Zaburzenie związane z używaniem substancji (uzależnienie od substancji)
Charakterystyka, pielęgnacja i opieka
Zaburzenia związane z używaniem substancji to przewlekłe choroby mózgu charakteryzujące się utratą kontroli nad używaniem substancji psychoaktywnych pomimo negatywnych konsekwencji zdrowotnych, społecznych i prawnych. Występują one u ponad 20 milionów osób w USA, a globalnie w 2017 roku 271 milionów dorosłych (5,5%) używało nielegalnych narkotyków. Diagnoza i leczenie wymagają kompleksowej oceny fizycznej i psychologicznej, uwzględniającej objawy odstawienia, współistniejące schorzenia oraz zmiany behawioralne. Kluczowe diagnozy pielęgniarskie obejmują ostry zespół odstawienia, nieskuteczne radzenie sobie, ryzyko urazu, zaburzenia odżywiania, ryzyko samobójstwa oraz zaburzenia interakcji społecznych. Interwencje pielęgniarskie obejmują monitorowanie parametrów życiowych, farmakoterapię (np. disulfiram, akamprozat, naltrekson, metadon, buprenorfina), psychoterapię, edukację pacjenta i rodziny oraz wsparcie w zapobieganiu nawrotom. Leczenie wspomagane lekami (MAT) jest standardem dla opioidów, alkoholu i nikotyny, łączącym farmakoterapię z terapiami behawioralnymi.
- Zaburzenie związane z używaniem substancji (uzależnienie od substancji)
- Diagnoza pielęgniarska i ocena pacjenta
- Planowanie opieki pielęgniarskiej
- Interwencje pielęgniarskie
- Detoksykacja i leczenie objawów odstawienia
- Farmakoterapia i wsparcie farmakologiczne
- Wsparcie psychologiczne i terapeutyczne
- Edukacja pacjenta i rodziny
- Specyficzne aspekty opieki pielęgniarskiej
- Podejście do pacjenta i budowanie relacji terapeutycznej
- Opieka nad pacjentem w trakcie odstawienia
- Postępowanie w przypadku współistniejących zaburzeń psychicznych
- Zapobieganie nawrotom
- Role pielęgniarki w leczeniu uzależnień
- Pielęgniarstwo specjalistyczne w leczeniu uzależnień
- Pielęgniarka jako członek zespołu interdyscyplinarnego
- Edukacja i profilaktyka
- Wsparcie dla rodzin pacjentów
- Modele i podejścia do leczenia uzależnień
- Podejście skoncentrowane na pacjencie
- Redukcja szkód
- Leczenie wspomagane lekami (MAT)
- Terapie behawioralne i podejścia psychoterapeutyczne
- Wyzwania i specjalne populacje w opiece nad uzależnieniami
- Stygmatyzacja i bariery w dostępie do leczenia
- Współistniejące problemy medyczne i psychiczne
- Populacje szczególne wymagające specjalistycznej opieki
- Monitorowanie i ocena postępów leczenia
- Ocena skuteczności interwencji pielęgniarskich
- Dokumentacja i raportowanie
- Strategie długoterminowego utrzymania abstynencji
- Przykładowy plan opieki pielęgniarskiej
- Diagnoza pielęgniarska: Nieskuteczne radzenie sobie
- Diagnoza pielęgniarska: Ryzyko urazu
- Diagnoza pielęgniarska: Zaburzenia odżywiania
- Wnioski i znaczenie opieki pielęgniarskiej
Zaburzenie związane z używaniem substancji (uzależnienie od substancji)
Zaburzenie związane z używaniem substancji (uzależnienie od substancji) to chroniczna choroba mózgu charakteryzująca się powtarzającym się używaniem substancji psychoaktywnych pomimo znaczących negatywnych konsekwencji zdrowotnych, społecznych i prawnych. Choroba ta prowadzi do utraty kontroli nad używaniem legalnych lub nielegalnych leków lub środków farmaceutycznych i powoduje znaczne upośledzenie funkcjonowania osoby dotkniętej tym zaburzeniem12. Zaburzenia te obejmują szeroką gamę stanów charakteryzujących się nadmiernym i szkodliwym używaniem substancji psychoaktywnych, w tym narkotyków i alkoholu3.
