Michael started working a part-time job at

Michael started working a part-time job at a nearby grocery shortly after graduating from high school, despite enrolling at the community college nearby and becoming more and more sad. Or maybe it was the other way around; he wasn’t sure. Soon, Michael and a few of his high school buddies were combining booze with the easily accessible opioid painkillers of the period. Michael engaged in this behavior for nearly two years, during which time his recently dating girlfriend ended things with him because of his drinking and drug use. His opiate usage progressed to daily nasal heroin use despite the fact that he was able to graduate from the 3-year institution and enroll in a nearby 4-year liberal arts college, in part because the pills had grown more challenging to come by. Michael’s parents, James and Liza, started to see that he wasn’t just going through a phase or having trouble adjusting; he had a drug addiction and was despondent. This realization came after his second ED visit for a heroin overdose. He was eight credits away from earning a BA degree at the time of the second ED visit, but because of frequent absences, his part-time work was in grave danger. He also lost most of his buddies who didn’t use drugs. Based on the case presented, what nursing theory was observed? Explain your answer guided by the Nursing Metaparadigm?

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