Reflection On Drug Abuse - 1824 Words

LOOK BACK In clinical placement, I was faced with a client who was identified as an individual with a history of drug abuse. This reflection is about my experience dealing with this individual, his attitude and the situation that presented itself in regard to his prescribed opioid analgesics, as well as providing care for him. ELABORATE On arrival to the room, only one of my patient was present, I went ahead and introduced myself and found my assigned staff nurse to notify her that I was unable to find my other client, despite my search. Staff nurse stated that the client may be around as he sometimes leaves the floor to get some fresh air and returns. About an hour later, when I was all done with my other patient(named P.B), I went in†¦show more content†¦This information caused warning bells to go off in my head. I reassured P.B. that I would need to question the nurse about his medication and would return as to what medication he is able to get to aid with his pain. Finding my staff nurse, she informed me that the doctor changed the interval for the opioid because the patient had a history of addiction and the current suspicion of drug abuse activities. As an advocator for his pain management I reviewed the patient’s chart, it was determined that he was only able to receive regular Tylenol as the Percocet was not due for 1.5 hrs. I returned to the room to inform the patient that he was allowed plain Tylenol for now to help relieve his pain. He then stated, â€Å"I don’t like Tylenol, I don’t want that.† I was taken aback by the comment because in my mind I was thinking that Tylenol may help him by taking off some edge to the pain till his opioid could be given, but client refused and decided to wait for the 1.5 hrs for the Percocet. He also refused any care to be performed, and wanted to be left alone. As the shift went on, I periodically checked in my patient to make sure that the was ok, and every time I entered his room patient P.B. would ask me the time, and his desire for Percocet. I assessed patient for any signs of pain, and it should be noted that client had no objective signs of pain such as increased respirations, guarding, grimacing. HeShow MoreRelatedAn Effective Substance Abuse Counselor1268 Words   |  6 PagesTo become an effective substance abuse counselor, there are six key points which include: knowing the principles of MI, being able to help strengthen a client’s coping skills, being able to utilize OARS, understanding Thomas Gordon’s Twelve Roadblocks, being knowledgeable about drugs, and having knowledge of assessing and Individualizing Evidence Based Treatment Plans. An effective substance abuse counselor needs to utilize the OARS. The OARS acronym includes: open-ended questions, affirmationsRead MoreShould Drug Abuse Be Rehabilitated Drug Users Do Not Return? 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