Name:______________                         Care Plan Number: 1

 

Care Plan: Alcohol Detox

 

 

 

Goals

 

  1. To ease the symptoms I suffer from alcohol withdrawal
  2. To minimise the possibility of me suffering withdrawal fits

 

 

Things the staff will do to help me are….

 

  1. To ensure my Selective Severity Assessment (SSA) chart is filled in prior to my first dose of Chlordiazepoxide to give a baseline of the withdrawal symptoms I’m suffering
  2. To complete the SSA chart in the morning, prior to giving me my medication
  3. If my SSA score reaches or exceeds 10, the nurse-in-charge and the medical team will be informed, as this may indicates I’m experiencing severe withdrawal symptoms, and, increases the possibility of me suffering fits
  4. If there are any dramatic changes in my SSA score, either up or down, then the medical team will be informed, as this could indicate the dose of my medication needs changing

 

 

Things that I know help me are…..

 

  1.  
  2.  
  3.  
  4.  

 

 

Notes for my carers….

 

In implementing the above interventions, utilise the 10 commitments of the Tidal Model, particularly:

6 Be transparent. Work together with the person to help them understand what is being done and why, in order to build their confidence

7 Use the available toolkit. The person is more aware of what helps them than the helper. Help them to examine ‘their story’ and use what has helped them in the past.

8 Craft the step beyond. Work together with the person to determine a joint appreciation of what needs to be done ‘now’.

 

Utilize the three ‘domains’ in implementing and evaluating the above interventions. (See over page for information on the domains).

The Three Domains

The Tidal Model focuses on the process by which the person was, metaphorically, 'washed ashore', 'risks drowning' or is otherwise 'marooned' by their life problems. The process of care is based on an integration of understanding of the person's present and future needs across the three domains of personhood.

 

The World domain - or lived-experience - is the centrepiece for an in-depth, collaborative, and holistic, exploration of the person's need for understanding. From this emerges an appreciation of what needs to be done - by the person and others - to address current problems of living, and to move towards a more complete experience of mental health.

 

The Self domain represents the location for the person's need for emotional and physical security. In the context of people in great mental distress, this often represents the heart of the necessary 'care plan', since without emotional and physical security, it is impossible to begin to address the subtleties of the lived-experience within the World domain.  

 

The Others domain represents the person's existing and potential relations with the social world - family, friends, community and culture. This domain also includes the person's relationship with the professional support agencies that might offer help in times of crisis. 

 

This triangulation emphasises the reciprocity of the three domains; one is no more important than the other, but synergistically generates the concept of the 'unique individual' who is like no other person.