2.50
Hdl Handle:
http://hdl.handle.net/10755/149642
Type:
Presentation
Title:
Safe Clinical Course through Alcohol Withdrawal
Abstract:
Safe Clinical Course through Alcohol Withdrawal
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Adams, Constance A., BSN, RN
P.I. Institution Name:Purdue University Calumet
Title:Graduate Student
Co-Authors:Kathleen Rich, PhD, RN, CCNS, CCRN-CSC, CNN
[Invited Poster or Paper Session] Hospital nurses commonly deal with the complexities of managing the care of patients in acute alcohol withdrawal.  Patients who are admitted for alcohol withdrawal syndrome (AWS) may manifest symptoms from very mild, to severe and life threatening. Nurses are at the front line, providing close supervision to make dynamic decisions about care.  Specialized knowledge of the physiology of AWS facilitates a patient centered approach to care including pharmacological and non pharmacological  support which may be required to safely manage symptoms.  Evidence shows that when a standardized tool to guide assessment and treatment  is employed by nurses, the target outcome for most patients is a safe course of withdrawal.  A nurse managed protocol was developed  by a multidisciplinary team based on best available evidence. The revised Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-Ar) (Sullivan, Sykora, Schneiderman, Naranjo, & Sellers, 1989) was chosen to quantify alcohol withdrawal symptoms when patients were able to participate. The protocol provided decision support for the choice of an appropriate setting and medication regimen for management of symptoms. The dose and frequency of a short acting benzodiazepine was based on the the assessed severity of symptoms and guided the frequency of patient re-assessment with the CIWA-Ar scale by nursing staff.  Patients' safe passage through risky illness like AWS depends upon health care providers using the best available evidence.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSafe Clinical Course through Alcohol Withdrawalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149642-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Safe Clinical Course through Alcohol Withdrawal</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Adams, Constance A., BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Purdue University Calumet</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Graduate Student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ccadm7623@sbcglobal.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathleen Rich, PhD, RN, CCNS, CCRN-CSC, CNN</td></tr><tr><td colspan="2" class="item-abstract">[Invited Poster or Paper Session] Hospital nurses&nbsp;commonly deal with&nbsp;the complexities of managing the care of&nbsp;patients in acute alcohol withdrawal.&nbsp;&nbsp;Patients who are admitted for alcohol withdrawal syndrome (AWS) may&nbsp;manifest symptoms from very mild, to severe and life threatening. Nurses are at the front line, providing&nbsp;close supervision&nbsp;to make dynamic decisions about care.&nbsp;&nbsp;Specialized knowledge&nbsp;of the physiology of AWS&nbsp;facilitates&nbsp;a patient centered&nbsp;approach to care&nbsp;including&nbsp;pharmacological and non pharmacological&nbsp; support which may be required to&nbsp;safely&nbsp;manage symptoms.&nbsp; Evidence shows that&nbsp;when a standardized tool to guide&nbsp;assessment and treatment&nbsp; is employed by nurses, the&nbsp;target outcome for most patients&nbsp;is a safe course of withdrawal.&nbsp; A nurse managed protocol was developed&nbsp; by a multidisciplinary team based on best available evidence.&nbsp;The revised Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-Ar) (Sullivan, Sykora, Schneiderman, Naranjo, &amp; Sellers, 1989) was&nbsp;chosen&nbsp;to quantify alcohol withdrawal symptoms when patients were able to participate. The protocol&nbsp;provided decision support for the choice of an appropriate setting and medication regimen&nbsp;for&nbsp;management of symptoms.&nbsp;The dose and frequency of a short acting benzodiazepine was&nbsp;based on the the assessed&nbsp;severity of symptoms and guided the frequency of&nbsp;patient re-assessment with the CIWA-Ar scale by nursing staff.&nbsp;&nbsp;Patients' safe passage through risky illness like AWS depends upon health care providers using the best available evidence.</td></tr></table>en_GB
dc.date.available2011-10-26T10:06:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:06:30Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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