Nursing Intervention Case Study

Intervention Plan
The most important goal for Emilia is for her to continue her sobriety. It is important for her not use drugs for her biological, psychological, social, and spiritual aspects of her life. The first goal Emilia and I would agree upon is going to ninety twelve step meetings like AA or NA consecutively for at least ninety days. This is an excellent way to tackle the behaviors and compulsion influencing her addiction. This social resource also gives Emilia an opportunity to establish a new support system. It will also start the groundwork to begin treating her existing trauma and life challenges she is confronting. This will help with her development of constructing her self-esteem and development of new coping skills. In
Throughout the one-on-one counseling we could address her feelings of guilt and shame regarding the abortion and losing custody of Joey. Another matter that needs addressed is the trauma surrounding her from her past relationships. In the group counseling we would address coping mechanisms and start gaining DBT skills. Family counseling would be a great way to involve Emilia’s family in her treatment and begin communication between Emilia and her family.
The third goal Emilia and I would work on is gaining job skills Emilia has always had a knack for helping care for people and would like to know how to become a nurse. Emilia will look at the community colleges in her area to see what kind of financial aid she can get. I will assist her in filling her FASFA to get her funding. In the meantime, Emilia will go to the Unemployment Office and get assistance with job training skills with computers, math, and technology that are offered free
Emilia is involved in both individual and group counseling on the surveys handed out every week Emilia reports improvement on DBT skills and coping mechanisms in handling stressful situations. Although Emilia is continuing treatment, her family is resistant to coming to family counseling, they have agreed however, to start once Emilia maintains at least six months of sobriety.
Working towards her third goal of school and job skills has been a downfall for Emilia. Her opinion of the matter it is too difficult to try to go to school while trying to do everything that is being asked of her. While not making any advancement on job training Emilia has started working at a grocery store as a cashier. At this time, Emilia is in the Precontemplation stage with this goal and refuses to acknowledge the goal anymore and states she is happy where she is working.
Finally, Emilia last goal is to attend parenting classes to improve her ability to care for Joey. The client is showing resistance towards achieving this goal. She continues to argue and negate not wanting to go on her parents still not allowing visitation with her son. After three sessions of using motivational interviewing I assigned her the Decisional Balance exercise to evaluate her current behavior. Emilia magnificently completed the assignment and gained insight on why the classes are important. The client has now signed up for the next session