We have gone over . For the schizophrenia medical diagnoses, utilize the patient, Ken Jackson to answer the following: · one diagnosis (p. 466 in Varcarolis or use Ackley Nursing DX Handbook). · 2 SMART patient goals (one short term and one long term) and · 2 nursing interventions for each goal for a total of 4 interventions. = Specific, Measurable, Attainable, Realistic and Timed 1. Schizophrenia a. Nursing diagnosis: Substance abuse b. Patient Goal (SMART form): c. Nursing intervention

Schizophrenia is a chronic mental disorder characterized by abnormal interpretations of reality. It affects a person’s thoughts, emotions, and behaviors, often leading to a significant impact on their daily functioning. Diagnosis of schizophrenia involves a comprehensive assessment, including a thorough medical and psychiatric history, clinical observation, and presence of specific symptoms.

One diagnosis that may be relevant to Ken Jackson, who is a patient with schizophrenia, is substance abuse. Substance abuse refers to the excessive use of substances, such as drugs or alcohol, which can further exacerbate the symptoms of schizophrenia and hinder the recovery process. It is crucial to address this diagnosis as it can significantly impact the overall treatment outcome for individuals with schizophrenia.

When setting patient goals using the SMART format (Specific, Measurable, Attainable, Realistic, and Timed), it is essential to consider both short-term and long-term objectives. Short-term goals are typically achievable within a shorter timeframe, often a few weeks or months, while long-term goals are broader and may require more extended periods of time to accomplish.

For Ken Jackson, a short-term SMART patient goal related to substance abuse could be as follows:

Goal: Within three months, Ken will reduce his substance abuse by attending weekly therapy sessions and engaging in healthier coping strategies.

To achieve this goal, the following nursing interventions can be implemented:

1. Nursing Intervention 1: Collaborate with Ken to create a personalized relapse prevention plan.
Description: The nurse will work together with Ken to identify triggers for substance abuse and develop strategies to avoid or cope with these triggers effectively. This plan may include identifying supportive individuals, engaging in alternative activities, and practicing stress management techniques.

2. Nursing Intervention 2: Educate Ken about the impact of substance abuse on his mental health and the course of his illness.
Description: The nurse will provide psychoeducation to Ken, explaining the relationship between substance abuse and the exacerbation of schizophrenia symptoms. This education will focus on the negative effects of substance abuse on his overall well-being and the importance of abstaining from substances to improve his mental health outcomes.

For a long-term SMART patient goal related to substance abuse, the following could be relevant for Ken Jackson:

Goal: Within one year, Ken will achieve and maintain abstinence from substance abuse through ongoing therapeutic support and engagement in a recovery program.

To achieve this goal, the following nursing interventions can be implemented:

1. Nursing Intervention 1: Facilitate access to substance abuse treatment programs and community support groups.
Description: The nurse will assist Ken in finding appropriate substance abuse treatment programs and local support groups that can provide him with the necessary resources and long-term assistance in maintaining abstinence. This may involve connecting him with organizations such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

2. Nursing Intervention 2: Provide ongoing counseling and support to address underlying emotional and psychological issues related to substance abuse.
Description: The nurse will engage in regular therapeutic sessions with Ken, focusing on identifying and addressing the underlying reasons behind his substance abuse. This intervention may involve exploring coping mechanisms, developing healthier alternatives, and providing continuous support to prevent relapse.

By implementing these nursing interventions, healthcare providers can address the diagnosis of substance abuse in individuals with schizophrenia like Ken Jackson. It is crucial to integrate a holistic treatment approach that considers the interaction between substance abuse and schizophrenia symptoms to optimize treatment outcomes and enhance the individual’s overall well-being.