Question

Case #1 Alexis, a 17-year-old girl is brought to the pediatric clinic by her mother Mrs....

Case #1

Alexis, a 17-year-old girl is brought to the pediatric clinic by her mother Mrs. Austria, who has been a widow for many years. Judit weighs 55.89 kilo (123.25 pounds), stands 162.4 cm (65 in.), and is in the 50th percentile. Her BMI is 21.2, which is in the 52nd percentile. Her blood pressure is 111/66. Her tanner stage is: 4.

Alexis has a group of friends in school but recently had a breakup with a boyfriend and feels she will not meet another boy that she will like. Mrs. Austria is proud of her daughter’s ambitions but is concerned about how to help her be resilient and self-confident and deal with stress. Alexis is also worried about a recent outbreak of acne on his face. Alexis' best friend moved away recently and a new friend just got a tattoo and a piercing through her tongue. Mrs. Austria is concerned about the influence of peers on her daughter. Mrs. Austria is also concerned about whether Alexis is “binge” drinking with friends and smells cigarette smoke on her clothing. She says that Alexis seems sad at times and withdraws from family life and at other times lashes out in anger at her mother.

As days when by, Alexis is planning to be a part time sales lady for a local store. Alexis likes to be independent and wants this job to save up for college, thinking “What if I go to college? What if I don’t?” Alexis is concerned because she has no idea what she wants to study in college and she is worried about fitting into the social scene at college.

Question:
1. Write the nursing diagnosis for this case. (PES Statement) Problem-related to-evidenced by

Homework Answers

Answer #1

Ineffective individual coping

Nursing diagnosis

•           useless character coping

May be related to

•           personal weak spot

•           bad activity demonstrating; poor emotionally supportive networks

•           preceding ineffectual/poor adapting aptitudes to alternative of drug(s)

Possibly evidenced by

•           impaired versatile conduct and vital thinking talents

•           reduced potential to deal with strain of sickness/hospitalization

•           financial problems in confusion, enterpriseTroubles (e.g., losing time on employment/no longer keeping up stable process; helpless work exhibitions, palms on wounds)

•           verbalization of powerlessness to adapt/request help

Desired outcomes

•           identify inadequate adapting practices/effects, consisting of usage of materials as a strategy for adapting.

•           use compelling adapting competencies/essential wondering.

•           initiate crucial way of existence modifications.

Nursing interventions and reason

Arising subsequent are nursing intercessions for substanceMaltreatment with incapable person adapting nursing conclusion.

•           assessment program policies, principle desires.

•           determine comprehension of contemporary situation, beyond, and exceptional techniques for adapting to life's problems.

•           set restricts and face endeavors to get dad or mum to concede unusual advantages, rationalizing now not finishing on practices concurred on, and endeavoring to continue with drug use.

•           be mindful of personnel mentalities, emotions, and empowering practices.

•           inspireVerbalization of emotions, fears, and uneasiness.

•           based on standard clinic method, enterprise appropriate measures.

•           shape diversional action that identifies with recovery (social movement inside care organization), in which issues of being artificially loose are inspected.

•           assist patient to learn and energize usage of unwinding capabilities, guided symbolism, representations.

•           explore optionally available adapting approaches.

•           use peer backing to inspect methods of adapting toTranquilize hunger.

•           use peer backing to inspect methods of adapting to tranquilize gorges.

•           encourage contribution in remedial composition. have tolerant begin journaling or composing self-portrayal.

•           discuss affected person's preparations for residing without drugs

Nursing diagnosis: situational low shallowness

May be related to

•           social disgrace appended to substance misuse, choice that one controls behavior

•           poor excellent examples; misuse/brush aside, useless own family framework•          lifestyles decisions propagating sadness; situational emergency with lack of power over lifestyles activities

•           biochemical frame trade (e.g., withdrawal from liquor/unique medications)

Possibly evidenced by

•           self-refuting verbalization, articulations of shame/blame

•           evaluation of self as incapable to manipulate occasions, disarray about self, motive or route at some stage in regular lifestyles

•           rationalizing ad infinitum/brushing off tremendous enter about self

Wanted consequences

•           pick outEmotions and hidden factors for bad impact of self.

