Care Plan for Substance Abuse Management
Category: Mental Health
Assessment
Patient presents with a history of substance use, withdrawal symptoms, and impaired social functioning.
Diagnosis
Risk for injury related to withdrawal symptoms and impaired judgment.
Goals
Patient will demonstrate reduced withdrawal symptoms as evidenced by stable vital signs and absence of tremors. Patient will engage in a substance abuse treatment program.
Interventions
Monitor vital signs and withdrawal symptoms using a standardized scale (e.g., CIWA). Administer prescribed medications to manage withdrawal symptoms (e.g., benzodiazepines). Provide a safe and supportive environment to prevent injury. Encourage participation in counseling and support groups.
Rationale
These interventions aim to manage withdrawal symptoms, ensure patient safety, and support recovery efforts.
Evaluation
Withdrawal symptoms and patient engagement in treatment will be monitored to assess progress.
⚠️ Educational Care Plan Notice
This care plan is for educational purposes only and represents general nursing concepts.
All care plans must be individualized based on:
- Individual patient assessment and current condition
- Healthcare provider orders and facility protocols
- Current evidence-based practice guidelines
- Nursing scope of practice in your jurisdiction
Do not use as direct patient care instructions. Always follow your facility's policies, physician orders, and professional nursing judgment.