Thursday, October 1, 2009

CASE STUDY: SUBSTANCE ABUSE

FOR NCM 104 STUDENTS (NPA, NPK,NPC) AND BATCH 5a (Code 0012, 0013,00014):

Questions:


1. Identify the substance used by the client in the scenario 2pts.
2. Identify the manifestations of the client. (at least 3) 3 pts.
3. Categorized whether it is intoxication, withdrawal or overdose. 2pts.
4. Make appropriate medical and nursing actions applicable for the client. (at least 3) 3 pts.
5. TOTAL NUMBER OF POINTS: 10 points per case.

Case Number 1:

A 70 year old patient is suffering from prostate cancer with painful bone metastases. One of the client's problem is that he has built tolerance over pain medications and his family members were afraid that he has become addicted so they decided to reduce the dosage of the medication without consulting a physician. They would cut the medication in halves. After sometime, they realize that their father was no longer responsive. He began having shortness of breath, respiration began to slow below normal so as low as 9 cpm. He was rushed to the hospital and was given appropriate care.

Case Number 2:

Client W.B. a 48 year old client was not productive as he was in the past. In the past 6 months, he began to take in some substance to be more effective in his work. He lost one part time job that he has because he could not meet deadlines. He is always nauseated, vomits everywhere after taking in the substance and would experience clouding of the mind especially when he had more than enough of the substance. He became demanding and domineering, wanting to have the substance early in the morning and each and everyday. He would fight with his wife over his substance abuse. Eventually, his wife decided to divorce him. He was worst than ever and continuously took the substance over and over again.

-end of case analysis-

2 comments:

abigail said...

Can I also join and answer the post? This is interesting. Hope to have more of this.

Tuesday, RN said...

The blog is open for comments and answers. Thank you for your interest :)