During my time in the ward, I recently had a patient with alcohol dependency in my care. My patient, Mr Grey was a 51 year old male patient who was admitted with a fractured neck of femur and consistent hypertension. Mr Grey required a vast amount of medical treatment for his injuries. As well as Mr Grey’s physiological problems he also had poor mental health problems such as depression and anxiety. We later discovered my patient had some social issues and that he was homeless. There were often some cases where my patient became very agitated and was verbally aggressive. Mr Grey also refused to have any treatment and began to refuse to have his observations done regularly which became a huge concern for the team and I as we previously knew …show more content…
The Person-centred theory takes an approach which looks at personality and human relationships. Rodgers believed that those who are psychologically healthy are said to have ‘positive self-concept’ which is made up of three different parts: self-image, self-esteem and ideal self. Self-image is the way the individual sees them self for example how they see their own personal qualities or how they see their body image. Self-esteem is how the individuals feels for example do they feel they are valued by their family, friends or society. Lastly our ideal self is the way the individual would like to be for example healthier, more confident etc. Rodgers believed that by using the ‘core conditions’ the helper, in this case me, would be able to help the individual as much as possible I must show unconditional positive regard, congruence and empathy. To promote unconditional positive regard I must help the individual accept themselves by treating him fairly, using polite and encouraging language despite his aggression towards our staff and not expecting too much from him in regards to his health improvements. To show congruence to the patient I was open, honest and sincere with him to allow him to gain my trust to allow him to open up freely in hope that he would feel more comfortable around me. I also encouraged the patient to become more confident in himself and help him to want to get better and create a better ideal self. To do this I gave him some motivation to get up in the morning and get washed and changed to help him feel fresher and in regards to his homelessness I tried my best to ensure we were doing all we can to get him in contact with the correct sources to change his living situations. By using the person-centred approach and the core conditions I could see a large improvement in the therapeutic relationship between me and Mr Grey as he was
I am a busy primary care physician, and several months ago had a challenging patient struggling with alcohol addiction and abuse. Such addictions manifested in the repeated use of the emergency room and hospital. I struggled with coordinating his care across primary care, addiction behavior health, emergency room and hospital services, and as such referred him to the Health Home team.
The client of focus is a twenty-seven year old, African American male who suffers from severe alcoholism. In order to protect the confidentiality of my client he will be referred to as Johnathan throughout this paper. Johnathan has a daughter that is 5 years of age who also suffers from the consequences of her father’s actions. Before interviewing I explained to Johnathan that anything he shared with me would be completely confidential, and that he could stop at any time during the interview if he felt uncomfortable. I also explained to him that the purpose of my paper was to simply assess his real life situation based on multiple theories in social work. To begin the interview off I went on to seek the root of Johnathan’s drinking problem. Johnathan shared with me that he doesn’t really know why he started drinking but, he knows why he continues to drink. He then expressed to me that he feels as if the ones he considers closest to him, including friends, and family judge him based on his lifestyle. He feels that he cannot make anyone proud, including his daughter.
He has had two previous marriages, and both have ended in divorce, because his partners have cheated on him. He has a son with his first wife who he does not speak too, because of his drinking. He says that he was only 15 when he became a father, they married a few years after their son was born. He states that him drinking was often a topic of argument in both his marriages. Mr. Aleman reports that he’s been having problems at home because his cousin doesn’t like him drinking. Also, because his family believes that he is putting others in danger by drinking and driving. He has also called of work about 10 times in the last 3 months because he has been drinking. He says he has also lost a lot weight and he believes it is probably because of his diabetes, but also reports choosing to buy alcohol instead of food when he doesn’t have enough money for both. He is concerned because his drinking has affected a lot of areas in his life like his relationships, his job, and his
Most people think of alcoholics of being part of the homeless population or of lower class. I learned that anyone can be an alcoholic, even nurses and doctors. In an Ohio survey regarding addiction as a disease, the results of the survey found that statewide 59% think that an alcohol or drug addiction is a disease and 43% believe that alcoholism or addiction is a weakness (Ohio Survey, 2010, p. 7-8). However, these two believed facts are wrong; Alcoholism is a disease and not a weakness. I think by understanding this and that alcoholism is a disease that is not easily controllable, I am accepting to those struggling with alcoholism and inspired by those that choose a life of sobriety. Those suffering from alcoholism and are able to overcome the cravings and disease are some of the strongest people I know. Attending this meeting has been a life-changing experience that has impacted my personally and my future practice as a nurse. I hope to be a nurse that is more accepting, open-minded, and judgment-free to everyone, despite my morals, beliefs, and societal
