(PDF) An Evaluative Case Study

Running head: EVALUATIVE CASE STUDY
Evaluative Case Study
Name of the Student
Name of the University
Author Note

EVALUATIVE CASE STUDY 1
Table of Contents
Introduction................................................................................................................................2
Discussion..................................................................................................................................3
Situation:................................................................................................................................3
History:...................................................................................................................................3
Assessment:................................................................................................................................4
Rx/Treatment:.............................................................................................................................5
Evidence:................................................................................................................................6
Evaluation..................................................................................................................................6
Conclusion..................................................................................................................................7
References..................................................................................................................................9

EVALUATIVE CASE STUDY 2
Introduction
For more than a decade, methadone has been used for the treatment of the opiate-
addicted individuals for separating them from their addiction to morphine, heroin and other
opioids.Methane is a synthetic narcotic which interferes with the capability of the heroin to
focus dopamine receptors inside the brain.The use of methadone helps in controlling the drug
addicts from further harming themselves.The opioid use in the time of pregnancy has
increased rapidly in the current years which in turn as risen the chances of the epidemic in the
women of the general population. According to the report of Australian helath department
conducted by the Australian Bureau of Statistics ,more than 41.6% of women in the current
era are diagnosed with the addiction of drug and alcoholism during and before their
pregnancy. not only women, specifically preganant women, but also infants and kids are
affected due to such substance abuse through out the world and among different race and
ethinicity. therefire, it is necessary to carry out screening It should be an essential part of the
comprehensive obstetric care and it should be done in the first parental visit with the woman
who is undergoing the pregnancy. Multidisciplinary follow-ups must include developmental,
medical and social supports (The Royal College of Midwives, 2012). Neonatal abstinence
syndrome. can alkso help to diagnose the use of opoids while pregnancy as the women who
uses such service whie pregnancy develops the sympotoms of the syndrome. It has often been
found that proper universal screening, brief intervention, and treatment referral for pregnant
women with the use of opioid improve and develop outcomes regarding infants and maternal
health. Besides the psychological benefits, the treatment related to methadone is one of the
best methods for the treatment of opioid dependence due to its pharmacokinetic properties.
Some of the other benefits of the treatment are that the methadone is generally active when
they are taken orally, furthermore, it is associated with fewer and lower sedating and euphoric

EVALUATIVE CASE STUDY 3
effects that antagonize that effects of other opioid medications. But too much use of the
methadone drugs during pregnancy tends to cause preterm labor and the neonate with very
low birth weight, it further tends to cause development delays among neonate.Too much use
of drugs during pregnancy is harmful to the foetus.
Discussion
(S) Situation:
The situation explains the case of Ms. Robertson who is a homeless person who
currently seeks diagnosis and helo to the emergency of the Tweed Hospital being pregnant
for 36 weeks.The hospital suspected SROM, signs of opioids withdrawals and Hepatitis C
positive in Ms. Robertson.Furthermore, she was not treated with any antenatal care and was
suspected intrauterine growth restriction.She was transferred to the daily assessment unit of
the women’s care at the hospital for a proper assessment of pregnancy.
A midwife noticed that the foetus of Ms. Robertson was measuring around 32 weeks.
Besides she came to know that Ms. Robertson has been using 100 mg illicit morphine on a
daily basis and was smoking 10 cannabis cones daily in the past years. After successful
consultation with the midwife, Robertson was sent for a growth scan USG for the effective
access to the condition of the foetus. Furthermore, she was recommended to immediately
contact the opioids treatment services for the replacement of the opioid therapy.
(H) History:
Ms. Robertson was raised and abandoned by her parents who had a history of
problematic substance abuse.Her parents were alcohol users, opioid and chronic cannabis.
According to reports, the patient started using cannabis at the age of 8 and morphine at the