Scenario Location: Medical-Surgical Unit History: This patient

Scenario Location: Medical-Surgical Unit History: This patient is a 54 year old male who has been admitted to the Medical-Surgical unit at 2200 for an episode of acute gastritis. He is admitted for a 23 hour stay. He works full-time as an expeditor for a medium sized contracting firm but has frequent absences, is not always available by telephone and calls in sick frequently on Monday mornings. He also has two DUIs. He has a past history of recreational drug use and a recent history of consuming ½ liter of vodka daily. He has three adult children. His wife left him five years ago related to his drinking. He has been drinking since age 18 and smokes two packs of cigarettes per day for the past 37 years. He has a history of Chronic Obstructive Pulmonary Disease, hypertension, peripheral vascular disease, vitamin deficiencies, recurrent gastritis and four episodes of pancreatitis. Last year, he had a seizure related to an independent attempt to stop drinking. With pressure from his recent girlfriend and one of his children, he reluctantly admitted himself to a rehab facility three months ago. He has not made any follow up visits with the addictionologist or outpatient therapist. He has not made any commitments to regular attendance in the local recovery support group. Initial Healthcare Provider’s Orders: 9% NS at 75ml/hr, with a 22 gauge or larger angiocath Intake and Output every shift Lisinopril 20mg i po daily each AM NPO after midnight VS every shift Activity as tolerated Labwork: Lipase, BMP, LFTs, CBC EGD in AM, add on to early schedule Answer the questions based in the scenario: 7. Discuss bias and stigma with alcohol abuse and how this might affect treatment avoidance and the treatment given to people experiencing addiction. Global literacy: subculture of addiction/recovery Communication with content development and delivery. 8. Discuss how you think the knowledge you found writing this paper about CIWA will help with the quality of nursing care and how you might use it in the future. QSEN competency of evidence-based practice and quality improvement. EPSLOs of critical thinking, safe care, communication with team, therapeutic communication with patient, using technology in planning and providing care, and professionalism

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