Patient Educational Plan

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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…show more content…
A is 29 and began abusing alcohol at 18. She may have a developmental delay going back to that time. This would place her in what Erickson calls the fifth psychosocial crisis of learning, identity versus identity diffusion. This stage is most clearly defined as a time to experiment with minor delinquency, rebellion, and self-doubt (Child Development Institute, 2010). If Ms. A did not move through this stage successfully, then she still may be battling a negative identity. This negative identity has affected her quality of life by perpetuating a harmful cycle of alcohol abuse over the past 10 years. The key to helping her move past this developmental stage will be in assisting Ms. A in positive decision-making. The decisions must be her own to implement true change. This will also enable her to experience positive outcomes which will help her progress from a negative identity. As she experiences success and achievements, she will propel forward to the next stage of developmental growth. Conclusion Each year thousands of Americans are hospitalized because of GI problems from chronic ETOH misuse and abuse. In the case of Ms. A her problems progressed to the point of liver failure. These patients face tremendous challenges that encompass their entire being. Successful self-management of liver failure relies heavily on the successful management of the debilitating addiction of chronic ETOH abuse. In the spirit of holistic healthcare,
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