Julianna is currently undergoing an evaluation for a potential alcohol-related issue. She has disclosed that she typically consumes one or two glasses of wine nearly every day, with occasional exceptions such as a recent weekend where she attended a colleague's birthday celebration and consumed an estimated 6 to 7 drinks. This celebration extended late into the night, and she had to report to work as a nurse the following morning at 7 AM. During her morning shift, she was involved in an incident where a patient became agitated and left her with a bruise. As a precautionary measure, she was sent to the emergency room for evaluation. As part of this assessment, bloodwork was conducted, which revealed a Blood Alcohol Content (BAC) level of .85, exceeding the legal limit. Consequently, she was placed on unpaid administrative leave while the assessment process continues. Julianna mentioned having a single drink 2 or 3 nights ago, attributing it to the stress stemming from the incident. However, she claims to have otherwise abstained from alcohol use. She states that she has no history of substance use, including cannabis, and is not currently taking any prescription medications. Before the incident, Julianna reported no legal, health, relationship, family, or work-related issues. She also mentioned that there were periods where she would go without drinking for several days, although this had not been the case in the month leading up to the incident. Her husband, contacted by the assessor, expressed no concerns about her drinking and believes the situation has been blown out of proportion. Julianna firmly denies that her alcohol consumption is problematic and views the incident as an unfortunate occurrence. She insists that had she felt impaired in any way, she would not have gone to work and believed that the alcohol she consumed the previous night would not still be affecting her. Julianna was subjected to a urine drug screen, which included an assessment for alcohol metabolites (EtG). While she did not have a detectable BAC at the time (indicating she was not currently under the influence of alcohol), the low EtG result suggests either heavy alcohol consumption within the past 80 hours or recent alcohol ingestion within the last 24 hours. These findings, along with the bloodwork results from the incident, indicate that Julianna may be downplaying the extent of her alcohol consumption to some extent. regarding drug use, addiction, and the DMS-5's criteria for a Substance Use Disorder diagnosis to diagnose each individual. For each scenario, present your diagnosis in the following format: Individual's Name Substance Used Diagnosis Severity
Julianna is currently undergoing an evaluation for a potential alcohol-related issue. She has disclosed that she typically consumes one or two glasses of wine nearly every day, with occasional exceptions such as a recent weekend where she attended a colleague's birthday celebration and consumed an estimated 6 to 7 drinks. This celebration extended late into the night, and she had to report to work as a nurse the following morning at 7 AM.
During her morning shift, she was involved in an incident where a patient became agitated and left her with a bruise. As a precautionary measure, she was sent to the emergency room for evaluation. As part of this assessment, bloodwork was conducted, which revealed a Blood Alcohol Content (BAC) level of .85, exceeding the legal limit. Consequently, she was placed on unpaid administrative leave while the assessment process continues.
Julianna mentioned having a single drink 2 or 3 nights ago, attributing it to the stress stemming from the incident. However, she claims to have otherwise abstained from alcohol use. She states that she has no history of substance use, including cannabis, and is not currently taking any prescription medications.
Before the incident, Julianna reported no legal, health, relationship, family, or work-related issues. She also mentioned that there were periods where she would go without drinking for several days, although this had not been the case in the month leading up to the incident. Her husband, contacted by the assessor, expressed no concerns about her drinking and believes the situation has been blown out of proportion. Julianna firmly denies that her alcohol consumption is problematic and views the incident as an unfortunate occurrence. She insists that had she felt impaired in any way, she would not have gone to work and believed that the alcohol she consumed the previous night would not still be affecting her.
Julianna was subjected to a urine drug screen, which included an assessment for alcohol metabolites (EtG). While she did not have a detectable BAC at the time (indicating she was not currently under the influence of alcohol), the low EtG result suggests either heavy alcohol consumption within the past 80 hours or recent alcohol ingestion within the last 24 hours. These findings, along with the bloodwork results from the incident, indicate that Julianna may be downplaying the extent of her alcohol consumption to some extent.
regarding drug use, addiction, and the DMS-5's criteria for a Substance Use Disorder diagnosis to diagnose each individual. For each scenario, present your diagnosis in the following format:
- Individual's Name
- Substance Used
- Diagnosis
- Severity
A substance use disorder (SUD) is a complex and chronic medical condition characterized by problematic use of substances such as alcohol drugs or medications It includes a range of behaviors and symptoms including substance a use, desire, tolerance in various areas of life such as as health, work and relationships. Withdrawal as well as failure to control negative consequences is recognized and categorized by SUD by specific comorbidity and severity of symptoms which can range from mild to severe Effective treatment often combines medical, psychological, and social factors targeted interventions to recover and promote improved well-being.
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