8.1.2. Nursing outcomes


#### 8.1.3. Implementation


#### 8.2. Nursing diagnosis: ineffective health maintenance

Inability to identify, manage, and/or seek out help to maintain health.

#### 8.2.1. Assessment data

• Fear

• Hallucinations

8.1.2. Nursing outcomes

8.1.3. Implementation

to follow directions.

closely. The PDD's safety is a priority.

one supervision may be required to ensure the PDD's safety.

• Physical pain or discomfort

• History of combative or acting-out behavior

• Disturbances of concentration, attention span, or ability to follow directions

• Immediate Persons with drug addiction will:

• Stabilization Persons with drug addiction will:

• Community Persons with drug addiction will:

• Be safe and free from injury

• Respond to reality orientation

• Abstain from the use of substances • Accept referral to drug abuse treatment

• Verbally express feelings of fear or anxiety • Not harm others or destroy property • Be free from toxic substances

• Demonstrate adherence to the treatment regimen • Verbalize knowledge of drug abuse as a disease • Verbalize risks related to drug ingestion • Verbalize plans for further treatment, if indicated

• Participate in treatment or follow-up care as needed

• Demonstrate decreased aggressive or hostile behavior

1. Assessment data include feelings of hostility, fear, cognitive deficits, emotional impairment, integrative dysfunction, sensory or motor deficits, inability to perceive harmful stimuli, mood alteration, drastic mood swings, confusion, uncooperative, hostile behavior, disorientation, seizures, hallucinations, delusions, physical pain or discomfort, history of combative or acting-out behavior, disturbances of concentration, attention span, or ability

2. Place the PDD in a room near the nurses' station or where the staff can observe the PDD

3. It may be necessary to assign a staff member to remain with the PDD at all times. One-to-

4. Institute seizure precautions as needed, according to hospital policy (padded side rails, airway at bedside). You should be prepared for the possibility of withdrawal seizures.

• Delusions

66 Drug Addiction

• Drug addiction and dependence

