The Illness and Promotional Pattern
Despite her condition, S.A is doing a lot of unhealthy things that are harming her life and exposing her health to more danger. For instance, S.A is supposed to meet her care provider every year, but she admits to skipping the meetings. Despite taking psychiatric medications and opioids, S.A admits to drinking alcohol daily. Also, S.A is no longer performing her daily exercise, and she has become physically inactive for most of the time. S.A. has also gained ~20 Ibs due to overeating junk food. Since she believes that her medications are also making her fat, there is a high chance that S.A is no longer taking her drugs appropriately. Therefore, they are illness patterns that are likely to expose S.A to more danger than she was in the past years.
Despite her illness pattern, S.A is also engaging in different positive activities that could promote her health. She used to engage in exercise even though she admits to skipping such activities due to her conditions in the present time. She also strives to seek medication as she has been enrolled in many programs that stabilize her conditions. Due to her alcoholic disease, S.A has made a lot of effort to address her situation. Her medical history suggests that she has made a lot of attempts to reestablish her medical condition.
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NANDA Diagnosis
S.A has a lot of medical issues based on her medical history and family health history. Therefore, there are many possible diseases or diagnosis a nurse can make out of the S.A case. The first NANDA guided diagnosis is a self-care deficit. The diagnosis stems from an analysis of S.A’s drug consumption with the possibility of depression, which is evident from her system review, and the manner in which she does not care for her health by involving in unhealthy behaviors. The second NANDA guided diagnosis is Disturbed Sensory Perception. The diagnosis stems from the fact that S.A was hallucinating or experience some feelings and seeing imaginary things. Therefore, it is possible that she was suffering from a psychological disease such as Schizophrenia . The last NANDA guided diagnosis for S.A, which is psycho-social, is possible powerlessness related to the use of drug and alcohol use. Such a diagnosis stems from the fact that S.A feels powerless to control her behaviors of drug abuse. She is unable to restrict herself from drugs despite understanding that she needs to quite a drug to stay healthy. Notably, such a problem can be psycho-social because it depends on the power of influence from others and her inability to control her behaviors mentally.
Problems and Interventions
The issues prioritize are powerlessness and hallucination. For hallucination, the nurse intervention is to be vigilant and remain sensitive and alert to different signs of increasing anxiety and fear that come due to illusions, and try to address them. The reason for such an intervention is that fear or anxiety due to hallucination will prevent the client's coping mechanism and, therefore, can induce other aggressive behaviors such as the desire for self-harm ( Steinmann, Leicht & Mulert, 2019). The desired or expected outcome is that the patient will learn ways to refrain from responding to hallucinations.
Another problem is the psycho-social problem, which in this case, is the lack of power to control substance abuse and alcohol abuse. The nurse's intervention for this problem is the use of crisis intervention techniques to initiate behavior changes. Such a response is critical because the patient is more amenable to acceptance of the need for treatment at this time ( Fernández-Montalvo, Arteaga & López-Goñi, 2019). The expected outcome is that the patient will have to admit to her inability to control drug habit and surrender to powerlessness ove r the addiction.
References
Fernández-Montalvo, J., Arteaga, A., &López-Goñi, J. J. (2019). Treatment effectiveness of intimate partner violence perpetration among patients in a drug addiction program. Psychology of violence , 9 (2), 156.
Steinmann, S., Leicht, G., &Mulert, C. (2019). The interhemispheric miscommunication theory of auditory verbal hallucinations in schizophrenia. International Journal of Psychophysiology , 145 , 83-90.
