Nursing Intervention Case Study

Intervention Plan
The most important goal for Emilia is for her to continue her sobriety. It is important for her not use drugs for her biological, psychological, social, and spiritual aspects of her life. The first goal Emilia and I would agree upon is going to ninety twelve step meetings like AA or NA consecutively for at least ninety days. This is an excellent way to tackle the behaviors and compulsion influencing her addiction. This social resource also gives Emilia an opportunity to establish a new support system. It will also start the groundwork to begin treating her existing trauma and life challenges she is confronting. This will help with her development of constructing her self-esteem and development of new coping skills. In
addition, I will provide a referral to Arizona Families First as a way to track and provide additional support for Emilia sobriety.
The second goal I would have Emilia do is counseling on both an individual and group level for at least six months.
Throughout the one-on-one counseling we could address her feelings of guilt and shame regarding the abortion and losing custody of Joey. Another matter that needs addressed is the trauma surrounding her from her past relationships. In the group counseling we would address coping mechanisms and start gaining DBT skills. Family counseling would be a great way to involve Emilia’s family in her treatment and begin communication between Emilia and her family.
The third goal Emilia and I would work on is gaining job skills Emilia has always had a knack for helping care for people and would like to know how to become a nurse. Emilia will look at the community colleges in her area to see what kind of financial aid she can get. I will assist her in filling her FASFA to get her funding. In the meantime, Emilia will go to the Unemployment Office and get assistance with job training skills with computers, math, and technology that are offered free
online.
Lastly, Emilia wants to gain useful parenting skills. I will refer Emilia to the Child Crisis Center to take free seven week parenting class. As children grow older, parents often need tools to help them deal with their child’s challenging behavior. This will give Emilia the confidence to handle Joey in a more appropriate manner. It will furthermore show proof to both her family and the courts that she is making significant leaps to improvement.
Intervention Models
In working with Emilia I find that a mix of motivational interviewing and solution focused interviewing would be appropriate working with her. In the beginning of working with Emilia solution focused interviewing will be helpful in identifying the exceptions to her using. By asking what worked for her in the past of maintain sobriety could be helpful in identifying her strengths and coping skills during the difficult times of her life. In addition, motivational interviewing could be helpful in the later part of her treatment by using Therapeutic Paradox statements and questions should Emilia produce little change or become resistant to treatment as many addicts due over the course of treatment. Using advice and feedback is another way to gage how much Emilia is learning from the meetings and groups she is going to. Straightaway in the beginning of meeting with Emilia I would introduce recovery housing with her as a formal resource. All though recovery units cost and can be costly they can be very beneficial to addicts trying to recover. I would inform her that they could help her with going to meetings as a routine and give her a safe place to live as well as, connect her to others like her. We could look at recovery options that could be faith based or even ethnicity based. If she is more comfortable we could even entertain the idea of one that celebrates the Hispanic culture.
Evaluation
In the final analysis of working with Emilia, we will rate her monthly on the stages of change. At the start of treatment Emilia presented in the Contemplation stage knowing she had a problem but had not yet committed to remaining sober. After two weeks of meeting with Emilia she reached the Preparation stage where we started to make a plan of going into a recovery housing and start making plans towards her goals. In the hopes that treatment would assist Emilia in staying sober she agreed to go in-patient into Chicanos Por La Causa for their sixty-day substance abuse treatment program. Emilia completed the treatment program with Chicanos Por La Causa and has applied for their transitional housing program. This moved Emilia into the Action stage and has shown significant progress in maintain sobriety.
The client continues to make advancement on her first goal of going to AA. Emilia has attended sixty-five meetings and has shown significant progress in managing cravings and developing new tools to stay sober. When using the motivational interviewing technique of the Readiness to Change Ruler Emilia states she has gone from a two to a seven in managing the compulsion to use.
In addition, Emilia second goal of going to counseling is going well.
Emilia is involved in both individual and group counseling on the surveys handed out every week Emilia reports improvement on DBT skills and coping mechanisms in handling stressful situations. Although Emilia is continuing treatment, her family is resistant to coming to family counseling, they have agreed however, to start once Emilia maintains at least six months of sobriety.
Working towards her third goal of school and job skills has been a downfall for Emilia. Her opinion of the matter it is too difficult to try to go to school while trying to do everything that is being asked of her. While not making any advancement on job training Emilia has started working at a grocery store as a cashier. At this time, Emilia is in the Precontemplation stage with this goal and refuses to acknowledge the goal anymore and states she is happy where she is working.
Finally, Emilia last goal is to attend parenting classes to improve her ability to care for Joey. The client is showing resistance towards achieving this goal. She continues to argue and negate not wanting to go on her parents still not allowing visitation with her son. After three sessions of using motivational interviewing I assigned her the Decisional Balance exercise to evaluate her current behavior. Emilia magnificently completed the assignment and gained insight on why the classes are important. The client has now signed up for the next session
of classes.
To meet the completion of goals I must see at least ninety days of meetings, six months of counseling, and completion of parenting class. I will be using a variety of scales and assessment to evaluate Emilia coping skills on sustaining her sobriety. One year of continuous sobriety will mark the completion of services and the client will then have demonstrated the Maintenance stage of change by preventing relapse and showing tremendous growth.
Consequently, Emily endures countless obstacles as she tries to remain sober. As an addict Emilia has to sustain the clout and techniques in making headway in her recovery regardless of the lack of encouragement from her immediate family. In order to tackle the Emilia’s addiction issue, I have assessed the client’s needs, come up with intervention and treatment techniques, as well as evaluate the effectiveness of the treatment.