Monitoring father's health through standard vital sign and other appropriate tests will determine level of care; questions determine quality of life. Assessment of son for ability to act with increased responsibility may take a longer evaluative period.
Diagnosis 3
Possibility of resumed smoking by mother and father further reducing quality of life and ability to provide care, related to long-time smoker status and high rates of recidivism in smokers, as manifested in (and exacerbated by) the son's continuing status as a regular smoker
Objectives
To ensure that the mother and father remain non-smokers, and to mitigate the effects (both psychological and physiological) of the son's continued smoking. Son's cessation of smoking would be a secondary objective, but is not immediately advisable given his drug dependency status
Family Interventions
-Mother and father can develop regular responses to nicotine cravings, discuss frustrations
-Son should limit his smoking to outside areas, and preferably out of sight and smell of the house so as not to instigate or worsen cravings on the part of his parents
-Family should make an agreement that son will to leave cigarettes around or share them out, to reduce levels of temptation
Nursing Interventions
-Provision of educational materials and support concerning tobacco addictions
-Provision of quitting-aid substances and devices, if needed
-Developing smoking "schedule" with son to allow planned continuation of his smoking with limited effects on his parents or his wn psychological well-being
Evaluation
Ultimately, only self-reporting of smoking behaviors can be used as an evaluative tool.
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