Patient-Nurse Relationship: Alcohol Dependency Care

Patient-Nurse Relationship Alcohol Dependency reverenceDiagnosisJ.H was admitted to Unit 9 with a diagnosis of alcohol habituation causing induced mood dis frame with depressive features. The diagnostic criteria outlined by the DSM-IV for total addiction states that three or more(prenominal) of the following impairments moldiness be seen in the patient, a tolerance for the specific substance, withdrawal symptoms if the substance stops being taken, persistent desire or unsuccessful efforts to thin back or control substance use, reduction or eventide cessation of important social, oc instillational, or recreational activities, and substance use in spite of know directge of having a substance abuse problem (Austin Boyd, 2008). The etiology behind substance abuse is still being researched but the order suggests that there be both psychological and biological aspects to addictive personalities. It is withal evident that substance abuse and dependence can lead to problems in so lely parts of the biopsychosocial well being.The interaction took betoken on social unit of measurement 9 of the QEH hospital on September 24th at nearly 1530 hrs. The knob and the savant nourish had discussions in the pantry country of the unit as well as in the common area the parley of focus took place in the common area.Preceding Critical EventsThe student nurse had met the guest once before and had already subtracted the orientation phases of the nurse- invitee human relationship. The lymph node was cleaning the pantry area of the unit while do himself a cup of umber. This is when the student nurse approached the invitee and began a conversation which led to the discussion of focus.Phase of the Nurse- client RelationshipDuring the conversation of focus the student nurse and the client were in the working phase of the nurse-client relationship. They were in this phase because the client was beginning to outline areas of his illness that needed to be worked on in or der to recover. Client and Nursing Partnership GoalsClient Health Goals scam Term 1.) Client wants to get into an addiction center outside of PEI. The client has already tried the addiction center at Mt. Herberts and feels that the program does not work for him. This goal was identified by asking the client about the various interferences he has used in the past few days and he mentioned his application to a treatment center in Ontario. 2.) Client also wanted to go on a three min pass that evening in order to complete some errands at his home. This goal was established after I asked the client what his plans were for the rest of the day. eagle-eyed Term 1.) Client wants to gain control over his alcohol dependence by attending more AA meetings and getting the proper psychiatric treatment including medications and group work. 2.) Client wants to better his relationship with his two daughters but feels that he first needs to get control of his illness. 3.) Client wants to finalize his divorce, at the current time he is legally separated in order to complete the divorce the client must speak to his lawyer and contain some paperwork. Nursing Partnership Goals Short Term 1.) Establish a nurse-client relationship by defining boundaries, assuring confidentiality, and explaining the purpose of the relationship. 2.) Provide client with information regarding treatment center in Ontario. 3.) Gain enough swear with the client so that he feels comfortable to discuss his illness and his report with the student nurse.What I ObservedClient was in the pantry area of the unit cleaning while making a cup of coffee. He seemed a little anxious and somewhat rushed (it was later discover that this is simply a part of the client personality.) When I entered the room J immediately greeted me saying Hello Greg, Im retributory making myself a cup of coffee. I like to try and do my part to keep the place clean his tone, volume, and rhythm were all within normal limits and he see med to be in a pleasant mood. The client then said Oh, I dont clean up that often the other people here are pretty good at cleaning up after themselves I just like to keep busy. by and by the patient finished making his cup of coffee he moved to a couch in the common area. His mood was still pleasant and he was very talkative. After J was finished he said something that really caught my attention I know I have a problem but I only binge drink, its not like I drink all the time. Pause Well I shouldnt say that because it is bad enough to just binge drink and I need to get better At this point the patient started to ask questions about me such as where I was from, what I thought of the nursing school, and a few other things. The client was now very relaxed in the couch with his feet up on the coffee table drinking his coffee.What I Thought and FeltWhen the client greeted me so quickly and in such a pleasant tone I felt that the nurse-client relationship was developing very well and that it was time to start the working phase of the relationship. By the way the client talked about his co-patients and the cater I could tell that he was quite comfortable on the unit. I felt that this would be a good time to start a conversation. I thought that now would be a good opportunity to ask J about what brought him to the unit and to explore his diagnosis. I felt a little nervous thinking of what to say I feared that I may be asking something to private this early in the relationshipI was surprised at how easily J opened up about his history and I was slowly starting to feel more comfortable with asking questions about his illness. Again I felt that J was being very honest with me and I could sense that he sure me as a nurse.