No matter where care is being provided the nurses foremost concern should be the patient. Work with patients should be holistic in nature such all aspects of their person are provided appropriate care (e.g. nursing, counseling and spiritual). The problem excessive alcohol use in an older, chronically ailing population results in a situation where nurses must continue to learn about and apply best practices, to strive for better outcomes with these patients and, if truly passionate/ learned enough about this topic assist them outside the hospital as
Person centred care can be defined as “providing care that is responsive to individual personal preferences, needs and values and assuring that patient values guide all clinical decisions.” (Nes, 2013¹) Other definitions suggest that in order to achieve person centred care, healthcare practitioners must place themselves in the patient’s shoes to enable them to be compassionate and respectful towards the patient’s needs
Robert was encouraged to to seek counseling by his fiance, and willingly scheduled and attended his first appointment on April 18, 2011. Robert is unaware he that exhibits symptoms of Alcohol Dependence, with Physiological Dependance, minimizing the severity of his alcohol use. This diagnosis is based on the apparent increasing tolerance withdrawal symptoms, continued and increased use of alcohol despite the damage to social relationships and work performance. Also, he has used more alcohol to alleviate withdrawal symptoms. He has a history of alcohol use, resulting in missing work and even an arrest. He minimizes his alcohol use and makes excuses for the frequency and amount consumed. He does not show any concern for the effects the alcohol is having on relationships and at work.
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
As illustrated the model of drug abuse and the theories behind addiction are varied. There is no concrete reason for one person who drinks to become alcohol dependent versus the person who does not. Several factors contribute to why a person begins drinking and why they continue to do so despite reasons to stop. The case history exhibits a client with many risk factors associated with alcohol use and dependence.
Person centred care is defined as health care professionals work together for people who use the health care services. Person centred care also helps to support the patient’s knowledge and also helps the patient to develop an understanding of their health condition and also gives them the confidence to effectively manage and make educated decisions about their own health and also the health care in which they receive. (Health Foundation 2014). This suggests that each individual needs to be treated with the same amount of respect and they also need to be treat equally. Furthermore, the RCN (2015) argue that important principles of Person Centred Care are respect, dignity and compassion. As professional it is important that
Severe mood swings, violent rages, memory loss—each of these problems were a part of my family life during the past two or three years. These problems are the result of alcoholism. Recently, a member of my family realized his abuse of alcohol was a major problem to not only himself, but also to those around him. He would lose control of his temper and often would not even remember doing it the next day. Alcohol became a part of his daily life including work, home, and any other activities. His problem was that of a "hidden" and "high-society" alcoholism. When he was threatened with the loss of his job and the possibility of losing his family, this man knew it was time to get help. After he reached his lowest point, he took the first step towards recovery—admitting his problem.
For Adult Children of Alcoholics, surviving their families becomes the point of existence. The fortunate may be able to draw support from a supportive adult, and may emerge with fewer difficulties than their brothers and sisters. The majority, however, have to “make do.” Some spend lonely hours in their rooms wishing only to vanish behind the woodwork. Others attempt to rescue the foundering vi...
Person-Centred Counselling established its origins in the late 1940 during a conference when Carl Rogers gave a talk entitled ‘New Concepts in Psychotherapy’. The summarisation of the talk resulted in the theory that the client in a counselling relationship should be at the center of the relationship and lead the counselling process. The Client, in effect became the expert on their life and/or problems. The fundamental belief is that an individual is capable of change, growth and fulfillment (self-concept). Person-Centred counselling looks at ‘the here and now’ and how to make changes that affect the future. Person-Centred Counselling generated a system known as the ‘Core Conditions Model’ which emphasized three key components: Empathy, Congruence and Acceptance.
Reflecting on the Person-Centered Therapy, it is similar to the Existential Therapy because it focuses on the client/therapist relationship, where the therapist needs to be totally genuine, empathetic and non-judgmental toward their clients in order to gain the client’s trust. I like the fact that the Person-Centered Therapy views the client as their best authority on their own experience, and being fully capable of fulfilling their own potential for growth. I also like the fact that the therapist is non-directive, does not give advice and there is no specific technique involved. Person Centered Therapy can basically develop their own technique as their relationship develop with the client.
Alcoholism is a disease that affects many people in the United States today. It not only affects the alcoholic, but also their family, friends, co-workers, and eventually total strangers. The symptoms are many, as are the causes and the effects.