Nurse Management of Alcohol Withdrawal Syndrome Seynor Massalee Kennedy Oakland University Alcoholism is a chronic, progressive, potentially fatal disease, which is characterized by a persons’ inability to discontinue use despite it resulting into emotional, social, legal or physical problems (Powell, 1999). Alcoholism is a common problem in United States, and an estimated 15%-20% of hospitalized patients are dependent on alcohol. These hospitalized patients are suddenly force to stop drinking, which placed them at a risk for alcohol withdrawal syndrome (AWS). AWS complicates these patients’ treatment and recovery and sometimes causes death (Lussier-Cushing et al., 2007). Regular and excessive use of alcohol leads to tolerance and dependence. Tolerance is when a person requires more alcohol to achieve intoxication due to a decrease in the central nervous system …show more content…
Lussier-Cushing et al. (2007) states, “patient should be asked about their alcohol use, including the frequency and amount they drink such as the type of alcoholic drinks, the quantity, how often the patient drinks, the last drink and the amount of years they being drinking. Nurses should be aware that a patient with alcohol use disorder is likely to deny or minimize their drinking to avoid being judged by others (Lussier-Cushing et al., 2007). The patient reported drink three bottles of beer a day and said it was due to the stress of taking care of his mother with dementia for over a year. The patient laboratory result shows an alcohol level of 188. The patient was placed on AWS protocol and prescribed lorazepam according to the result from the alcohol withdrawal flow sheet. The patient score was zero because he still had enough alcohol in his system. However, the patient was placed on fall
Click here to unlock this and over one million essaysShow More
Issue: For many alcohol withdrawal patients, providers will order assessments using the Clinical Institute Withdrawal Assessment (CIWA). Since it is not ordered for all withdrawal patients, there is confusion at times among staff on how to use properly. Action: As the unit champion for CIWA, she collects data and performs chart audits on patients on the CIWA protocol. With the data she collects, she ensures proper documentation is completed and the bed alarm is on or a Patient Safety Aide is present. She updates staff on issues discovered during audits and informs them of changes to the CIWA protocol.
Ms. DeMarzo is a 43-old individual, who was born and raised in Staten Island, NY. She graduated from Tottenville High School in 1990. Following her graduation she attended the College of Staten Island but did not graduate, she went to work. Ms. DeMarzo reported that she currently works as a paraprofessional for the NYC board of education.
He describes feelings of frustration, restlessness, and agitation. He is concerned about his future love life, and going through a big life change. Robbie J has positive behaviors and aspects that will be helpful in his treatment such as equipped to take responsibility for himself, he is sociable, and have family support. Given Robbie J problems with drinking, lack of motivation, and physical injuries, long term rehabilitation, join an Alcoholics Anonymous group, and continue family counseling is suggested.
He consumes 2-3 beers each evening and lives a fairly sedentary lifestyle due to his SOB and fatigue. He is on a number of cardiac medications, and without these medications he is at a greater risk for unmanaged conditions, ultimately leading to a cardiovascular event. In addition, he has a number of modifiable risk factors that if reduced, would lower his risk for
The patient is a 61 year old male who presented to the ED with depressive symptoms, crack cocaine use, and alcohol use. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient is calm and cooperative. The patient reports no withdrawal systems. During the time of assessment the patient was sleep and was awakened by clinician.
Alcoholism is a chronic brain disease that affects all walks of life and does not have any bounders (Gossop, Stewart, & Marsden, 2008). I choose to attend an Alcoholic Anonymous (AA) meeting since this disease is prevalent among adolescents and adults. The meeting was held in the first-floor forum at Pilgrim Congressional Church in Queens New York. The goals of the AA meeting were stated explicitly by the leader conducting the meeting. The mission of the organization is to maintain sobriety by helping alcoholics achieve recovery.
Alcoholism is a physical and psychological disorder of the brain that involves the chronic and exorbitant consumption of alcoholic beverages. The consumption can be in response to stressful situations, at overwhelming amounts of social activities, and even in the comfort of one's own home. Alcoholism can trigger other psychological disorders such as depression and schizophrenia, and it also has other negative consequences such as kidney failure, heart defects, and even death. An example of alcoholism in a piece of literature is Rex Walls from The Glass Castle. His actions throughout the novel have extremely detrimental consequences for his wife, children, and himself.
In America and throughout the world, moderate drinking is a socially acceptable form of relaxation and entertainment. The problems arise when moderate drinking turns into binge drinking on a regular basis. In all likelihood, that's what led you to having serious issues related to alcoholism. You can take comfort in knowing you
ALCOHOLISM How many times have you heard about the consequences of alcoholism? Have you taken them into account? Alcoholism is one of the major problems in society. People don’t take it so seriously but it actually is a disease. The effects of this disease are really serious.
When a person with a serious drinking problem finally decides to get help and stop drinking, they will face a variety of serious obstacles they will have to navigate. First among these obstacles will be going through the withdrawal process, which can be painful and scary due to typical alcohol withdrawal symptoms. For better or worse, allowing the body to detox from harmful substances is often an essential part of the addiction treatment process. Typical Alcohol Withdrawal symptoms Prior to seeking help for your drinking problem, it might be helpful for you to know a little something about the the kind of withdrawal symptoms you might encounter.
When your husband or wife becomes a drinker the spouse begins to make excuses for the spouse. No matter how bad he or she gets when they drink the spouse always wants to protect the drinker so that they don't have to ask for help when they actually need it. Sometimes the spouse will also just act like there is no problem at all, so they can avoid the financial side of the problem for paying for treatment, and keeping it a secret and acting like there isn't problem they think will cause less chaos in the family. But that isn't true trying to keep all the feelings inside will just cause more problems in the family, the pain will just keep spreading through the family while the drinker continues to drink
Recreational drinkers are common when there is little access to activities around the area, which typically result in underage drinking or limited access to a vehicle (Poehlman, Jon A). When one deals with being a stress and coping drinker, alcohol is considered a coping method particularly for those in high-stress jobs such as the infantry. Many infantry men tend to drink alone to “forget” everything to cope with that they have seen, done, or lost. Most stress and coping drinkers experience
Vaughn and his colleagues looked into data collected between 2001 and 2002. Data for this study was gathered by interviewers from National Epidemiologic Survey on Alcohol and Related Conditions or the NESARC nationally. The sample included 43 093 non-institutionalized US residents 18 years of age and older. The survey gathered information on alcohol and one or more disorders from individuals living in a household and within a group setting in all 50 states. The information was gathered face to face and used the Alcohol Use Disorder and Associated Disabilities Interview Schedule.