Introduction
From the assessment notes, it is reported that Rosa is engaged in excessive drinking which is potential health-risk behavior. As referenced in the notes, she participates in this kind of reaction to help manage the emotional implications that she is experiencing because of feeling detached from her ordinary life's activities. I fear this health-risk behavior is likely to affect our interaction given the physical and psychological implications that are likely to emerge. First, Rosa could develop a sense of disorientation drawn from withdrawal symptoms and the dependency on alcohol to face most of her fears. In the event of such episodes, there is a likelihood of an impediment to the quality of our sessions in the treatment process. Also, it would be challenging to try and manage her addiction problem, which seems to be a small problem at the moment, given the gravity of her health condition and other grievous health complications she is currently undergoing.
Overindulgence of alcohol intake may also lead to other health risks. For instance, her present diabetic condition could be exacerbated when she continues drinking by increasing the sugar levels in her blood (Justus, 2018). She could also develop other complications that were previously not parts of the diagnosis, for example, cirrhosis. These complications would likely be of long-term nature, probably after her discharge from the facility. As an individual who shows passion and dedication in my work, it would likely hurt my conscience knowing that a patient who was under my care develops more complications even after attending sessions which were aimed to make her feel better. Probably, people close to her would begin questioning the quality of care that she had been receiving while in the care facility. In general, this kind of case presents an ethical challenge, which I have to deal with knowing that my future reputation in the healthcare scene in dealing with older adults depends on my successful management of the current case.
To arrest the situation, intend to formulate a therapy session catering for guidance and counseling to help Rosa in dealing with her addiction problem. Also, I believe that developing a cordial relationship, in other words, being necessarily close and developing friendly attitudes towards the patient; can help me in winning a degree of trust and friendship from the patient. From such kind of close interaction, I tend to use the incentive to influence her way of thinking with regard to her addiction problem. I also believe that by becoming a close confidant to the patient, I will be more likely to offer some bits of counseling, that she would be compelled to take more seriously. As a last resort, I would recommend to her some of the anti-alcohol drugs such as Naltrexone and Campral (Searidge Foundation, 2018), to help her completely overcome the addictive behavior which has the potential to present more risk to her health and slow down the process of her recovery.
Pain
I also show concern about the amount of pain that the patient complains to be experiencing. In empathetic reactions, I feel remorseful that she has to be undergoing such uncomforting episodes that must be certainly frustrating to her. Of more significant concern, I fear that such painful episodes might affect the therapy sessions and overall treatment procedure. On a personal account, I recall an incident when I was involved in an accident and fractured a rib bone. The pain was so intense that I often dreaded engaging in simple therapy sessions, even performing simple tasks such as breathing exercise required a great deal of coercion. For this reason, I can relate to Rosa's case when she previously showed reluctance to participate in the formulate exercise therapies that were part of her treatment plan.
Nevertheless, the same is the case in Rosa's present situation that I have to deal with. I am so afraid that her tendencies to resist therapy sessions would present challenges to me as the individual entrusted to her care. The current treatment plan would require her to brave such pains owing to the present diagnosis. In her current admission, she came in with tightness and pain in her chest which would probably require continuous breathing exercise. With the pain involved in such procedures, I fear that the significant challenge would be to encourage her through such exercises that are undoubtedly painful given her history of reluctance to engage in painful therapy sessions.
Conclusion
As a way of dealing with this challenge, I propose a change in the previously formulated treatment plan as used in her previous admissions at the Austin Hospital. First, I would encourage her to strictly adhere to the prescribed pain-relieving medication to help her cope during breathing exercise sessions. I also made a note that the previously used drugs constituted of Panadol and PDRN which are often for mild pains such as headaches. To effectively ease her pain, I would recommend stronger painkillers such as Tramadol and Diclofenac injections that are active in excruciating conditions like those that she is currently experiencing. In general, I believe that the being friendly to a patient also has some psychological effects in reducing the amount of pain experienced. For this reason, I would strive to maintain intimate contact with the patient throughout the treatment process to encourage her brave the painful episodes with hope and facilitate her speedy recovery.
References
Justus, N. (2018, May 25). Effects of Alcohol on Diabetes. Retrieved from Thediabetescouncil.com: https://www.thediabetescouncil.com/effects-of-alcohol-on-diabetes/
Searidge Foundation. (2018, may 35). Anti Addiction Medications to Treat Alcohol Dependency. Retrieved from Searidge Foundation: https://www.searidgealcoholrehab.com/anti-addiction-medication.php
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Paper Example on Health Risk Behavior. (2022, Jun 04). Retrieved from https://proessays.net/essays/paper-example-on-health-risk-behavior
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