THE PRIORITIZE HEALTH PROBLEM

The list of Health Condition or Problem according to priorities is presented.

Problems Risk For Injury Related to the Use of Alcohol and Illegal Chemical Substances Ineffective Individual Coping Related To the Stress of Adolescent Period Risk for Violence; Self directed Related to Symbols of Depression

Justification A serious health threat requiring immediate action as it is a contributing factor to the other aspects of the clients problems.

A health threat not requiring immediate action; feasible interventions and family resources are available to be utilized to help the client cope with the problem. A health threat needing immediate attention and management that would lead to potential intent on violence and may harm other family members.

NURSING PROBLEM

ANALYSIS

GOALS AND OBJECTIVES

NURSING INTERVENTI ONS Assess current level of functioning of the adolescent.

RATIONALE

EVALUATION

Subjective: May lagnat ako,masakit ang kasukasuhan ko. as verbalized by the patient. Objective: - Loss of control of drinking - Enabling to maintain drinking - Alcohol abuse - Inadequate understandin g or knowledge of alcoholism - Family special occasion are alcohol centered V/S BP: 130/80 mmHg Temp.: 365C PR: 96 BPM RR: 23 CPM

Pain and fever related to dengue

After 1 week the client will be able to minimize drinking beverage until he can fully quit drinking alcohol. y The client will understand the dynamic of codependen ce. The client will identify coping behaviors/co nsequences of choices/acti ons. The client will demonstrate /plan for necessary lifestyle changes. The client will take action to change selfdestructive behaviors/alt er behaviors that contribute to the clients

To provide information about the clients current health status. y To determine the familys understandin g of the extent of the problem.

After 1 week of nursing intervention, the client will be able to: The client will understand the dynamic of codependence The client will identify coping behaviors/conse quences of choices/actions. The client will demonstrate/pla n for necessary lifestyle changes. The client will take action to change selfdestructive behaviors/alter behaviors that contribute to the clients drinking/substan ce use.

Ascertain the familys current understandin g of the current situation; note results of previous involvement y in treatment. Discuss current/past methods of coping. y Provide support for decision to stop substance abuse. y

To identify methods that would be useful in the current situation. To enable the family to provide support for the client in their decision to stop substance abuse. To help the client understand how others are dealing with problems,

Promote family involvement

drinking/sub stance use.

in rehabilitation programs.

provides role models, and gives the client an opportunity to practice new healthy skills. y To help the client understand and cope with negative behaviors.

Counsel adolescent on the effects of alcohol and illegal substances. Explain to the client the negative effects of drinking and the diseases that may acquire Determine history of accident/viole nce behavior within the family and safety issues Encourage family to refocus celebration excluding alcohol use to reduce risk of relapse. Provide support for family members;

encourage participation in group work.