ipl-logo

Alcoholic Cardiomyopathy Case Study

1462 Words6 Pages

A Registered Nurse III with the Cardiovascular Progressive Care Unit completed a detailed interview based on her 10 years of experience of treatment of patients diagnosed with Alcoholic Cardiomyopathy. In this interview she discusses the patient’s treatment from the intake process, to the patient’s release from the hospital, and the challenges that arise during this treatment including the management of the patient’s withdrawal symptoms.
I began the interview with Kristen R.N. by asking her to discuss the typical intake process of an individual with Alcoholic Cardiomyopathy into the CVPCU. Kristen R.N. explained, the patient seeks medical treatment after experiencing signs and symptoms of heart failure through an emergency room visit. …show more content…

The patient is continuously monitored, with the management of the cardiac and respiratory symptoms. As the progression managing heart failure with oxygen and medication to manage their heart rate and blood pressure and if they have an accumulation of fluids administer diuretics if administer u must evaluate intake and outputs of fluids. Monitoring Serial lab work including electrolytes kidney function liver funk cardiac markers BNP (look up something peptide) which is an indicator of heart …show more content…

She explained, “that the severity of the patient’s symptoms is measured subjectively on The Clinical Institute Withdrawal Assessment for Alcohol.” The CIWA includes nausea and vomiting, tremors, paroxysmal sweats, anxiety, tactile disturbances, auditory disturbances, visual disturbances, headaches, agitation, and orientation. Medical staff rates the patient subjectively on the CIWA scale from 0-7 with a maximum score of 67. An example of a CIWA is shown in Figure 1 from the book CURRENT Medical Diagnosis &

Show More
Related
65 Words | 1 Pages

PO started Intensive Outpatient Treatment on 05-24-2016. PO attended all scheduled groups and actively participated in the group activity. The individual treatment goal is to maintain abstinence. PO response to treatment overall is positive and is making progress towards to his treatment goal, as evidenced by attending sober support group regularly, and used learning skills to manage urges and cravings. No positive UA was reported.

Read More
1036 Words | 5 Pages

He also seemed confident and showed an understanding of the seriousness of his medical problem. While the social worker can empathize with the client and has noticed some similarities in their backgrounds and life experiences, the client showed poor judgment in drinking and using alcohol to lower his stress. The counselor does not believe that counter-transference issues developed during the assessment. Patrick is a sixty-eight-year-old single, male.

Read More
429 Words | 2 Pages

The efficacy of appropriate treatment for addiction disorder and substance abuse may be determine by drug and alcohol counselors, primary healthcare providers, social workers, and others. Therefore, it is necessary for competent and those properly trained to utilize the necessary tools needed for proper assessments, diagnosis, treatment planning and future referrals. Careful selection on these instruments may be influenced by cultural, race, and gender (Van Wormer & Davis, 2018). Furthermore, counselors or other clinicians would also need to consider the reliability and validity these instruments prior to selection.

Read More
156 Words | 1 Pages

Chemical Dependence Program - Everett Branch Group Name: Phase I - IOP GroupTopic: Problem Solving D: Group topic was focused on Dim 4 and Dim6. Group members learned the 6 step method of problem solving and how it can be applied to different problems in recovery or life. Group members were then to identify a current problem or concern in their life, and share how to prioritize, address, or solve the problem by using the 6 step method. Client was present with a normal mood, and actively participated in the group discussion.

Read More
494 Words | 2 Pages

Alcoholics Anonymous was founded in 1935 by Bill Wilson and Dr. Bob Smith in Akron, Ohio. The first chapter of The Big Book tells how Bill Wilson was introduced to the concept of using a faith based, group support program to provide the mental and emotional support needed to manage Alcohol Addiction. The main purpose is to stay sober and help other alcoholics achieve sobriety. The program is unique in that each chapter is self funded, develops their own meeting format. I attended an Alcoholics Anonymous meeting on Thursday, October 6th at 8 p.m.

Read More
351 Words | 2 Pages

The applicant reports that methadone works well for him. Addressing the drug history- The applicant had his first alcohol at the age of 16 and his last use was 3-11 months ago. According to the applicant, he only drinks occasional during celebration of an event. The applicant is willing to discontinue drinking alcohol occasionally as it will interfere with his methadone treatment once if he was to be admitted.

Read More
378 Words | 2 Pages

All the signs of an alcoholic is a cause by depending on alcohol. Health issues can present with a long term of alcohol abuse, liver disease, cardiovascular, pancreatitis, cancer, etc. Families and friends are affected as well, and advice is not considered or taken when in denial. Facing sobriety is not easy for most people to handle and I feel help is needed, and finding the proper treatment can be challenging for an alcoholic. Mrs. C. Torres lived a rough life and her addiction started at the age of 9 when her grandmother sends her to store to buy cigarettes and her daily drink, that was when she decided to have her first taste of alcohol.

Read More
1334 Words | 6 Pages

Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).

Read More
967 Words | 4 Pages

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.

Read More
2282 Words | 10 Pages

Some commonly professed motives are lower levels of psychological distress, family and social problems, and prior successful treatment experience (Anglin, Hser, Maglione, & Polinsky, 1998). Some come into an Emergency Department with serious acute conditions resulting from their substance use. In cases where the patient is incapacitated, implied consent is applied and lifesaving treatment begins immediately to alleviate the effects of the drugs. The practitioner and patient discuss continued care and substance abuse treatment when the patient recovers from immediate danger. Some patients report with less threatening illnesses in a more conscious state of mind.

Read More
708 Words | 3 Pages

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.

Read More
466 Words | 2 Pages

Customers want to accumulate cash by buying inexpensive leisure at the store like liquor and electronics. Customers are also trying to put aside money by not leaving and racking up big expenses at a bistro and as an alternative just going to the store. Alcohol is surviving the trade and industry delay well, matched up to to other classes that may be well thought-out, non-judgmental or not needed to a lot of patrons, intoxicating drinks are a reasonably priced treat. Investigators established that individuals with a form of an inheritable factor interrelated to lesser stages of drinking had better hearts. That advises that decreased alcohol consumption, even for dainty or adequate drinkers, help the heart.

Read More
1450 Words | 6 Pages

1.Title: Living with an Alcoholic: The Impact on Individuals and Families Introduction: Living with an alcoholic is a challenging and often tumultuous experience that profoundly affects the lives of family members and loved ones. This term describes the situation in which individuals must navigate the complexities and consequences of having an alcoholic in their household or close relationship. This essay aims to delve into the emotional, psychological, and social impact of living with an alcoholic, highlighting the challenges faced by family members and offering examples to illustrate these effects. References to research and expert opinions will support the discussion. 2 / 2 Living with an alcoholic refers to the experience of residing

Read More
1322 Words | 6 Pages

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.

Read More
1037 Words | 5 Pages

This is also related to homeostasis, as the alcohol has become a natural part of the balance of chemicals in the body. Enablers, or people who make excuses for alcoholics, are also at risk of depression. AA (Alcoholics Anonymous) is a support group to help people quit alcohol, and Al-Anon and Alateen are support groups for people affected by alcoholics or problem drinkers. Problem drinkers need to be careful, though, because withdrawal is dangerous. Alcohol withdrawal syndrome is what happens when the body reacts to the loss of alcohol consumption, and its symptoms include feeling nauseous, anxious, and agitated, as well as vomiting, tremors, and troubles sleeping.

Read More

More about Alcoholic Cardiomyopathy Case Study

Related Topics

Open Document