Epidemiologia i znaczenie problemu
Zaburzenia związane z używaniem substancji dotykają znaczną część populacji. Według danych, ponad 20 milionów osób w Stanach Zjednoczonych cierpi na zaburzenia związane z używaniem substancji, a większość z nich nie otrzymuje potrzebnego leczenia4. W 2017 roku szacowano, że globalnie 271 milionów osób (5,5% dorosłych) używało co najmniej jednego nielegalnego narkotyku5. Problem ten dotyka również personel medyczny – pielęgniarki mogą być szczególnie podatne na uzależnienie ze względu na czynniki ryzyka w miejscu pracy, takie jak stres zawodowy, dostęp do kontrolowanych substancji oraz brak edukacji w zakresie uzależnień67.
Zaburzenie związane z używaniem substancji stanowi poważny problem wpływający na system opieki zdrowotnej i społeczeństwo jako całość. Może odnosić się do używania nielegalnych narkotyków, nadużywania alkoholu lub niewłaściwego stosowania leków na receptę lub dostępnych bez recepty. Uzależnienie od substancji często powoduje negatywne skutki fizyczne, emocjonalne i społeczne8.
Podstawy neurobiologiczne
Uzależnienie jest chorobą mózgu, która powoduje, że osoba wielokrotnie sięga po substancje, pomimo szkód, jakie powodują. Powtarzające się używanie narkotyków może zmieniać mózg i prowadzić do uzależnienia9. Z czasem niezdrowe używanie narkotyków lub alkoholu może powodować zmiany w mózgu, które prowadzą do przytłaczającego pragnienia kontynuowania lub zwiększania używania substancji, nawet gdy zagraża to życiu, szkodzi zdrowiu fizycznemu i psychicznemu, niszczy relacje lub upośledza zdolność do pracy10.
Zaburzenia związane z używaniem substancji charakteryzują się szeregiem problemów psychicznych, emocjonalnych, fizycznych i behawioralnych, takich jak przewlekłe poczucie winy, niezdolność do zmniejszenia lub zaprzestania spożywania substancji mimo powtarzających się prób, prowadzenie pojazdów w stanie intoksykacji oraz objawy odstawienia fizjologicznego11.
Diagnoza pielęgniarska i ocena pacjenta
Diagnoza pielęgniarska odgrywa kluczową rolę w rozpoznawaniu i leczeniu zaburzeń związanych z używaniem substancji. Pielęgniarki powinny przeprowadzić kompleksową ocenę fizyczną i psychologiczną pacjenta, aby określić jego indywidualne potrzeby zdrowotne12.
