| Hallucination |
Suicidal Ideation |
| Anxiety |
Impaired memory |
| Self-Care Deficit |
Nausea |
| Low self esteem |
Risk for Situational Low Self-Esteem |
| Agressive Behavior |
Risk for seizure |
| Isolation behavior (or withdrawal, introversion) |
Impaired sleep |
| Confusion |
Suicide attempt |
| Seizure |
Tremor |
| Delirium |
Sadness |
| Disorientation |
Vomiting |
| Peripheral edema |
|
| Depressed humor |
|
|
Nursing Interventions
|
| Counselling about Fears |
Obtaining Data on Self-Esteem |
| Administering Medication |
Obtaining Data on Ability to Perform Care |
| Supporting Caregiver |
Obtaining Data on Aggressive Behavior |
| Assessing Adherence to Therapeutic Regime |
Obtaining Data on Edema |
| Assessing Edema |
Obtaining Data on fatigue |
| Assessing Therapeutic Regime |
Obtaining Data on Depressed Mood |
| Evaluating Response to Medication |
Obtaining Memory Data |
| Assessing Ability to Communicate Feelings |
Obtaining Data on Nausea |
| Demonstrating Relaxation Technique |
Obtaining Data on Health and Social Care Needs |
| Referring to Emergency Service |
Obtaining Data on Guidance |
| Referring to Psychology Service |
Obtaining Data on Hygiene standard |
| Referring to Support Group Therapy |
Obtaining Data on Sleep |
| Encouraging Positive Affirmations |
Obtaining Data on Sadness |
| Establishing Trust |
Guiding Caregivers about Alcohol Withdrawal Symptoms |
| Facilitating Access to Treatment |
Guiding Family on Delirium |
| Facilitating Family Ability to Participate in the Care Plan |
Guiding Family on Hygiene Standard |
| Facilitating Ability to Communicate Feelings |
Guiding Family on Fluid Therapy (or Hydration) |
| Facilitating Ability to Communicate Needs |
Counselling Patient |
| Facilitating Alcohol Abuse Recovery |
Counseling About Drug Abuse |
| Screening for Alcohol Abuse |
Guiding on Symptom Control |
| Ensuring Continuity of Care |
Guiding on Diet |
| Managing Anxiety |
Guiding on Edema |
| Managing Aggressive Behavior |
Guiding on Hygiene |
| Managing Negative Behavior |
Guiding on Nausea Management (Control) |
| Managing Delirium |
Guiding on the management (control) of withdrawal symptoms (withdrawal or withdrawal of something) |
| Managing Impaired Coping Process |
Guiding on Home Security |
| Managing Withdrawal Symptom (Withdrawal or Withdrawal of Something) |
Guiding on Sleep |
| Managing Vomiting |
Guiding on Reality Orientation Therapy |
| Identifying Psychosocial Status |
Prioritizing Treatment Regime |
| Identifying Altered Perceptions |
Promoting Medication Adherence |
| Implementing Suicide Precautions |
Promoting Family Support |
| Implement seizure management regime |
Promoting Social Support |
| Implement Safety Regime |
Promoting Self-Esteem |
| Managing Delirium |
Promoting Health Seeking Behavior |
| Managing Crisis |
Promoting Self Management of Symptom |
| Managing Withdrawal Symptom |
Promoting Effective Family Process |
| Monitoring Medication Adherence |
Promoting Positive Relationships |
| Monitor Neurological Status |
Promoting Use of Memory Technique |
| Monitoring Confusion |
Providing Emotional Support |
| Obtaining Data on Abstinence (Withdrawal or Withdrawal of Something) |
Providing Safety Devices |
| Obtaining Data on Alcohol Abuse |
Providing Bedtime Routine |
| Obtain Data on Drug Abuse |
Reinforcing Impulse Control |
| Obtaining Data on Acceptance of Health Condition |
Reinforcing Constructive Decisions on Health Needs |
| Obtaining Data on Adherence to Safety Regime |
Reporting Status to Family Member |
|
Nursing Interventions
|
| Obtaining Data on Adherence to Medication Regime |
Assessing the Characteristics of Vomiting |
| Obtaining Data on Adherence to Therapeutic Regime |
Assessing Possible Causes of Edema |
| Obtaining Data on Emotional Support |
|
| Continuous Surveillance |
|
|
Interpersonal Stressors
|
|
Nursing Diagnoses/Outcomes
|
| Drug Abuse |
Drug Dependence (smoking) |
| Alcohol Abuse |
Low Knowledge of Alcohol Abuse |
|
Nursing Interventions
|
| Counselling Patient |
Identifying the Family and Social Support Network |
| Counselling About Alcohol Use |
Identifying Psychosocial Status |
| Helping to identify situations related to the desire to drink |
Identifying Altered Perceptions |
| Supporting Family |
Monitoring Withdrawal (Withdrawal or Withdrawal of Something) |
| Evaluating Psychosocial Response to Plan of Care |
Obtaining Data on Abstinence (Withdrawal or Withdrawal of Something) |
| Referring to Support Group Therapy |
Obtaining Data on Alcohol Abuse |
| Facilitating Access to Treatment |
Obtaining Data on Drug Abuse |
| Facilitating Family Ability to Participate in the Care Plan |
Obtaining Data on Adherence to Medication Regime |
| Facilitating Ability to Communicate Needs |
Obtaining Data on Adherence to Treatment Regime |
| Facilitating Ability to Communicate Feelings |
Providing Guidance on the Development of a Goal Plan to Reduce and stop Alcohol Abuse |
| Facilitating Ability to Participate in Care Planning |
Counselling About Alcohol Use |
| Facilitating Alcohol Abuse Recovery |
Counselling About Drug Abuse |
| Screening for Alcohol Abuse |
Guiding on Secondary Smoking Exposure (Passive) |
| Screening Substance Abuse |
Guiding on Management (control) of Withdrawal Symptoms (withdrawal or withdrawal of something) |
| Screening for Depressed Mood |
Reporting Status to Family Member |
| Managing Anxiety |
|
|
Extra-personal Stressors
|
|
Nursing Diagnoses/Outcomes
|
| Lack of Social Support |
Lack of Family Support |
|
Nursing Interventions
|
| Referring to Family Therapy |
Obtaining Data on Health and Social Care Needs |
| Facilitating Family Ability to Participate in the Care Plan |
Obtaining Family Process Data |
| Facilitating Ability to Communicate Needs |
Guiding on Family Process |
| Monitoring for Impaired Family Coping |
Promoting Family Support |
| Obtaining Data on Social Support |
Promoting Social Support |
| Obtaining Data on Family Knowledge in Relation to the Disease |
Promoting Effective Family Communication |
