Patient Educational Plan
Patient Educational Plan
Nur/427
Monday, March 29, 2010
Sara Gerrie, MSN
Introduction Prolonged and chronic ethanol (ETOH) use has devastating effects on the gastrointestinal (GI) tract. ETOH is easily absorbed from the intestine and diffuses quickly throughout the body. The bulk of the ETOH is metabolized in the liver. ETOH abuse produces functional and structural changes in the GI tract, such as in the stomach, small intestine, liver, and pancreas (Geokas, Lieber, French, & Halsted 1981). The National Institute on Alcohol Abuse and Alcoholism website (2005) sites statistics indicating 28,175 deaths in 2005 were a direct result of liver cirrhosis. The website goes on to state, “In 1997, liver cirrhosis was the 10th leading cause of death and accounted for approximately 25,000 U.S. deaths, more than half of which were from alcohol-related cirrhosis” (National Institute on Alcohol Abuse and Alcoholism, 2001). Individuals struggling with chronic ETOH abuse have specific educational needs.
Patient Description Ms. A is a 29 year old who grew up in a comfortable mid-western town. Both of her parents and younger brother are still living. Her younger brother is in college. Ms. A had been relatively healthy with no prior medical history until she began to drink heavily with her current boyfriend of several years. She was hospitalized in 2008 because of a GI bleed. Lab studies revealed liver damage. Her parents, brother, and grandparents staged an intervention. Ms. A agreed to participate in a rehabilitation program. She was successful for several months until she moved to California to live with her boyfriend. She began to consume alcohol once again. Recently, her boyfriend brought her to the emergency department when he found her to be non-responsive. She currently remains hospitalized with hepatic encephalopathy and liver failure.
Educational background Ms. A is a high school graduate. She began to attend a four-year university, but she did not graduate.
Nur/427
Monday, March 29, 2010
Sara Gerrie, MSN
Introduction Prolonged and chronic ethanol (ETOH) use has devastating effects on the gastrointestinal (GI) tract. ETOH is easily absorbed from the intestine and diffuses quickly throughout the body. The bulk of the ETOH is metabolized in the liver. ETOH abuse produces functional and structural changes in the GI tract, such as in the stomach, small intestine, liver, and pancreas (Geokas, Lieber, French, & Halsted 1981). The National Institute on Alcohol Abuse and Alcoholism website (2005) sites statistics indicating 28,175 deaths in 2005 were a direct result of liver cirrhosis. The website goes on to state, “In 1997, liver cirrhosis was the 10th leading cause of death and accounted for approximately 25,000 U.S. deaths, more than half of which were from alcohol-related cirrhosis” (National Institute on Alcohol Abuse and Alcoholism, 2001). Individuals struggling with chronic ETOH abuse have specific educational needs.
Patient Description Ms. A is a 29 year old who grew up in a comfortable mid-western town. Both of her parents and younger brother are still living. Her younger brother is in college. Ms. A had been relatively healthy with no prior medical history until she began to drink heavily with her current boyfriend of several years. She was hospitalized in 2008 because of a GI bleed. Lab studies revealed liver damage. Her parents, brother, and grandparents staged an intervention. Ms. A agreed to participate in a rehabilitation program. She was successful for several months until she moved to California to live with her boyfriend. She began to consume alcohol once again. Recently, her boyfriend brought her to the emergency department when he found her to be non-responsive. She currently remains hospitalized with hepatic encephalopathy and liver failure.
Educational background Ms. A is a high school graduate. She began to attend a four-year university, but she did not graduate.
References: Ballard, M. (2004). Over the Influence: The Harm Reduction Guide for Managing Drugs and Alcohol (Book). Library Journal, 129(1), 137. Retrieved from MasterFILE Premier database. Child Development Institute. (2010). Stages of Social-Emotional Development In Children and Teenagers. Retrieved from http://www.childdevelopmentinfo.com/development/erickson.shtml Geokas, M., Lieber, C., French, S., & Halsted, C. (1981). Ethanol, the liver, and the gastrointestinal tract. Annals Of Internal Medicine, 95(2), 198-211. Retrieved from MEDLINE with Full Text database. Insel, P., Roth, W., & Price, K. (2006). Core Concepts in Health (10th ed.). unknown, : The McGraw-Hill Companies, Inc. National Institute on Alcohol Abuse and Alcoholism. (2005). Age-specific number of deaths from all cirrhosis by race, Hispanic origin, and sex, United States, 1970–2005. . Retrieved from http://www.niaaa.nih.gov/Resources/DatabaseResources/QuickFacts/Liver/cirmrt2a.htm National Institute on Alcohol Abuse and Alcoholism. (2001). NIH News. Retrieved from http://www.niaaa.nih.gov/NewsEvents/NewsReleases/liver.htm McMahon, J., & Jones, B. (1992). The change process in alcoholics: client motivation and denial in the treatment of alcoholism within the context of contemporary nursing. Journal of Advanced Nursing, 17(2), 173-186. Retrieved from CINAHL Plus with Full Text database.