Substance Abuse: Nursing Care – Flashcards

Examine feelings about working which pt who abuses substances

Must be able to separate the client from the behavior and accept the individual

Screen for withdrawal with 1. CIWA-Ar 2. Michigan Alcoholism Screen Test 3. CAGE a. Cut down? b. Annoyed? c. Guilty? d. Eye-opener (drink in the morning?)

1. Clarify signs 2. Assess for withdrawal 3. Assess overdose 4. Assess self-harm potential 5. Evaluate physiological response 6. Explore interest in taking action 7. Assess knowledge of community resources

1. Compulsive behavior 2. Cravings 3. Chronic, relapsing brain disorder 4. Cognitive impairment

1. Risk for injury 2. Risk for infection 3. Risk for suicide 4. Imbalanced Nutrition: less than body requirements/deficient fluid volume 5. Deficient knowledge 6. Chronic low self-esteem 7. Ineffective coping 8. Ineffective denial

1. has not experienced physical injury 2. has not caused harm to self or others 3. accepts responsibility for own behavior 4. acknowledges association between personal problems and use of substances 5. demonstrates more adaptive coping mechanisms 6. shows no signs/symptoms of infection or malnutrition 7. exhibits evidence of self-worth by trying new projects without failure and is less defensive 8. verbalizes importance of obtaining from substance

Detoxification Intermediate care Rehabilitation

Detoxification by 1. providing a safe and supportive environment 2. administering substitution therapy

1. Explanations of physical symptoms 2. Promote understanding/identify the cause of substance addiction 3. Education/assistance in course of treatment to client/family

Encouragement of continued participation Promote participation in outpatient support (AA) Assist to find alternative sources of satisfaction Provide support for health promotion and maintaince