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The Care Given to a Patient - Case Study Example

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There are a number of degrees and kinds of alcoholism. Some alcoholics stop drinking without any medical aid because of changes in their life situations or their attitudes toward life. Some stop with assistance such as psychotherapy, somatic therapy, or social and vocational rehabilitation programs…
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The Care Given to a Patient
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Download file to see previous pages It is that person whose dependence upon alcohol has resulted in his physical, emotional and social deterioration that we refer to as the alcoholic. The care and treatment of such a person is similar to that of a alcohol addict. In this paper, we would be discussing about the care given to a patient who was an alcoholic.
Alcohol is a central nervous system depressant. Once alcohol is absorbed into the bloodstream it affects all body tissues but its immediate effects are caused by its action on the brain. At a level of 0.05 percent of alcohol in the blood, inhibitions are diminished and the individual is likely to say and do things that would be unacceptable to him if he were sober (McCoy et al, 1981). Interestingly, there is a societal norm that, to a point, excuses the behavior of an individual who has been drinking on the grounds that he has been drinking. This cyclical thinking is based on the belief that the behavior of a person when drunk is not a reflection of him but rather a manifestation of the alcohol. The reality is that the impulses acted on emanate from the person and the alcohol merely removes the barriers to their implementation. At a level of 0.10 percent of alcohol in the blood, motor and speech activity is impaired. It is for this reason that there has been a recent national campaign against driving a motor vehicle when drinking (McCoy et al, 1981).
Another person may be referred to as a periodic or cyclic alcoholic, which means that he drinks excessively during certain periods of his life but during other periods may not drink at all (Weist et al, 1982). A third type of alcoholism is exhibited by an individual who drinks large quantities of alcohol daily over a period of years. At first he may not seem to be seriously affected by this overindulgence. Slowly and insidiously, physical, mental, and emotional deterioration occurs. Eventually this person may be described as suffering from alcoholic deterioration (Fortin, 1980). No matter what type of alcohol ism is being considered, the problem is thought to have as one of its bases some emotional conflict, frustration, or feeling of inadequacy.
Case Study (Courtesy: Malar Hospitals, Chennai, India)
David S is a 24-year-old, single man who was admitted to a long term residential alcoholic rehabilitation program, following a 2-week inpatient stay on a detoxification unit for withdrawal from alcohol. David began using alcohol when he was a junior in high school because his 14-year-old girlfriend refused to date him any longer. About the same time, David was sent by his mother, who lived in New York City, to attend high school in a distant southern city because his parents were getting a divorce.
According to David, alcohol made him feel excited, stimulated, and happy. Everything seemed more pleasant, and he enjoyed his daydreams He was also sexually stimulated by alcohol. About the same time, he tried taking barbiturates, which made him sleepy. Because he did not enjoy their effect, he did not continue them. Since alcohol did not completely satisfy him either, he was convinced that his willpower would be ...Download file to see next pages Read More
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