Relapse Recovery Plan custom essay

Develop a relapse prevention plan based upon the “Jed Assessment Case Study” provided.

Jed Assessment Case Study
Jed is a 38-year-old welder who came into the treatment center after being arrested for drinking and driving (DUI/DWI). His attorney has suggested that he quit drinking and enter treatment, at least until his trial, which is scheduled to occur in two months. Jed does not anticipate serving jail time, but he believes that treatment could strengthen his legal case. After his first arrest for DUI two years ago, he simply paid a fine and attended a special driver’s education program for six weeks. Jed found the program to be a “waste of time”.
Jed has been married for eight years and has two daughters, aged 8 and 6. He has had numerous arguments with his wife, Emily, concerning his drinking. He gets very angry and defensive when she confronts him about his heavy drinking and he asserts that he is not an alcoholic. He knows this is true because his father was an alcoholic and Jed says that he is not like his father. His father died as the result of a fight that occurred in traffic when he was drunk. Jed says that his father used to “beat the tar” out of him and his brother when he was drunk and that his father always belittled, taunted, and threatened their mother, whether he was drunk or sober. Jed references that his family is Irish and that it was cultural normal to drink and enjoy alcohol and that all of his family and relatives drink in excess.
Jed’s work history is very good; he misses less than one day per year. He works the day shift on weekdays, putting in time-and-a-half on most Saturdays. He is well regarded by his supervisors and peers at work. He is fearful that his employer will find out about his treatment (it is being covered by his HMO), and that people at work will learn about the second DUI arrest.
Jed drinks with his buddies from the plant, and does not think that his drinking is any more than what they do. He was just “unlucky” and got caught doing what everyone else seems to get away with. Jed’s drinking is very predictable: he drinks 8-9 beers on a weeknight. Several of these are consumed at the bar with friends, the remainder at home over the course of the evening. He usually falls asleep in front of the television. On weekends, he often drinks several 12-packs between Friday and Sunday. A typical Saturday involves getting up at 10:00 a.m., playing soccer with friends, and going to the bar for the rest of the day and night. This pattern leads to arguments with Emily, who calls him a “lousy father”. At times, Jed has had unsettling episodes of being unable to recall what happened while drinking. He has commented to friends that “maybe I overdo it a bit”. Several times, he has attempted to cut down on his drinking, especially after the last DUI. He once attended a few AA meetings, but did not feel that AA was helpful: “It was listening to a lot of guys whining…” and he especially did not care for the prayers.
Despite these attempts, Jed has experienced increased consumption levels over the past two years. He admits that, as a result of the drinking, he has become increasingly estranged from his wife and daughters. Jed feels that his marriage has been basically good, but that he would not blame Emily for leaving him, the way things have been going lately. She will no longer sleep with him while he is intoxicated, which occurs regularly. She complains that the house is falling apart because Jed does not keep up with his chores. He believes that his marriage would become solid again, if he stopped over doing the drinking, but he complains about her hassling him about the alcohol.
Jed is not close to his remaining family members. His mother is very religious and wishes Jed would see religion as a way out of his problems. His siblings live in other communities and they rarely get together. His wife and daughters regularly attend his mother’s church, but Jed only attends on Christmas Eve and Easter Sunday.
Jed is distraught about having to remain abstinent in preparation for the trial. He has trouble getting to sleep without alcohol. He also “gets jumpy” when he tries to stay away from drinking, feeling “closed in or like he is suffocating”. Jed reports that he is not used to socializing without alcohol and alcohol helps him relax and be more social with people.
Jed is willing to go to AA meetings only because he knows they may be court ordered and it may be better for his legal case. He does struggle with the philosophy of AA. He does not like the spirituality part of the program and does not like when people talk about God.
He does believe that he can go to the bars with his friends and not drink. He does think that he can increase his sports activities to help him not drink although many of his friends who play also drink.

Taking care of patients from different culture custom essay

Create in your individual private journal write about your experiences in taking care of patients not from your own culture, religion, or patients with different values than your own. In your first posting discuss why you believe the patient acted in this way and why you expected a different reaction. Also discuss and reflect on what you did successfully or unsuccessfully to take care of the situation, and what you could have done to better handle the situation?

Quantitative Nursing Research custom essay

Select a NURSING research study that is within the pass 5 years. It must be a Randomized Clinical Trial Study and be quantitative in nature.
Critique the quantitative NURSING research study article by COMPLETELY answering the following questions:
• the problem
• purpose of the study
• research question
• hypothesis (if one is listed, if not, state what do you think it would be)
• methodology
• subjects and setting (discuss the subjects demographics)
• collection of data – How was this accomplished?
• the instruments (Be sure to identify the instruments used to measure the variables..do you think they were reliable?)
• data analysis – How was the data analyzed?
• results – What were the results of the study? and what strengths and limitations that you see within the study

Amanda & Fertility and Infertility custom essay

Amanda is a 36-year-old patient of the OB/Gyne practice you work with. She has come for her annual exam and reports she and her husband have decide to try to have a baby this year. She is very concerned because she has so many friends that have had trouble getting pregnant.

Amanda has a notebook with her and begins her rapid-fire question session.

She asks-

– What can she do to improve the chances of getting pregnant?

– How long does it take most people to get pregnant?

– How should she and her husband time intercourse to achieve pregnancy?

– How often should they have intercourse?

– What lifestyle issues could interfere with achieving pregnancy?

– Can they time intercourse to have a boy?

– What are the chances of her having fertility issues?

– What are the chances of her husband having fertility issues?

– How should she eat and drink every day? Is fish OK? What about coffee? Is it OK to drink some wine?

– How long should they try to get pregnant before they seek further evaluation?

– Just so she knows what could happen- what kind of tests would have to be done if she was not able to get pregnant?

Patient Safety and Quality custom essay

Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Hughes, R. G. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for nurses (AHRQ Publication No. 08-0043). Agency for Healthcare Research and Quality. Retrieved from https://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/index.html

Community Nursing(The U.S. Healthcare System and Finance) custom essay

A group of intelligent and well educated, middle aged citizens, i.e., school teachers, accountants, paralegals, and other non-health care professionals, want a nurse to help them to educate their peers about the health care system. You have been asked to teach them more about the U.S. Healthcare System (USHC System). Develop sentences of the facts that you would teach this group of community volunteers, i.e., what will you teach them about the following content areas?