Woman with a past history of alcohol and cocaine abuse

 

 

Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has been attending AA and NA meetings regularly and does not report urges to drink or use drugs during the 4 years you have been her psychiatric mental health nurse practitioner. She needs carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per dayWhat information would be most critical for the group leader to collect in the first visit? What is the primary goal for the treatment of this patient’s family problem, based on the US clinical guidelines? Discuss one curative factor the group would observe during the initial, middle and termination phases in group therapy? Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient. (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?

 

 

Sample Solution

  • Harriet’s history of alcohol and cocaine abuse. This includes the severity of her addiction, the length of time she was using, and the treatments she has received in the past.
  • Her current level of sobriety. This includes how long she has been sober, any cravings or urges she is experiencing, and any relapses she has had.
  • Her reasons for wanting to join the group. This will help the group leader to understand her motivation and what she hopes to achieve from the group.
  • Her expectations for the group. This will help the group leader to set realistic expectations and to address any concerns that Harriet may have.
  • Her support system. This includes her family, friends, and other members of her community who can offer her support during her recovery.
  • Her understanding of the risks and benefits of oxycodone. This includes the potential for addiction, overdose, and other side effects.
  • Her willingness to take steps to reduce her risk of addiction. This may include attending 12-step meetings, participating in individual therapy, or taking medication.

The primary goal for the treatment of Harriet’s family problem, based on the US clinical guidelines, is to help her and her family to develop healthy coping mechanisms and to reduce the risk of relapse. This can be done through a variety of interventions, such as individual therapy, family therapy, and group therapy.

One curative factor that the group would observe during the initial, middle, and termination phases in group therapy is universality. This is the feeling of being understood and not alone, which can be very helpful for people who are struggling with addiction. The group members can share their experiences and learn from each other, which can help them to feel less isolated and more hopeful.

I am located in San Francisco, California. Here are three agencies near me that would support positive health outcomes for Harriet:

  • The San Francisco Department of Public Health: This agency offers a variety of services for people with substance abuse problems, including individual and group therapy, medication-assisted treatment, and case management.

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