Drug and Alcohol nursing assessment
You are a nurse working in drug and alcohol consultation and liaison service. You arrive on duty at 0900 hours and have been delegated a referral for a drug and alcohol assessment, the client is waiting in the emergency department of the in the local hospital.
Referral information so far:
Tom is a 19 year old labourer who lives with his mother (Theresa). His father was an alcoholic and left the family when Tom was 8 years old. Tom was brought in by police under section 22 of the Mental Health Act, after a passer-by noticed Tom bleeding and lying on the side of the road and called an ambulance. He refused to go to hospital and the ambulance officers called the Police. The police reported that when they approached Tom he shouted ‘I am better off dead’ and ‘I know the devil wants me’. He arrived in the emergency department around 3 a.m. with a lacerated arm.
On arrival to the emergency department he appeared to be heavily intoxicated. At the triage station his blood alcohol concentration (BAC) was recorded as 0.22mg/%. A number of superficial scratches and a 2.5 cm laceration to his left arm were noted. He had told the triage nurse that he has been drinking since 7 pm the previous day. A number of severe acne type lesions were noticed on Tom’s face and also some track marks noted.
Overnight Tom’s lacerations were treated, he was initially hostile but then his hyper-vigilance decreased and he slept until 6 am when he woke and became agitated, wanting to leave immediately but was able to be settled with 10 mg of oral diazepam.
Tom’s girlfriend, Jenna aged 16 years, apparently visited at about 04.00 AM. She had been looking for him after they had a fight yesterday afternoon/ evening. Jenna was described as looking approximately 6 months pregnant, unkempt, with facial acne and some visible track marks. Jenna said Tom has been a real worry for the last 6 weeks since he was arrested and charged for 3 break and entering offences and one assault. He is due to appear in court over these matters in 2 weeks. Jenna told the nurses that Tom reckons he was being framed for those offences by someone evil and then she left at around 04.30 AM in the company of her girlfriend.
A medical officer was called and provided a very brief assessment before prescribing diazepam. The client’s notes include his mental state examination as follows:
Appearance & behaviour: Thin, unkempt young man, dressed in a hospital gown, pacing up and down next to his hospital bed and continued to move constantly during the interview: seeming hyper-vigilance and intense eye contact noted. Cooperative but guarded
Mood: Claims he is fine
Affect: Agitated and volatile, easily annoyed.
Speech: Fast rate, clipped rhythm and direct.
At times answering with few words – though not really monosyllabic.
Thought Form: A few times he seemed to have trouble answering or provided an irrelevant answer,but seemed to quickly pass over these incidents/ a bit like he was covering up
Thought Content: Denies any current suicidal ideas. Claims he just cut himself with a bottle because he felt depressed about his charges but he didn’t want to kill himself.
Says he doesn’t know why he does it. Says that people are framing him for the break and enters he is charged with and that he wants to leave hospital as they might try to get him here.
Denies visual or auditory hallucinations but became a little annoyed by me asking these questions
Write a case analysis using the information provided depicting the assessment and management of this client.
When writing your paper consider the following points.
•Analyse the information provided in the history and mental state examination provided and identify relevant issues.
•Discuss the immediate assessment and screening tools indicated and explain why they are indicated. Identify how a comprehensive might be achieved.
•Explain any immediate interventions that might be required
•Discuss appropriate management strategies and treatment models that could be included in Tom’s treatment plan
•Identify any other health professionals needed and evaluate the optimal way for one or more health professionals to be involved in Tom’s care
Support your discussion with current literature and incorporate best practice guidelines into your answer.
Our Service Charter
Excellent Quality / 100% Plagiarism-FreeWe employ a number of measures to ensure top quality essays. The papers go through a system of quality control prior to delivery. We run plagiarism checks on each paper to ensure that they will be 100% plagiarism-free. So, only clean copies hit customers’ emails. We also never resell the papers completed by our writers. So, once it is checked using a plagiarism checker, the paper will be unique. Speaking of the academic writing standards, we will stick to the assignment brief given by the customer and assign the perfect writer. By saying “the perfect writer” we mean the one having an academic degree in the customer’s study field and positive feedback from other customers.
Free RevisionsWe keep the quality bar of all papers high. But in case you need some extra brilliance to the paper, here’s what to do. First of all, you can choose a top writer. It means that we will assign an expert with a degree in your subject. And secondly, you can rely on our editing services. Our editors will revise your papers, checking whether or not they comply with high standards of academic writing. In addition, editing entails adjusting content if it’s off the topic, adding more sources, refining the language style, and making sure the referencing style is followed.
Confidentiality / 100% No DisclosureWe make sure that clients’ personal data remains confidential and is not exploited for any purposes beyond those related to our services. We only ask you to provide us with the information that is required to produce the paper according to your writing needs. Please note that the payment info is protected as well. Feel free to refer to the support team for more information about our payment methods. The fact that you used our service is kept secret due to the advanced security standards. So, you can be sure that no one will find out that you got a paper from our writing service.
Money Back GuaranteeIf the writer doesn’t address all the questions on your assignment brief or the delivered paper appears to be off the topic, you can ask for a refund. Or, if it is applicable, you can opt in for free revision within 14-30 days, depending on your paper’s length. The revision or refund request should be sent within 14 days after delivery. The customer gets 100% money-back in case they haven't downloaded the paper. All approved refunds will be returned to the customer’s credit card or Bonus Balance in a form of store credit. Take a note that we will send an extra compensation if the customers goes with a store credit.
24/7 Customer SupportWe have a support team working 24/7 ready to give your issue concerning the order their immediate attention. If you have any questions about the ordering process, communication with the writer, payment options, feel free to join live chat. Be sure to get a fast response. They can also give you the exact price quote, taking into account the timing, desired academic level of the paper, and the number of pages.