1. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 31 Substance Abuse

2. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Commonly Abused Substances in the United States Tobacco Alcohol Street drugs Prescription drugs

3. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 History of Substance Abuse in the U.S. Whiskey Rebellion Civil War Prohibition 1930s

4. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 History of Substance Abuse in the U.S. (cont.) 1960s 1980s 1990s 2000s

5. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Substance Abuse Statistics for the 2000s Prevalence Trends Morbidity Mortality

6. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Nature of Addiction Viewed as a disease Tolerance Withdrawal Physiologic dependence

7. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Effects of Substance Abuse on Health Tobacco  Stimulant  Increases risk for disease Alcohol  Depressant  Increases risk for disease

8. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Effects of Substance Abuse on Health Marijuana Heroin Cocaine Methamphetamine

9. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Effects of Substance Abuse on Health (cont.) Caffeine  Stimulant  Widely used  Affects multiple body systems

10. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Properties of Sedatives Addictive properties Intoxication Overdose Withdrawal

11. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Properties of Narcotics Addictive properties Intoxication Overdose Withdrawal

12. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Properties of Cocaine Addictive properties Intoxication Overdose Withdrawal

13. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Drugs Misused and Abused Steroids Inhalants Prescription drugs

14. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Common Attitudes of Nurses toward Substance Abusers Judgmental Negative Uncaring Important to convey a caring, nonjudgmental attitude

15. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Legal Issues Relationship between substance abuse and crime

16. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Substance Abuse and the Community Health Nurse Effects of attitudes on the delivery of care  Use of labels  Unrealistic expectations

17. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 At Risk Populations Women Children and youth Elders Gays, lesbians, and transgender Mentally ill Health care professionals

18. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Levels of Prevention Primary prevention  Community based  Health promotion activities

19. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Levels of Prevention Secondary prevention  Assessment in home, schools, workplace  Facilitate effective family coping strategies

20. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Levels of Prevention (cont.) Tertiary prevention  Detoxification  Transitional housing  Clinics & hospitals  Home care  Support groups

21. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 31 Key Concepts “Equal opportunity” addictions Individual and societal approach to care Self-awareness of attitudes toward caring for clients with addiction