Ocena stanu pacjenta
Ocena pacjenta z zaburzeniem związanym z używaniem substancji powinna obejmować kompleksowe badanie fizykalne w celu oceny objawów związanych z aktualnym odstawieniem substancji, a także objawów współistniejących schorzeń medycznych i psychicznych13. Personel medyczny powinien zidentyfikować oznaki i objawy uzależnienia, takie jak:
- Zmiany w zachowaniu, nastroju i osobowości
- Zaburzenia snu i apetytu
- Problemy z koordynacją i pamięcią
- Zaniedbanie obowiązków zawodowych lub rodzinnych
- Izolacja społeczna
- Zmiany w wyglądzie fizycznym1415
Diagnozy pielęgniarskie
Po przeprowadzeniu dokładnej oceny formułowana jest diagnoza pielęgniarska w celu konkretnego rozwiązania problemów związanych z uzależnieniem od substancji, w oparciu o osąd kliniczny pielęgniarki i zrozumienie unikalnego stanu zdrowia pacjenta16. Do najczęstszych diagnoz pielęgniarskich u pacjentów z zaburzeniami związanymi z używaniem substancji należą:
- Ostry zespół odstawienia substancji – diagnoza związana z nagłym zaprzestaniem przyjmowania substancji psychoaktywnej17
- Nieskuteczne radzenie sobie – związane z poleganiem na substancjach jako mechanizmie radzenia sobie1819
- Zaburzenia odżywiania – z powodu skutków lub działań niepożądanych używania substancji2021
- Ryzyko urazu – z powodu upośledzonej koordynacji, zmienionego osądu lub objawów odstawienia22
- Zaburzenie interakcji społecznych – trudności w nawiązywaniu lub utrzymywaniu relacji z powodu skutków używania substancji23
- Zaniedbanie siebie – potencjalnie z powodu priorytetowego traktowania używania substancji24
- Ryzyko samobójstwa – nadużywanie substancji może osłabić kontrolę impulsów, zakłócić szlaki neuroprzekaźników i upośledzić osąd, prowadząc do myśli i prób samobójczych25
Planowanie opieki pielęgniarskiej
Po zidentyfikowaniu diagnoz pielęgniarskich związanych z uzależnieniem od substancji, plany opieki pielęgniarskiej pomagają ustalić priorytety oceny i interwencji zarówno dla krótko-, jak i długoterminowych celów opieki26.
Cele i oczekiwane wyniki
Cele i oczekiwane wyniki dla pacjentów z zaburzeniami związanymi z używaniem substancji mogą obejmować:
- Pacjent zwerbalizuje świadomość związku między nadużywaniem substancji a obecną sytuacją
- Pacjent przyjmie odpowiedzialność za własne zachowanie
- Pacjent zidentyfikuje nieskuteczne zachowania radzenia sobie i ich konsekwencje, w tym używanie substancji jako metody radzenia sobie
- Pacjent przyzna się do niemożności kontrolowania swojego nawyku narkotykowego i uzna bezsilność wobec uzależnienia
- Pacjent zwerbalizuje akceptację potrzeby leczenia i świadomość, że sama siła woli nie może kontrolować abstynencji
- Pacjent wykaże aktywne uczestnictwo w programie
- Pacjent odzyska i utrzyma zdrowy stan z życiem wolnym od narkotyków27
Cele i priorytety pielęgniarskie
Priorytety pielęgniarskie dla pacjentów z uzależnieniem od substancji obejmują:
- Zapewnienie bezpieczeństwa i monitorowanie objawów odstawienia
- Edukacja na temat uzależnienia od substancji i jego skutków
- Pomoc w rozwijaniu umiejętności radzenia sobie i strategii zapobiegania nawrotom
- Ułatwianie dostępu do odpowiednich programów leczenia i zasobów
- Wspieranie fizycznego i emocjonalnego dobrostanu pacjenta
- Rozwiązywanie wszelkich współistniejących problemów zdrowia psychicznego
- Zachęcanie do uczestnictwa w grupach wsparcia lub poradnictwie28
Interwencje pielęgniarskie
Interwencje pielęgniarskie dla pacjentów z zaburzeniami związanymi z używaniem substancji obejmują szeroki zakres działań ukierunkowanych na zaspokojenie fizycznych, psychologicznych i społecznych potrzeb pacjenta29.
Detoksykacja i leczenie objawów odstawienia
Detoksykacja (znana jako detoks lub terapia odstawienia) pomaga pacjentowi zaprzestać używania uzależniającej substancji jak najszybciej, jednocześnie dbając o jego bezpieczeństwo30. Celem detoksykacji jest umożliwienie zaprzestania przyjmowania uzależniającego leku tak szybko i bezpiecznie, jak to możliwe31.
Interwencje pielęgniarskie podczas detoksykacji mogą obejmować:
- Monitorowanie parametrów życiowych
- Ocenę objawów odstawienia
- Podawanie leków w celu złagodzenia objawów odstawienia
- Zapewnienie odpowiedniego nawodnienia i odżywienia
- Monitorowanie i leczenie objawów somatycznych3233
Bezpieczna detoksykacja jest jednym z pierwszych kroków w każdym programie powrotu do zdrowia. Odstawienie pod kontrolą medyczną powinno być nadzorowane przez psychiatrę specjalizującego się w medycynie uzależnień34.
