DISCUSSION Documentation Categories The number and type of categories needed to code the narrative phrases in this study had some similarities and differences with those identified in a previous examination 8 of narrative text in a structured information system. Porcella examined narrative notes entered by nurses into an otherwise structured documentation system across 34 inpatient nursing units.
Engage in therapeutic program. Verbalize acceptance of responsibility for own behavior. Nursing Interventions Ascertain by what name patient would like to be addressed. Shows courtesy and respect, giving patient a sense of orientation and control.
Convey attitude of acceptance, separating individual from unacceptable behavior.
Promotes feelings of dignity and self-worth. Ascertain reason for beginning abstinenceinvolvement in therapy. Denial is one of the strongest and most resistant symptoms of substance abuse.
Review definition of drug dependence and categories of symptoms patterns of use, impairment caused by use, tolerance to substance.
This information helps patient make decisions regarding acceptance of problem and treatment choices. Answer questions honestly and provide factual information. Keep your word when agreements are made. Creates trust, which is the basis of the therapeutic relationship.
Provide information about addictive use versus experimental, occasional use; biochemical or genetic disorder theory genetic predisposition; use activated by environment; compulsive desire. Progression of use continuum is from experimental or recreational to addictive use. Comprehending this process is important in combating denial.
Discuss current life situation and impact of substance use. First step in decreasing use of denial is for patient to see the relationship between substance use and personal problems.
Confront and examine denial and rationalization in peer group. Use confrontation with caring. Because denial is the major defense mechanism in addictive disease, confrontation by peers can help the patient accept the reality of adverse consequences of behaviors and that drug use is a major problem.
Caring attitude preserves self-concept and helps decrease defensive response. Provide information regarding effects of addiction on mood and personality.
Individuals often mistake effects of addiction and use this to justify or excuse drug use. Be alert to changes in behavior, restlessness, increased tension. Confrontation can lead to increased agitation, which may compromise safety of patient and staff. Provide positive feedback for expressing awareness of denial in self and others.
Necessary to enhance self-esteem and to reinforce insight into behavior. Maintain firm expectation that patient attend recovery support and therapy groups regularly. Attendance is related to admitting need for help, to working with denial, and for maintenance of a long-term drug-free existence. Assist patient to learn own responsibility for recovering.
Denial can be replaced with positive action when patient accepts the reality of own responsibility. Encourage family members to seek help whether or not the abuser seeks it. To assist the patient deal appropriately with the situation.
Back See Also You may also like the following posts and care plans:The narrative was acquired as part of a routine nursing evaluation and helped to illuminate nursing care issues through the eyes of the patient.
Previous article in issue Next article in issuekaja-net.com Charting Forms: Includes - Basic demographic data (age, religion, etc), Primary medical diagnosis, medical and surgical history, nursing care plan, nursing orders, scheduled tests and procedures, emergency code status, allergies, safety precautions, kaja-net.com://kaja-net.com Narrative Nursing Note Template – If you’re making a narrative nursing note that indicates the conditions and progress toward care plan goals for every patient, then this template is what you need.
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