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Alcohol Abuse: A Case Study

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D-The writer met with the patient to address her non-compliance with seeking inpatient to address her abuse of alcohol as the patient produced two positive BAC results in July. According to the patient, she admits to having an alcohol problem and haven't used anything since her last positive BAC result. The patient said, " I want to go inpatient because I need help......I have called CVH and spoke with Cheryl, but they wouldn't accept my insurance...I, then called ICRC, but no beds available." The writer addressed with the patient about what are triggers for the alcohol abuse and the response was, " Just partying and being around the wrong people....no one told me that I couldn't drink." The writer briefly informed the patient about the harmful interaction with alcohol and methadone. …show more content…
The patient said, " I did not refuse, I can't go. My husband works overnight and I will not make it to group on time....if I had somewhere else to go, I would have gone." Before the writer, can call ICRC with the patient to seek an immediate admission, the patient assigned knocked on the writer's door to share information that the Nursing Director was able to get the patient a "bed" for ICRC detox ( 4 days of treatment). The patient agreed to go today to stay in compliance with the clinic's recommendation, but was concerned about her pending surgical procedure on 8/1/2017 for an endoscopy. According to the patient, she will received anesthesia. The writer advises the patient that the clinic needs to a letter or even a phone call from the gastroenterologist office stipulating whether or not the patient should be medicated on the day of her procedure. Please note, the writer corrected the patient's ROI form. The writer did not issue a STEP3 as the patient plan to enroll in detox

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