Farmakoterapia i wsparcie farmakologiczne
Leki stosowane w leczeniu zaburzeń związanych z używaniem substancji różnią się w zależności od nadużywanej substancji. Mogą obejmować leki takie jak disulfiram, akamprozat i naltrekson w przypadku zaburzeń związanych z używaniem alkoholu, metadon, buprenorfina i naltrekson w przypadku zaburzeń związanych z używaniem opioidów oraz nikotynowa terapia zastępcza, bupropion i wareniklina w przypadku uzależnienia od nikotyny35.
Tylko dla trzech substancji istnieją zatwierdzone przez FDA terapie na receptę: opioidy, alkohol i nikotyna36. Leczenie wspomagane lekami (Medication-Assisted Treatment, MAT) odnosi się do połączenia interwencji behawioralnych i leków w leczeniu zaburzeń związanych z używaniem substancji37. Leki mogą być stosowane w leczeniu w celu zmniejszenia głodu i objawów odstawienia38.
Leki pomagają kontrolować głód, łagodzić objawy odstawienia i zapobiegać nawrotom39. Interwencje pielęgniarskie w zakresie farmakoterapii obejmują:
- Administrowanie i monitorowanie przyjmowania leków
- Ocenę skuteczności leków
- Monitorowanie działań niepożądanych
- Edukację pacjentów na temat działania leków i ich potencjalnych efektów ubocznych4041
Wsparcie psychologiczne i terapeutyczne
Psychoterapia może pomóc osobom z zaburzeniami związanymi z używaniem substancji lepiej zrozumieć swoje zachowanie i motywacje, rozwinąć wyższą samoocenę, radzić sobie ze stresem i rozwiązywać inne problemy psychiatryczne42.
Interwencje terapeutyczne i działania pielęgniarskie dla pacjentów z uzależnieniem od substancji mogą obejmować:
- Pomoc pacjentowi w akceptacji rzeczywistości – wspieranie pacjenta w uznaniu problemu uzależnienia i jego konsekwencji
- Promowanie skutecznego radzenia sobie – nauczanie alternatywnych mechanizmów radzenia sobie ze stresem i trudnymi emocjami
- Promowanie wsparcia i samooceny – budowanie pewności siebie i poczucia własnej wartości
- Promowanie odpowiedniego odżywiania – poprawa stanu odżywienia, który mógł ucierpieć z powodu używania substancji
- Poprawa funkcjonowania seksualnego – rozwiązywanie problemów z funkcjonowaniem seksualnym, które mogą wystąpić w wyniku uzależnienia43
Poradnictwo i inne opcje terapeutyczne obejmują:
- Poradnictwo indywidualne – pomaga zidentyfikować przyczynę używania narkotyków, naprawić relacje i przyjąć zdrowsze umiejętności radzenia sobie
- Terapia rodzinna – rozwiązuje problemy w jednostce rodzinnej, mając na celu poprawę komunikacji i relacji
- Terapia grupowa – sesje prowadzone przez terapeutę z wieloma osobami, zapewniające wsparcie i sprzyjające rozwojowi osobistemu poprzez dzielenie się doświadczeniami i interakcje44
Edukacja pacjenta i rodziny
Edukacja zdrowotna dla pacjentów z uzależnieniem od substancji koncentruje się na zapewnieniu edukacji i wsparcia w celu promowania zdrowia fizycznego i psychicznego45.
