Hallucination |
Suicidal Ideation |
Anxiety |
Impaired memory |
Self-Care Deficit |
Nausea |
Low self esteem |
Risk for Situational Low Self-Esteem |
Agressive Behavior |
Risk for seizure |
Isolation behavior (or withdrawal, introversion) |
Impaired sleep |
Confusion |
Suicide attempt |
Seizure |
Tremor |
Delirium |
Sadness |
Disorientation |
Vomiting |
Peripheral edema |
|
Depressed humor |
|
Nursing Interventions
|
Counselling about Fears |
Obtaining Data on Self-Esteem |
Administering Medication |
Obtaining Data on Ability to Perform Care |
Supporting Caregiver |
Obtaining Data on Aggressive Behavior |
Assessing Adherence to Therapeutic Regime |
Obtaining Data on Edema |
Assessing Edema |
Obtaining Data on fatigue |
Assessing Therapeutic Regime |
Obtaining Data on Depressed Mood |
Evaluating Response to Medication |
Obtaining Memory Data |
Assessing Ability to Communicate Feelings |
Obtaining Data on Nausea |
Demonstrating Relaxation Technique |
Obtaining Data on Health and Social Care Needs |
Referring to Emergency Service |
Obtaining Data on Guidance |
Referring to Psychology Service |
Obtaining Data on Hygiene standard |
Referring to Support Group Therapy |
Obtaining Data on Sleep |
Encouraging Positive Affirmations |
Obtaining Data on Sadness |
Establishing Trust |
Guiding Caregivers about Alcohol Withdrawal Symptoms |
Facilitating Access to Treatment |
Guiding Family on Delirium |
Facilitating Family Ability to Participate in the Care Plan |
Guiding Family on Hygiene Standard |
Facilitating Ability to Communicate Feelings |
Guiding Family on Fluid Therapy (or Hydration) |
Facilitating Ability to Communicate Needs |
Counselling Patient |
Facilitating Alcohol Abuse Recovery |
Counseling About Drug Abuse |
Screening for Alcohol Abuse |
Guiding on Symptom Control |
Ensuring Continuity of Care |
Guiding on Diet |
Managing Anxiety |
Guiding on Edema |
Managing Aggressive Behavior |
Guiding on Hygiene |
Managing Negative Behavior |
Guiding on Nausea Management (Control) |
Managing Delirium |
Guiding on the management (control) of withdrawal symptoms (withdrawal or withdrawal of something) |
Managing Impaired Coping Process |
Guiding on Home Security |
Managing Withdrawal Symptom (Withdrawal or Withdrawal of Something) |
Guiding on Sleep |
Managing Vomiting |
Guiding on Reality Orientation Therapy |
Identifying Psychosocial Status |
Prioritizing Treatment Regime |
Identifying Altered Perceptions |
Promoting Medication Adherence |
Implementing Suicide Precautions |
Promoting Family Support |
Implement seizure management regime |
Promoting Social Support |
Implement Safety Regime |
Promoting Self-Esteem |
Managing Delirium |
Promoting Health Seeking Behavior |
Managing Crisis |
Promoting Self Management of Symptom |
Managing Withdrawal Symptom |
Promoting Effective Family Process |
Monitoring Medication Adherence |
Promoting Positive Relationships |
Monitor Neurological Status |
Promoting Use of Memory Technique |
Monitoring Confusion |
Providing Emotional Support |
Obtaining Data on Abstinence (Withdrawal or Withdrawal of Something) |
Providing Safety Devices |
Obtaining Data on Alcohol Abuse |
Providing Bedtime Routine |
Obtain Data on Drug Abuse |
Reinforcing Impulse Control |
Obtaining Data on Acceptance of Health Condition |
Reinforcing Constructive Decisions on Health Needs |
Obtaining Data on Adherence to Safety Regime |
Reporting Status to Family Member |
Nursing Interventions
|
Obtaining Data on Adherence to Medication Regime |
Assessing the Characteristics of Vomiting |
Obtaining Data on Adherence to Therapeutic Regime |
Assessing Possible Causes of Edema |
Obtaining Data on Emotional Support |
|
Continuous Surveillance |
|
Interpersonal Stressors
|
Nursing Diagnoses/Outcomes
|
Drug Abuse |
Drug Dependence (smoking) |
Alcohol Abuse |
Low Knowledge of Alcohol Abuse |
Nursing Interventions
|
Counselling Patient |
Identifying the Family and Social Support Network |
Counselling About Alcohol Use |
Identifying Psychosocial Status |
Helping to identify situations related to the desire to drink |
Identifying Altered Perceptions |
Supporting Family |
Monitoring Withdrawal (Withdrawal or Withdrawal of Something) |
Evaluating Psychosocial Response to Plan of Care |
Obtaining Data on Abstinence (Withdrawal or Withdrawal of Something) |
Referring to Support Group Therapy |
Obtaining Data on Alcohol Abuse |
Facilitating Access to Treatment |
Obtaining Data on Drug Abuse |
Facilitating Family Ability to Participate in the Care Plan |
Obtaining Data on Adherence to Medication Regime |
Facilitating Ability to Communicate Needs |
Obtaining Data on Adherence to Treatment Regime |
Facilitating Ability to Communicate Feelings |
Providing Guidance on the Development of a Goal Plan to Reduce and stop Alcohol Abuse |
Facilitating Ability to Participate in Care Planning |
Counselling About Alcohol Use |
Facilitating Alcohol Abuse Recovery |
Counselling About Drug Abuse |
Screening for Alcohol Abuse |
Guiding on Secondary Smoking Exposure (Passive) |
Screening Substance Abuse |
Guiding on Management (control) of Withdrawal Symptoms (withdrawal or withdrawal of something) |
Screening for Depressed Mood |
Reporting Status to Family Member |
Managing Anxiety |
|
Extra-personal Stressors
|
Nursing Diagnoses/Outcomes
|
Lack of Social Support |
Lack of Family Support |
Nursing Interventions
|
Referring to Family Therapy |
Obtaining Data on Health and Social Care Needs |
Facilitating Family Ability to Participate in the Care Plan |
Obtaining Family Process Data |
Facilitating Ability to Communicate Needs |
Guiding on Family Process |
Monitoring for Impaired Family Coping |
Promoting Family Support |
Obtaining Data on Social Support |
Promoting Social Support |
Obtaining Data on Family Knowledge in Relation to the Disease |
Promoting Effective Family Communication |