Mental Health Retake / Remediation 2019

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Mental Health Remediation  Discharge plan for alcohol disorder:  Safety is the primary focus of nursing care during acute intoxication or withdrawal.  Direct the client’s focus to the subst... ance abuse problem  Educate client/family about codependent behavior  Educate client/family about addiction and tx goal of abstinence  Hold client firmly to reasonable limits, consistently reinforcing rules, with reasonable consequences of breaking rules  Do not share medications. Hold accountable  Develop motivation and commitment for abstinence  Help develop emergency plan, people to contact  Encourage attendance at group therapy/support group  Alcohol withdrawal: Severe  Hallucinations, diaphoresis, hyperthermia, tachycardia  Withdrawal DELIRIUM is a medical emergency. Death can occur from MI, fat emboli, peripheral vascular collapse, electrolyte imbalance, aspiration pneumonia, or suicide.  Treatment: o Withdrawal: benzos, clonidine (sedative/antihypertensive), phenobarbital, naltrexone o Abstinence: disulfiram, naltrexone, acamprosate  Depressive Disorders: Priority findings to share with treatment team ****** Monitor both a depressed client and a client who has recently been prescribed an antidepressant medication closely for signs of suicidal ideation. If the client presents with increased energy, monitor closely because it could mean that the client now has the energy to perform the suicide act‼‼ [Show More]

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