Pielęgniarki powinny zapewnić edukację w zakresie:
- Procesu uzależnienia i jego wpływu na organizm
- Potencjalnych konsekwencji zdrowotnych ciągłego używania substancji
- Ryzyka związanego z używaniem substancji podczas ciąży
- Znaczenia przestrzegania zaleceń terapeutycznych
- Strategii zapobiegania nawrotom
- Dostępnych zasobów wsparcia w społeczności46
Ważne jest, aby włączyć rodzinę w proces edukacji i leczenia. Rodzina lub osoby bliskie mogą mieć trudności ze zrozumieniem, że zachowanie psychotyczne jest związane z chorobą somatyczną47.
Pielęgniarki powinny zachęcać członków rodziny do szukania pomocy niezależnie od tego, czy osoba uzależniona jej szuka. Ma to pomóc pacjentowi odpowiednio radzić sobie z sytuacją48.
Specyficzne aspekty opieki pielęgniarskiej
Podejście do pacjenta i budowanie relacji terapeutycznej
Pielęgniarka musi pozostać nieosądzająca w leczeniu pacjentów z zaburzeniami związanymi z używaniem substancji. Pacjenci z uzależnieniem mogą wielokrotnie szukać pomocy medycznej w związku z używaniem substancji, a pielęgniarka może nadal zapewniać zasoby wspierające powrót do zdrowia49.
Praktykowanie życzliwości i nieosądzającej postawy jest dobrą praktyką, która pomaga pacjentom otworzyć się i mówić o swoich problemach50. Budowanie zaufania i okazywanie empatii pacjentom zmagającym się z uzależnieniem jest kluczowe51.
Uznanie walki pacjenta i jego odwagi jest niezbędne do zapewnienia współczującej i skutecznej opieki52. Normalizowanie rozmowy o uzależnieniu od narkotyków pomaga przełamać bariery w szukaniu pomocy53.
Badania wykazały, że skuteczne interwencje opierały się na trzech głównych tematach: opiece skoncentrowanej na osobie, wzmocnieniu pozycji oraz utrzymaniu wsparcia i zwiększeniu możliwości54.
Opieka nad pacjentem w trakcie odstawienia
Interwencje pielęgniarskie zapewniają wspierające środowisko, podczas gdy pacjent przechodzi leczenie odstawienia55. Większość pielęgniarek, które spotykają pacjentów z zaburzeniami związanymi z używaniem substancji lub uzależnieniami behawioralnymi, musi wiedzieć, jak rozpoznać objawy odstawienia56.
Interwencje pielęgniarskie podczas odstawienia mogą obejmować:
- Częste monitorowanie parametrów życiowych
- Obserwację stanu świadomości
- Ocenę pod kątem zmian zachowania lub nastroju
- Zapewnienie odpowiedniego nawodnienia
- Kontrolę bólu i dyskomfortu
- Zapewnienie spokojnego i bezpiecznego środowiska
- Podawanie leków zgodnie z zaleceniami5758
Biorąc pod uwagę wysokie ryzyko nawrotu i szkody, pacjent powinien natychmiast po zakończeniu usług zarządzania odstawieniem przejść do usług zdrowia psychicznego i używania substancji59.
Postępowanie w przypadku współistniejących zaburzeń psychicznych
Zaburzenia związane z używaniem substancji często występują jednocześnie u osób z chorobami psychicznymi, zwykle jako sposób radzenia sobie z przytłaczającymi objawami. Połączenie tych dwóch chorób ma własny termin: podwójna diagnoza lub współwystępujące zaburzenia60.
Według National Survey on Drug Use and Health, 17 milionów dorosłych w USA doświadczyło zarówno choroby psychicznej, jak i zaburzeń związanych z używaniem substancji w 2020 roku61.
Najlepszym leczeniem podwójnej diagnozy jest zintegrowana interwencja, gdy osoba otrzymuje opiekę zarówno dla zdiagnozowanej choroby psychicznej, jak i zaburzenia związanego z używaniem substancji. Przekonanie, że „nie mogę leczyć twojej depresji, ponieważ również pijesz” jest przestarzałe – obecne podejście wymaga, aby oba problemy były rozwiązywane62.
