Nursing Student Reflection

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D-This writer met with the patient as she was placed on HOLD. The patient apologized for meeting with this writer late due to a bit of a traffic. The patient began to get emotional during the session while discussing her commitment to her recovery process and how much of a change of not using has impacted her life. The patient says, " Charlene, girl,....When I stopped using, It had open my eyes. My children are doing great and my husband are getting along great. My husband is so proud of me, Charlene. I did a lot of fucked up shit in my relationship and this man, stood by my side through it all. I am so grateful. I always love coming here, especially talking you, girlfriend." There was joy and laughter during the counseling session. This writer provided support and motivation to the patient recovery process. Furthermore, the patient stated that she hasn't been using since last UDS result and ensure that her next UDS result for the month of May would be negative. The patient is also aware during the discussion of the risk of not producing a negative and being consistent with it. This writer discussed about treatment violation Step 1 next month, not to deter the patient, but more so of a wake up call if a negative is not produced. This writer also discussed options about seeking higher level of care such as an IOP, at which the patient decline the suggestion because she prefer attending group's at this …show more content…

I've been on the same dose for awhile and with the increase it would help." The patient reports experiencing some sweating, but not as bad as it was before and some cramps. This writer discussed alternatives to see whether or not an increase is needed; however, the patient was adamant about the increase and will explore the alternatives if she continues to have some withdrawals. This writer completed the dose change request with the patient

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