Nursing care of Alcohol withdrawal patient with pneumonia and respiratory failure : Two Case Comparative Studies

Abstract

This study It is a comparative study of nursing care for two patients with alcoholism who had lung infection along with acute respiratory failure. who received treatment as a patient at Silalad Hospital During the period between August 2024 and September 2024, study with Gordon's conventional health assessment Using the 5-step nursing process and related nursing theories Results from the two comparative case studies Case study number 1: A 48-year-old Thai man came with a seizure. nausea and vomiting After stopping drinking for 3 days before coming to the hospital History of drinking alcohol every day Refuse to have congenital disease. Case study number 2: A 71-year-old Thai man came with symptoms of high fever, confusion, and urinating after stopping drinking for 3 days. History of drinking alcohol every day. Refuse congenital disease. The two case studies found that they were addicted to alcohol and had symptoms of severe alcohol withdrawal (alcohol withdrawal) and sepsis (sepsis), together with respiratory pneumonia and acute respiratory failure. Patients receive medical care for alcohol withdrawal symptoms according to nursing standards, consisting of assessment of problems and needs (first reception/critical phase, continuous phase, discharge planning phase) Nursing diagnosis Nursing planning Evaluation of nursing practice, discharge planning, and continuing care. Joint care is planned for all stages of illness. Resuscitation was obtained through intubation. Sent for further treatment at Sisaket Hospital. Differences in age and health status Complications of the disease cause different levels of severity of the disease. In the first case, he received treatment at Sisaket Hospital and was sent home, likely to be a bedridden patient. The second case study received treatment at Sisaket Hospital and was distributed by a patient who died in the hospital. The researcher followed up on patients after discharge from Silalad Hospital, coordinating a multidisciplinary team to give advice and encouragement to families after discharge.