interrupted family process: alcoholims r/t alcohol abuse

[fizzgigger]

oKAY I am about to pull my hair out. I've been working on a master care plan for hours! I have my other nandas already. I have to have a psychosocial nanda and goals.

Pt is an alcoholic and came in for respiratory failure secondary pneumonia.

so i am putting, interrupted family process: alcoholism r/t alcohol abuse. I have my aeb. But these nanda books are killing me, I can't for the life of me figure out how to make a measurable short term goal and a measurable long term goal out of these things as well as Nursing interventions. I' am very weak in this part of my planning process.

Can anyone please help? I'm really sorry for asking for help again, I've just been on this for all day long. Not to mention a test tomorrow. Geez lol. thank you so much in advance.

[fizzgigger]

I think i got some:

STG:

Pt and Family will identify at least 2 negative effects of drinking on each family member in the home drinking by end of day.

LTG: Pt and family know of 3 of 5 places to seek help, support and rehabilitaion within a 10 minute counseling.

1) Nurse will encourage pt to talk freely and reflecting 2 reasons he thinks his drinking affects each family member by the end of the day.

2)Nurse will provide 5 in community support groups names, numbers and brochures: AA, self help groups, Alanon, family therapy, and pastoral.

3) Nurse will establish a rapport with the families and provide a brief 5 minute one on one with family members to encourage feelings each time they visit.

Any suggestions?

[deeDawntee, RN]

Have you addressed the respiratory failure?

[Daytonite, BSN, RN]

interrupted family processes

definition of this diagnosis:

change in family relationships and/or functioning

goals/outcomes are the expected results of your nursing interactions. your nursing interactions are directly related to your aebs (symptoms, or defining characteristics) that support this diagnosis. as long as all this relates and stays within the parameters and spirit of the underlying problem this diagnosis addresses then you are good to go. from what i can see, it all sounds ok to me except i would change the ltg. i would probably rewrite that to say they would become "established" in a "help or support group" or make arrangements to attend a first meeting in such a group by the end of their first session with a counselor or by discharge.

i listed the psychosocial nursing diagnoses on post #145 of this thread: https://allnurses.com/forums/f205/desperately-need-help-careplans-170689.html - desperately need help with careplans (in nursing student assistance forum)

i know it is frustrating when you are working with a diagnosis for the first time. chalk it up to the learning curve. this will happen every time you apply a nursing diagnosis you are not familiar with using to a patient for the first time. however, this is how you learn about the diagnosis, what it means, and how its problem applies to the patient. you will find as you work with the more commonly used nursing diagnoses and get familiar with their defining characteristics, you'll be able to rip through them when applying them to patients on care plans. you'll see. just hang in there. you will have some hair left. small steps. slow and steady wins the race. you put a good effort in here.