NSG 4076 nursing care plan for disaster management essay

Instructions

Developing a Care Plan Last week, you conducted a risk assessment to identify the health risks faced by the aggregate you selected. This week, begin working on a comprehensive care plan for the aggregate. The care plan should propose a nursing diagnosis for the aggregate and include strategies to tackle the major health risks identified during the risk assessment. In addition, it should include a disaster management plan with the following components: List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.)

Strategies for handling at least two disasters from the list. Recommendation for a disaster supplies kit. (Project Recap: Propose a nursing diagnosis and suggest interventions that address the major health risks identified from the risk assessment. In your care plan, include a list of disasters that may affect the aggregate and a disaster management plan.)

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Nursing Care Plan: RISE Program Participants in Albany, Georgia

Diagnosis: Opiate Addiction

The population of interest is RISE program participants in Albany, Georgia, comprising opiate addicts seeking treatment. Opiates include Oxycodone, Morphine, Methadone, Codeine, and Heroin. Diagnosis involves assessing the constant need for opiates leading to economic, social, psychological, and/or physical harm. Psychological and physical dependence are considered, with standardized tests (CAGE-AID, Recovery Attitude and Treatment Evaluation, Addiction Severity Index, Drug Abuse Screening Test) employed for evaluation (Sperry, 2016; Wheeler, 2014).

Notable Features in Diagnosis

• Psychological Dependence: Continued opiate use to avoid unpleasant experiences.
• Physical Dependence: Adverse effects upon cessation, not necessarily indicative of addiction.

Patient Assessment: Risk factors include vulnerability to peer pressure, psychiatric disorders, self-medication tendencies, risk-taking behavior, unsuccessful life, poor pain tolerance, and low self-esteem. Physical and behavioral symptoms include poor health, shakiness, hyperactivity, drug-seeking behaviors, problems with institutions, forgetfulness, and irritability (Sperry, 2016).

Symptoms and Signs of Opiate Addiction

Piloerection, diarrhea, spasms, muscular pain, tremors, diaphoresis, poor attention span, memory loss, slurred speech, sedation, euphoria, confusion, impaired gait, coordination, and pupil constriction. Withdrawal symptoms include dilated pupils, weakness, spasms, dysphoria, perspiration, loss of appetite, vomiting, nausea, fever, insomnia, and piloerection (Sperry, 2016).

Treatment Approach:

1. Pharmacotherapy: Antipsychotic medications restore brain chemical balance, reducing psychotic symptoms.
2. Psychosocial Interventions: Supportive individual and group approaches to enhance treatment adherence, quality of life, and social functioning (Sperry, 2016).

Opioid Withdrawal Syndrome: Uncomfortable but not life-threatening symptoms upon ceasing or reducing opiate intake. Medications (Methadone, Buprenorphine, Naltrexone) and counseling are prescribed, along with nursing diagnoses for anxiety, sleep deprivation, and imbalanced nutrition (Sperry, 2016; Wheeler, 2014).

Disaster Management Plan

Geographical Location: Albany, Georgia

Common Disasters:

1. Tornadoes: High probability with a history of 82 tornado events causing fatalities and property damage.
2. Hail, Thunderstorm Winds, Floods: Frequent occurrences.

Strategies for Handling Disasters

1. Preparedness: Plan, equip, train, and exercise regularly. Identify shelter locations, monitor warning systems, and establish accountability procedures.
2. Equipping: Maintain emergency supply kits, including essentials like cellphones, maps, can openers, first aid, flashlights, and medications.
3. Training and Exercises: Educate the population on emergency procedures, practice shelter-in-place plans, and update plans based on lessons learned (Occupational Safety and Health Administration, 2020).

Recommendation for Disaster Supplies Kit

Include essential items such as communication devices, maps, tools, sanitation items, first aid, flashlights, batteries, food, water, and medications (Occupational Safety and Health Administration, 2020).

Conclusion

A comprehensive care plan for opiate addiction includes diagnosis, treatment approaches, and consideration of withdrawal symptoms. The disaster management plan focuses on Albany, Georgia, and prioritizes preparedness, equipping, training, and exercises to handle common disasters effectively.

References

• Occupational Safety and Health Administration (2020). OSHA: Tornado preparedness and response. References https://www.osha.gov/dts/weather/tornado/preparedness.html
• Sperry, L. (2016). Handbook of diagnosis and treatment of DSM-5 personality disorders: assessment, case conceptualization, and treatment (3rd ed.). New York, NY: Routledge.
• Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: a how-to-guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company, LLC.