•           verbalize acknowledgment of self with no guarantees and an increased self-appreciation worth.

•           set targets and take an hobby in affordable making arrangements for manner of lifestyles adjustments vital to stay with out tablets.

Nursing interventions and reason

Arising next are nursing intercessions for substance misuse.

•           offer open door for and energize verbalization and communication of character condition.

•           verify mental popularity. notice presence of different intellectual troubles (double evaluation).

•           spend time with tolerant. communicate about affected person's conduct and usage of substance in a nonjudgmental manner.

•           provide fortification for superb sports and urge affected person to acknowledge this info.

•           take a look at own family communications for that reason elements and level of help.

•           inspire articulation of sensations of blame, disgrace, and outrage.

•           assist the affected person understand that substance use is the problem andThat issues may be managed with out the usage of medications. move up against the usage of safeguards (disavowal, projection, defense).

•           ask the patient to rundown and survey beyond achievements and effective happenings.

•           use techniques of job exercise.

•           contain chronic in gathering treatment

•           formulate plan to deal with other dysfunctional behavior issues.

•           administer antipsychotic tablets as vital.

Altered family system

Nursing diagnosis

•           altered circle of relativesProcesses/position performance

May be related to

•           abuse of substance(s); safety from remedy

•           circle of relatives records of substance misuse

•           addictive person

•           insufficient adapting capabilities, absence of important thinking aptitudes

Probably confirmed by way of

•           anxiety; outrage/stifled anger; disgrace and humiliation

•           emotional disengagement/dejection; weak spot; quelled emotions

•           disturbed relational intricacies; shut correspondence frameworks, insufficient spousalCorrespondence and conjugal issues

•           altered job work/disturbance of circle of relatives jobs

•           manipulation; reliance; reprimanding; protection/disavowal of issues

•           permitting to appearance after consuming (substance misuse); refusal to locate help/failure to renowned and get assist definitely

Wanted consequences

•           verbalize comprehension of factors of empowering practices.

•           participate in person circle of relatives applications.

•           identify incapable adapting practices and outcomes.

•           provoke and plan for essentialManner of life adjustments.

•           take hobby to trade foolish practices/regulate practices that upload to partner's/so's enslavement.

Nursing interventions and motive

Arising next are nursing intercessions for substance misuse.

•           review own family ancestry; look at parts of household, conditions consisting of drug use, characteristics, territories for improvement.

•           discover how the so has adapted to the affected person's propensity, (forswearing, constraint, protection, harmed, forlornness, projection).

•           decide comprehension of current situation and beyond techniques for adapting to existence's problems.

•           determine diploma of empowering practices being demonstrated by means of spouse and children; check out with everyone and affected person.

•           determine modern-day degree of circle of relatives operating

•           offer statistics about empowering conduct, addictive sickness attributes for each customer and nonuser.

•           pick out and communicate about harm practices of spouse and children.

•           encourage help in useful composing, for instance, journaling (tale),Guided or centered.

•           provide authentic data to affected person and family approximately the impacts of addictive practices at the own family and what's in keep after release.

•           inspire loved ones to recognize about their own sentiments, take a gander at the situation with viewpoint and objectivity. they are able to ask themselves: "am i being conned? am i wearing on of dread, shame, blame, or outrage? do i've a need to govern?"

•           offer uphold for empowering associate(s). support bunch work.

•           assist theAffected person's associate to become aware that affected person's forbearance and medicinal drug use are not the partner's responsibility.

•           assist the convalescing (preceding consumer) associate who is empowering to recognize negative components of conduct and actual thought to help the purchaser.

•           discover clashing sentiments the empowering partner may have about treatment such as the feelings like those of victimizer (mix of outrage, blame, dread, depletion, humiliation, dejection, doubt, sorrow, andConceivably assist).

•           have in mind of group of workers's empowering practices and sentiments about affected person and empowering accomplices.

•           encourage contribution with self development affiliations, alcoholics and narcotics nameless, al-anon, alateen, and expert family treatment.

•           involve family in launch reference plans.

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