He is admitted for a 23 hour stay. He works full-time as an expeditor for a medium sized contracting firm but has frequent absences, is not always available by telephone and calls in sick f

Scenario
Location: Medical-Surgical Unit
History: This patient is a 54 year old male who has been admitted to the Medical-Surgical unit at 2200 for an episode of acute gastritis. He is admitted for a 23 hour stay. He works full-time as an expeditor for a medium sized contracting firm but has frequent absences, is not always available by telephone and calls in sick frequently on Monday mornings. He also has two DUIs. He has a past history of recreational drug use and a recent history of consuming ? liter of vodka daily. He has three adult children. His wife left him five years ago related to his drinking. He has been drinking since age 18 and smokes two packs of cigarettes per day for the past 37 years. He has a history of Chronic Obstructive Pulmonary Disease, hypertension, peripheral vascular disease, vitamin deficiencies, recurrent gastritis and four episodes of pancreatitis. Last year, he had a seizure related to an independent attempt to stop drinking. With pressure from his recent girlfriend and one of his children, he reluctantly admitted himself to a rehab facility three months ago. He has not made any follow up visits with the addictionologist or outpatient therapist. He has not made any commitments to regular attendance in the local recovery support group.
Initial Healthcare Provider’s Orders:
9% NS at 75ml/hr, with a 22 gauge or larger angiocath
Intake and Output every shift
Lisinopril 20mg i po daily each AM
NPO after midnight
VS every shift
Activity as tolerated
Labwork: Lipase, BMP, LFTs, CBC
EGD in AM, add on to early schedule
The paper is to focus on the scenario and answer these questions:
5. Describe the diagnostic criteria for alcohol withdrawal assessment.
Interpretation of lab values
Assessments
Interventions and evaluation
Initiates therapeutic communication techniques related to patient’s behavioural status (Application).
Collaborates with other healthcare professionals to implement plan of care and necessary modifications (Application).
6. Describe community resources available for patients in recovery.
Identifies future teaching needs for patient and significant other (Cognitive).