Interwencje pielęgniarskie w przypadku współistniejących zaburzeń mogą obejmować:
- Kompleksową ocenę zdrowia psychicznego
- Współpracę z zespołem opieki zdrowia psychicznego
- Monitorowanie skuteczności leków psychiatrycznych
- Edukację na temat interakcji między substancjami a lekami na zaburzenia psychiczne
- Zapewnienie wsparcia dla pacjentów doświadczających objawów psychicznych6364
Zapobieganie nawrotom
Przezwyciężenie uzależnienia i utrzymanie życia wolnego od narkotyków wymaga wytrwałego wysiłku. Nauka nowych umiejętności radzenia sobie i wiedza, gdzie szukać pomocy, są niezbędne65.
Interwencje pielęgniarskie w zapobieganiu nawrotom mogą obejmować:
- Edukację na temat wyzwalaczy i mechanizmów radzenia sobie
- Pomoc w identyfikacji sygnałów ostrzegawczych nawrotu
- Rozwój planu zapobiegania nawrotom
- Zachęcanie do udziału w grupach wsparcia
- Współpracę z pacjentem w celu opracowania strategii utrzymania abstynencji66
Ciągłe leczenie i wsparcie mogą pomóc zapobiec nawrotowi. Opieka następcza może obejmować okresowe wizyty u doradcy, kontynuację programu samopomocy lub uczestnictwo w regularnych sesjach grupowych67.
Trzeźwość, w tym abstynencja od wszystkich substancji, jest związana z większym sukcesem w powrocie do zdrowia68.
Wyznaczanie zdecydowanego oczekiwania, że pacjent będzie regularnie uczęszczał na grupy wsparcia powrotu do zdrowia i terapię. Uczestnictwo jest związane z przyznaniem się do potrzeby pomocy, z pracą nad zaprzeczeniem i z utrzymaniem długoterminowego istnienia wolnego od narkotyków69.
Role pielęgniarki w leczeniu uzależnień
Pielęgniarstwo specjalistyczne w leczeniu uzależnień
Pielęgniarstwo w zakresie uzależnień jest odrębną specjalnością, która obejmuje leczenie terapeutyczne i usługi powrotu do zdrowia dla osób z uzależnieniami od substancji lub uzależnieniami behawioralnymi70.
Obowiązki i zadania pielęgniarki certyfikowanej w dziedzinie uzależnień (CARN) obejmują:
- Przeprowadzanie oceny pacjenta i identyfikowanie potrzeb w zakresie opieki
- Utrzymywanie bazy wiedzy o nowych narkotykach
- Podawanie leków i leczenie w celu złagodzenia objawów odstawienia
- Edukowanie pacjentów i rodzin na temat dokonywania zdrowych wyborów życiowych
- Wspieranie pacjentów radzących sobie z problemami psychologicznymi i emocjonalnymi związanymi z zaburzeniami używania substancji
- Rozpoznawanie roli traumy i ocena skutków doświadczeń traumatycznych
- Edukowanie społeczności i opowiadanie się za lepszymi praktykami opieki zdrowotnej71
Pielęgniarka jako członek zespołu interdyscyplinarnego
Profesjonalna pielęgniarka pracuje jako integralna część multidyscyplinarnego zespołu leczniczego w opiece objawowej, ustalaniu granic, ustrukturyzowanym wsparciu, psychoedukacji i skierowaniach do dalszej opieki w społeczności72.
Rodzina i opiekunowie są istotnym elementem programu leczenia, aby być częścią rozwiązywania problemu i uczuć związanych z używaniem substancji przez osobę, w celu ułatwienia sesji powrotu do zdrowia73.
Oprócz wdrażania planu leczenia odstawienia przepisanego przez świadczeniodawcę, pielęgniarka współpracuje nad opracowaniem planu leczenia po odstawieniu z członkami interdyscyplinarnego zespołu opieki zdrowotnej74.
