the physiologically damaging effects of hepatitis C and alcoholism in Kate’s abstinence and sobriety.
Frequent use of medications to treat the symptoms of substance abuse–related disorders or as part of aversion therapy (e.g., disulfiram)
Services provided by medical practitioners, treatment services, and mutual help organizations generally advocate abstinence from the substance and improving the individual’s health status
This case study illustrates the complexity of substance abuse and co-occurring disorders. There is hope in treatment through problem-solving courts. Substance abuse affects patients and their families.
Now more than ever, substance abuse may be treated through case management involving multidisciplinary team members. In sobriety, the social situation, living situation, or social acquaintances must change to maintain long-term recovery.
However, with patience, persistence, and a caring, nonjudgmental attitude, the nurse can often be effective in helping clients with substance abuse problems attain recovery and improve their health status.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
CLICK ON THE LINK HERE: https://www.perfectacademic.com/orders/ordernow
Also, you can place the order at www.collegepaper.us/orders/ordernow / www.phdwriters.us/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME]and Have It Done by Our PhD Qualified Writers!!