NSG 350 Stratford University Alcohol Abuse Case Study Please see the attachment below for Substance Abuse case study and the Case Study Rubric. Rubric For

NSG 350 Stratford University Alcohol Abuse Case Study Please see the attachment below for Substance Abuse case study and the Case Study Rubric. Rubric For Case Studies and Critical Analysis Questions- WB R Simpson
Category
Full Credit:
includes all of the
points listed below
Analysis
All questions
answered
correctly. Offers
own analysis that
demonstrates
ability to apply
course material
and outside
academic peer
reviewed resources
.
Response indicates
application of
knowledge.
Support
5-6 points
Gives concrete
examples and
relevant support
from resources
other than the text
or ATI (1 point).
Use of peerreviewed nursing
journal to support
answers (1 point)
Partial Credit: may
be for any of the
problems listed
below
Some analysis but
relies mostly on
study questions
and text/ATI
Manual but all
questions are
answered correctly
(4 points). One
question is
answered
incorrectly or
superficially (3
points possible).
No Credit
Possible points
Little or no
analysis. Relies
solely on repeating
case material.
Answers more than
2 questions
incorrectly or
superficially (0
points).
6 points
0-2 points
3-4 points
Supplies at least
one concrete
example and/or
relevant support
for answer but
only uses text or
ATI Manual.
Selects irrelevant
or ineffective
examples or none
at all.
2 points
0 points
1 point
Logic
2 points
Connects
sentences and
paragraphs
logically to convey
ideas clearly and
strongly.
Supported by
evidence and
readings. APA
guidelines
followed.
2 points
Connects
sentences and
paragraphs
logically on an
inconsistent basis
but main ideas are
discernible.
Minimal evidence
and application of
readings. Minimal
APA errors
Does not connect
sentences or
paragraphs
logically. Ideas are
unclear. No
supportive
evidence or
comprehension of
readings. Multiple
APA errors.
1 point
0 points
2 points
Case study from Elsevier on Alcohol abuse Scenario
JH is a 49 yo man was seen in the ED 2 days ago, diagnosed with alcohol intoxication
and released after 8 hours to his brothers care. He was brought back to the ED 12 hours
ago with an active GI bleed and is being admitted to the ICU, his diagnosis is upper GI
bleed and alcohol intoxication.
You are assigned to admit and care for JH for the remainder of your shift. According to
the ED notes, his admission vital signs were 84/56,110,26 and he was vomiting bright red
blood. His labs were remarkable for Hct 23%, alanine transaminase ALT 69 IU/ml.
asparate transaminase (AST) 111 IU/ml and serum alcohol 271 mg/dl. He was given IV
fluids and transfused 6 units of packed RBC’s in the ED. On initial assessment, you note
that JH’s VS are BP 154/90mmHG, pulse 98 beats/min, he has a slight tremor in his
hands, and he appears anxious. He complains of a headache and appears flushed. You
note that he has not had any emesis and has not had any frank red blood in his stools or
black tarry stools over the past 5 hours. In response to your questions, JH denies that he
as a alcohol problem but later admits to drinking approximately a fifth of vodka daily for
the past 2 months. He reports having been drinking just before his admission to the ED.
He admits to having had seizures while withdrawing from alcohol in the past.
1. Which data from your assessment of JH are of concern to you? Explain your points.
2. What are the two most likely causes of JH symptoms?
3. What is the most likely time frame for someone to have withdrawal symptoms after
abrupt cessation of alcohol?
4. Is JH exhibiting any withdrawal symptoms now? if so identify them.
5. If JH does not receive any additional treatment for his alcohol withdrawal what
additional symptoms might he exhibit and identify the timeframe for them to occur.
6. Identify what medications would you recommend JH receive for this alcohol
withdrawal and why?
7. What assessment tool or tools would you use to assess JH withdrawal symptoms?
8. What are 3 priority nursing diagnosis that you would indicate on JH’s care plan and
explain why they are a priority for you?
9. What are at least 3 nursing goals or outcomes for JH?
10. Identify and give rationales for at least 3 nursing interventions per each nursing goal
for JH.
11. How would you would evaluate JH if he was accomplishing the goals identified?
Case study progresses:
JH has stabilized and is ready to return to his home in a few days. He lives alone. The
only family he has is his brother who lives in the same town. JH has a factory job what
he will return to if he can stay sober.
As you help prepare JH to return home,
12. What additional assessment information do you need to obtain before his discharge?
13. JH has little understanding of the effects of alcohol on his body. No one has spent
time teaching him about this.
Identify what would you teach JH about the effects of alcohol on one body? 5 main
points
What else would you as his nurse want to teach JH about alcohol use? 5 items
14. As he is readying for discharge, JH was prescribed Antabuse while in the hospital
and he asks you what this new medication is supposed to do?
What is your teaching plan for JH about this medication?
15. Identify 3 resources- websites that JH could use after he is discharged and explain
the reason you picked these resources for your patient.

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