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Effects Of Alcoholism On The Local Area Of Oconto

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Alcoholism in our local area of Oconto, Wisconsin is, unfortunately, common. Studies have shown people of deprived societies are at greater risk of alcohol-related ill heath than more affluent societies (Bellis, et al, 2016, p.1). Challenging behaviors of alcoholics include smoking, obesity, and poor diet/exercise. At Bellin Health Oconto Hospital (BHOH), we have an alcohol detoxification program. We utilize the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) protocol. This protocol is designed to maintain consistency in patient assessment and treatment providing a symptom-triggered therapy given medications. Non-pharmacologic interventions are also utilized such as a quiet environment, reducing sensory stimuli (lights…show more content…
Consultations are ordered and the county social worker is immediately contacted. Interaction with the patient is dependent on their level of consciousness. More often than not, the patient is alert and because drinking is not allowed they eat a lot. Typically in one weekend, the patient will eat nearly everything we have in our limited supplied kitchen.
My focus is on symptom control. There is a set of parameters, although somewhat subjective, that determine medication dosing. If the patient is alert and coherent, I do speak frankly to the patient about their drinking habits and ask how it is affecting other areas of their life. We talk about Alcoholic Anonymous meetings, reaching out to a supportive friend or family member, speaking with a counselor, and/or admittance to an alcohol treatment center. Most of the continuity of care occurs during daylight hours. So my conversations and the answers received are documented into the patient’s chart of ancillary departments to review.
Part 2
I find it difficult to choose but one of the Health Promotion and Disease Prevention Theories and Models since I have had patients at both ends of the spectrum. Using the Transtheoretical Model of precontemplation (LaMorte, 2016), I’ve had patients who do not believe their drinking is a problem or causing problems in their lives. And I’ve had patients who fit into the Health Belief Model of cues to action (LaMorte, 2016) from external entities which make them aware of how
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