[Solved]: Jorge, a 45-year-old car technician, is admitted to…

Jorge, a 45-year-old car technician, is admitted to the detox and addictioncentre in a regional psychiatric mental health facility because of his decliningphysical health. For the past 2 days, he has been confused and unable totake care of himself. His sister, who accompanied him to the hospital, statesthat he had a stable life until 5 years ago, when his wife left. After that, hebegan to drink increasingly larger amounts of alcohol; currently, he drinks acase of beer a day, as well as any other liquor he can get his hands on (oftenmore than a 26 oz bottle of vodka daily). He often misses work, hasblackouts, and goes on drinking binges; consequently, he has been firedfrom many jobs. Jorge’s sister lets him stay with her occasionally, but shelimits his visits because she feels he is a bad role model for her children.Jorge is alternately confused and lucid when he speaks to the nurse,Marie. His hands are tremulous, and his forehead is sweaty. His vitals are: BP150/100, pulse 120, respirations 16, and temperature 37.9deg C. While talkingwith Marie, he picks at bugs that he says are on the sheets of his hospitalbed. He states that he hasn’t slept for 2 days and is craving a drink. At first,he recognizes Marie as his nurse, but then he thinks she is his sister.AssessmentObjective Data Vitals: BP 150/100, P 120, respirations 16, temperature 37.9deg C Picks at bugs he says are on the sheets. He hasn’t slept for 2 days He drinks a case of beer a day and any liquor he can get (often more thana bottle of vodka daily) Drinking increasingly larger amounts of liquor times 5 years Misses work, has blackouts, goes on drinking binges Alternatively, confused and lucid Hands are tremulous. Confused and deliriousSubjective Data Craving a beer He recognizes the nurse at first, then thinks she is his sisterNurse’s Personal PerspectiveMarie is concerned about this patient’s health and is dismayed that heturned to drink after his wife left. She realizes that this is a very judgementalstatement and that everyone has unique perceptions of events and a uniquecoping style. Marie recognizes that she needs to bracket her judgmentalattitudes in order to care for Jorge appropriately. Marie hopes that Jorgerecovers from alcohol withdrawal without complication and enters rehabilitation. She feels optimistic about the possibility of this happening,because her brother had a similar history and has been in remission fromalcohol dependence for 12 years.Nursing DiagnosisRisk for injury related to decreased cognitive, physical, andoccupational functioning Elevated vitals Confusion Signs of alcohol withdrawal: perspiration, tremulousness, elevated vitals Loss of jobIneffective health maintenance related to increased symptoms ofalcohol withdrawal Picking at bugs on the bed Speaking lucidly and confusedly Confusion Illusions Ineffective copingOutcomes IdentificationMarie’s goal is to ensure Jorge’s physiological safety, so that he will remaininjury free during detoxification and will participate in rehabilitation afterdischarge.PlanningMarie plans to assess Jorge’s withdrawal progress and to provideinterventions, includinganxiolytic medications to ensure his safe withdrawal from alcohol. After this,she plans to address his rehabilitation from alcoholism.TEST #2:Using the above information – either fill in the care plan below including 2short-term goals, 2 interventions for each with rationale and evaluation foreach short-term goalORWrite 1 paragraph for each short-term goal: Each paragraph will describe anappropriate short-term goal with 2 appropriate interventions with rationaleand evaluation criteria for both goals.Implementation Care PlanShort-TermGoalsIntervention Rationale Evaluation1. 1. 1. 1.2. 2. Short-TermGoalsIntervention Rationale Evaluation2. 1. 1.