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As a nurse in a local homeless shelter, you see clients from all walks of life a

ID: 238429 • Letter: A

Question

As a nurse in a local homeless shelter, you see clients from all walks of life and health status. While much of your time is spent in assessing and referring clients to needed medical and mental health services, a significant portion of your time is spent engaged with clients in the various levels of disease and injury prevention. Your latest activities include residential groups focused on the prevention of alcoholism and its secondary conditions. Members of one of the groups include Dusty Phillips, a 57-year-old man with a 22-year history of alcoholism who has had type 1 diabetes mellitus for 52 years; Lily Tompkins, a 32-year-old woman who is a recovering alcoholic and who has AIDS; and 21-year-old Riley Dunston,a young man who is currently walking across the United States and enjoys a few beers per day. a. In relation to alcohol addiction prevention, what is the prevention level of each of the group members? b. What levels of prevention would address their secondary conditions? c. Which primary prevention strategy is vital to the wellness of the group members? Why?

Explanation / Answer

Alcohol consumption leads to alcohol dependence and abuse,contributing to number of diseases,mental and behavioral disorders,leading to a wide range of injuries

a) Prevention level for each group member

Prevention program for youth which includes the way how a young man can stay away or say no to alcohol,changing their family or community dynamics can prevent are at least delay their alcohol use.A school based intervention could be started so that youngsters avoid alcohol

For age old people like Mr.Dusty ,health education and its complications should be given so a healthy lifestyle to be followed

For a individual who is already suffering from.chronic ailments the necessity for quality of life to be explained.

b)Level of prevention

Government policy and laws about alcohol to be made aware

Preventing drinking in military,work place,college,engaging community to prevent underaging drinking,targeted prevention approach,telling about high risk drinking

b)Primary prevention strategies

School strategies,

extracurricular strategies,

Family strategies,

Policy strategies

Community strategies

providing the Right message

Keeping tabs on your teen

Rule enforcement

Be open to teens

Social or life skill training

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