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Care of the Patient with an Addictive Personality

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Presentation on theme: "Care of the Patient with an Addictive Personality"— Presentation transcript:

1 Care of the Patient with an Addictive Personality
Substance Abuse Mental Health Unit III

2 Theories of Etiology for Abuse
Exact Cause is unknown Genetic component Learned Behavior Risk Factors

3 Drug Seeking Behaviors
Best viewed as “Learned Instrumental”

4 Definitions….. Abuse Addiction Alcoholism

5

6 Addictive Personality Traits
Low stress tolerance Dependency Negative self-image Feelings of insecurity Depression

7 Brief History …. Alcohol & drugs as medicine Temperance Movement
Prohibition Small drop in ETOH use (2%), many people still use illicit drugs 4.4 million chronic drug uses (NIDA) 1970 Comprehensive Drug Abuse and Controlled Substances Act

8 National Institute on Alcohol Abuse and Alcoholism states…
In 2013, people > 18 y.o. reported: 86.8%  used alcohol at some point 24.6%  engaged in “binge drinking” in the past month 16.6 million had an AUD 1.3 million received treatment for an AUD

9 Facts & Statistics ( cont’d)
Nearly 88,000 die from alcohol-related causes annually in 2012, 3.3 million deaths were attributed to alcohol consumption Alcohol contributes to over 200 disease & injury related health cond. More than 10% of U.S. children live w/ a parent w/ alcohol problems

10 3 Stages of Dependence Early Middle Late

11 Early Stage Critical Thinking Q’s
1) What are the characteristics of a person in the “Early Stage”?? 2) What is the prognosis?

12 Middle Stage Critical Thinking Q’s
1) What are the characteristics of a person in the “Middle Stage”?? 2) What is the prognosis?

13 Late Stage Critical Thinking Q’s
1) What are the characteristics of a person in the “Late Stage”?? 2) What is the prognosis??

14 Alcohol Abuse and Alcoholism
Factors contributing to development Biologic Genetic Ethnicity Personality Cultural Differences

15 Etiology & Pathophysiology
Effects on brain Diuretic affect Intestinal mucosa Nutritional value

16 Disorders Associated with Alcoholism
Fetal alcohol syndrome Alcohol Withdrawal Syndrome Delirium Tremens Korsakoff psychosis & Wernicke’s Encephalopathy

17 Assessment Subjective Data: Normal dietary patterns
Presence of other disease and Rx OTC drugs

18 Subjective Data (con’t)
History Problems with family, occupation or legal Family history of substance dependency

19 Critical Thinking Q What objective data is important to obtain??

20 Diagnostic Tests Blood and urine for toxins Liver enzymes Glucose HIV and hepatitis

21 Nursing Diagnosis Early Stage Middle Stage Late Stage

22 Interventions Detoxification Safety IV fluids Seizure precautions Medications Reduce stimuli

23 Interventions con’t Provide good nutrition Cardiorespiratory distress
Therapeutic communication Provide good nutrition

24 Rehabilitation What is the object of treatment?? Treatment programs

25 Types of Treatments Group Therapy Alcoholics Anonymous
Treatment Centers

26 Other Addictive Substances

27

28 Pain Management Use of addictive substances Nonopiod Opiod Antianxiety
Nonchemical

29 Drug Abuse Illegal drugs Prescription drugs OTC Club drugs

30 Drug Abuse Affects Us All…
Adolescence Mental Illness Homelessness Crime Education The Workplace Consequences of Drug Abuse

31 Depressants (CNS) Sedative-hypnotic drugs Barbiturates Benzodiazepines

32 Depressants (con’t) Opiod analgesics Heroin Morphine sulfate
“ Cold Turkey??” S/S of Withdrawal?? Methodone? Narcan

33 Stimulants Caffeine Nicotine Cocaine Amphetamines Methamphetamine

34

35 Hallucinogens PCP: phencyclidine LSD: lysergic acid diethylamide

36 Hallucinogens con’t MDMA: Ecstasy Ketamine Mescaline and Psilocybin

37 Cannabis Sativa Marijuana Hashish THC What is “Amotivational Cannabis Syndrome”?

38 Inhalants Solvents Glues Lighter fluid Cleaning fluid Anesthetic gases

39 SURPRISING ADDICTIONS
COULD YOU BE HOOKED ? SURPRISING ADDICTIONS

40 COULD YOU BE HOOKED??? Smartphones Coffee Chocolate & other sweets
Shopping Gambling Plastic Surgery Tanning Exercise

41 Social Media Sex How does Addiction start?? Are all addictions the same??

42 Chemically Impaired HCW
Indicators of abuse Peer assistance programs Healthcare Integrity and Protection Data Bank (HIPDB)

43 Domestic Violence


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