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Nursing Care Plan

Nursing Care Plan
Long term goals: Pt will not progress to Chronic Liver failure

In effective management of alteration in healthy liver functioning.

Outcome/Short Term Patient Centered Goals

Planning/Interventions
Implementation

Rationale for interventions

Evaluation

Pt will verbalize a basic understanding of care needed for acute liver failure.

1. Explain disease process in acute liver failure.
2. Educate pt. regarding etiology regarding rationale for treatments.
3.  Explain and promote abstinence from alcohol consumption.
4. Educate pt on S& S to report such as bruising bleeding, increased ascites and lack of adequate nutrition.

1. If pt understands the ability of the liver to heal or the ability for chronic disease he/she may collaborate towards a more healthier lifestyle choice.
2. Pt. will be more compliant with food, fluid and testing requirements if understanding is attained and in the best interest of the patient.
3. Abstinence from chronic alcohol consumption can increase liver function and promote well-being and self-esteem.
4. Early recognition of warning signs can help the patient to avoid chronic liver failure and complications of care. Include supportive family members.

1. Pt. is able to seek early treatment for potential electrolyte disturbances, malnutrition and hypoglycemia.
2. Adults seek to understand and assimilate new information that is personally valuable to them.
3. Pt. attends AA 3 days/week and has learned underlying cause for alcohol abuse and dependency.
4. Pt. able to seek supportive care, avoid multisystem organ failure and neurological awareness of resolution of liver failure. Family support enhances these issues.

 

Nursing Care Plan                           
Long term goals: Family acknowledges dysfunction and obtains therapeutic help for healthiness for self and for the Identified patient.

Dysfunctional Family processes: Alcoholism related to abuse of alcohol

Outcome/Short Term Patient Centered Goals

Planning/Interventions
Implementation

Rationale for interventions

Evaluation

Family accepts instruction and talks openly about roles in dysfunctional alcoholic family dynamics.

 

Nurse will establish open, non-threatening atmosphere with family of Identified patient and with patient as well.

Family and pt. begin to speak about fears, anxieties and concerns regarding alcoholic and roles they have supported.

Family seeks outside social supports and therapeutic interventions.

Patient is sober and without use of alcohol, family promotes and invests in positive outcomes.

In an open and non-threatening non judgmental atmosphere patient and family are more likely to express fears, anxieties and struggles and therefore seek help.

Acknowledgement of roles members played to support dysfunction are the beginning to awareness and change.

It will take outside interventions, individual, family therapy, social work and alcoholics anonymous, alanon, etc…

Supportive family and friends can be a source of relapse prevention.

 

Family is aware of dysfunctional roles and seeks help through social services.

Individual members are able to express long term resentments therefore creating more liaisons and trust within the family system.

Outside interventions become a coping strategy for the alcoholic as well as individual members who have been damaged by the addictive family system.

Relapse prevention successes depend upon strong social and familial supports for success as well as an atmosphere of trust, respect and honesty.







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