Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Substance Use Disorders

No description
by

Annissa Jackson

on 16 April 2015

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Substance Use Disorders

Co-morbidities and Co-occurring disorders
Restore physical and emotional stability, motivate clients to continue treatment, improve self-image, gain insight, planning for future
Behavior change
Life long process

Rehabilitation
Substance abuse with psychiatric illness
If mental illness reason for admission, focus of treatment with mental illness
If substance abuse reason for admission, focus on treatment of substance abuse
If both, treat both
Controlled Substances
Withdrawal
Tremors
Nausea and vomiting
Autonomic nervous system hyperactivity
WHAT DOES THIS MEAN?
Insomnia, nightmares and hallucinations
Delirium tremens (DTs)
Occurs within 48 hours of cessation and can continue for up to 1 week
Symptoms as above but may also have other hallucinations from anxiety and fear
Alcohol-Related Disorders
Mind- and Mood-altering effects of CNS depression similar to barbiturates
Intoxication occurs with circulating alcohol interferes with normal neurologic functioning
Sedation
Impaired mental and motor function
Deepening stupor
Coma
Death form respiratory and circulatory collapse
Substance Abuse and Dependence
Substance Abuse
:
repeated use with functional problems. No withdrawal symptoms when stopping use.

Substance dependence
:
Using despite significant impairments to daily living (also addiction)

Tolerance
: less responsive with increased use
Substance Use Disorders
_______________ most frequently used illicit drug
Substance abuse seems to increase in people are exposed to drug use in their _______ _______.
Substance abuse is influenced by ________ _______ and ___________.
The specific neuro-receptor that is affected is ________.
Disorders most related with alcohol abuse: ________, _________, ___________
Facts
Begins in mouth, stomach and small intestine
Increased with carbonation
When a person drinks faster than the body can metabolize the alcohol, it accumulates in the blood
Food in stomach slows absorption, especially fatty foods
Emotion can increase absorption
Metabolized in liver; remainder eliminated through breath, sweat, and urine
Metabolizes 1 oz per hour
Absorption
Implications
Fetal Alcohol Syndrome (KNOW THE SIGNS pg 635)
Goals (Box 30.3)
1. Detoxification (provide safe and humane withdrawal process, maintain dignity, control access to meds
Alcohol detox in 3-5 days (sedatives, anticonvulsants, antipsychotics)
pg 639
2. Rehabilitation
short term (6 months)
long term medication maintenance program and residential therapy
Nursing Process
Facts
_
Marijuana
___ most frequently used illicit drug
Substance abuse seems to increase in people are exposed to drug use in their
Personal Lives
_.
Substance abuse is influenced by __
genetics
and __
Learned behaviors
__.
The specific neuro-receptor that is affected is _
Dopamine
_______.
Disorders most related with alcohol abuse: __
Depression_, Anxiety_, Antisocial behavior
.
Intoxication
: maladaptive behavior, slurred speech, lack of coordination, unsteady gait, nystagmus, flushed face, irritable, talkativeness, impaired attention
Blackouts
: Clients function normally while drinking but later can't remember what happened
Tolerance:
physical (needs more to achieve desired effects. Can experience withdrawal symptoms) Behavioral (ability to mask the drug's effects)
Withdrawal
: abstinence syndrome, irritable and impatient behavior
Complications
GI, CV, Cancer, Blood disorders, Immune disorders
Liver damage (red palms, white nails, clubbing, large liver)
Alcoholic Amnestic Disorder
Thiamin deficiency
Wernicke's encephalopathy (paralysis, ataxia, disorientation
Alcoholic Dementia
Stimulants
Amphetamines
norepinephrine & dopamine
Increased energy, alertness, or concentration
CV and temperature control problems
Methamphetamine
highly addictive
release high levels of dopamine
paranoia, hallucinations, depression, tooth decay, motor disturbances, CVA, weight loss
MDMA
ecstacy
malignant hyperthermia, kidney and CV failure and death
Cocaine
short-term energy, alertness
effects wear off, fatigues, annoyed and needing more
Long term use leads to dopamine depletion
Cannabis
Marijuana
Long term use impairs memory, attention, reaction time and balance
Hallucinogens
rapid emotional shifts
euphoria
altered perception, memory, judgment
Opioids
Opium, heroin,morphine, and codeine
reverses with naloxone (Narcan)
Withdrawal symptoms:
cramping, tremors, panic, chills
Sedatives, Hypnotics, Anxiolytics
barbiturates, benzodiazapine, tranquilizers
Affects similar to alcohol
GHB (blackouts)
GHB and Rohypnol (date rape) drugs
More difficult to treat
EBP indicate combined pyschopharmacologic, motivational, and behavioral intervention best
multisystem therapy
brief strategic, family therapy
assertive community treatment
Detoxification from Alcohol:
Medications (Pharmacology 20.1 pg 639)
Clinical Institute Withdrawal Assessment of Alcohol Scale (CIWA-Ar)
Long term therapies
disulfiram (Antabuse)
naltrexone (Depade, ReVia, and Vivitrol)
acomprosate (Campral)
baclofen (Lioresal)
Detoxification from opioids:
Methadone
naltrexone
buprenorphine
Self-Help Groups
AA
identify common problems to overcome compulsion
Hitting bottom
Brief therapy: immediate solutions to acute problems
support system
Table 30.2 and Box 30.4
The CAGE Questionnaire for Substance Abuse Screening
Full transcript