Interwencje pielęgniarskie pomagają osobom z zaburzeniami związanymi z używaniem substancji przyznać się do uzależnienia od narkotyków i ułatwiają rozwój skutecznych umiejętności radzenia sobie, własnej skuteczności w zakresie leków, umiejętności przetwarzania informacji, umiejętności zawodowych i społecznych poprzez wykorzystanie procesu pielęgniarskiego75.
Edukacja i profilaktyka
Pielęgniarki odgrywają kluczową rolę w edukacji pacjentów, rodzin i społeczności na temat zaburzeń związanych z używaniem substancji i zapobiegania im. Używanie narkotyków i uzależnienie można zapobiec. Programy profilaktyczne obejmujące rodziny, szkoły, społeczności i media mogą zapobiec lub zmniejszyć używanie narkotyków i uzależnienie. Programy te obejmują edukację i działania informacyjne, które pomagają ludziom zrozumieć ryzyko związane z używaniem narkotyków76.
Interwencje edukacyjne pielęgniarek mogą obejmować:
- Informowanie o ryzyku i konsekwencjach używania substancji
- Nauczanie strategii redukcji szkód
- Promowanie zdrowych nawyków życiowych
- Dostarczanie informacji o dostępnych zasobach leczenia
- Zwiększanie świadomości na temat znaków i objawów przedawkowania77
Strategia profilaktyki używania narkotyków i alkoholu na poziomie szkoły, rodziny i społeczności jest kluczem do zmniejszenia zaburzeń związanych z używaniem substancji78.
Wsparcie dla rodzin pacjentów
Rodziny pacjentów z zaburzeniami związanymi z używaniem substancji często potrzebują wsparcia, edukacji i zasobów, aby skutecznie wspierać swoich bliskich w procesie powrotu do zdrowia.
Interwencje pielęgniarskie dla rodzin mogą obejmować:
- Edukację na temat natury uzależnienia jako choroby
- Informacje o tym, jak najlepiej wspierać osobę w powrocie do zdrowia
- Skierowania do grup wsparcia dla rodzin, takich jak Al-Anon
- Nauczanie strategii komunikacji i ustalania granic
- Pomoc rodzinom w rozwiązywaniu ich własnych traumatycznych doświadczeń związanych z uzależnieniem bliskich79
Posiadanie bliskiej osoby z problemem uzależnienia jest trudne dla członków rodziny80. Można nie być w stanie wyleczyć choroby, ale można zapewnić wsparcie i skierować osobę do kompetentnej pomocy81.
Modele i podejścia do leczenia uzależnień
Podejście skoncentrowane na pacjencie
Skuteczna opieka nad osobami z zaburzeniami związanymi z używaniem substancji wymaga podejścia skoncentrowanego na pacjencie82. Nie ma uniwersalnego podejścia do leczenia uzależnień83.
Wybór odpowiedniego leczenia zależy od nasilenia i rodzaju uzależnienia, dostępnego wsparcia ze strony rodziny, przyjaciół i innych oraz motywacji osoby do zmiany84.
Podejście skoncentrowane na pacjencie obejmuje:
- Indywidualizację planu leczenia
- Uwzględnianie preferencji i wartości pacjenta
- Szanowanie autonomii pacjenta
- Angażowanie pacjenta w podejmowanie decyzji dotyczących jego leczenia
- Rozpoznawanie unikalnych potrzeb i doświadczeń każdego pacjenta8586
Redukcja szkód
Aby dotrzeć do osób, które mogą nie być gotowe, chętne lub zdolne do rezygnacji z substancji, niektóre programy leczenia przyjęły podejście redukcji szkód87.
Ponieważ stosujemy najlepszą dostępną naukę w naszych planach opieki, stosujemy podejście „redukcji szkód” w leczeniu uzależnień i długoterminowym powrocie do zdrowia88.
Ta nieoceniająca, oparta na dowodach metoda opieki wykorzystuje praktyczne strategie w celu zmniejszenia konsekwencji używania narkotyków i jest otwarta dla osób (w wieku 18 lat i starszych) na wszystkich etapach powrotu do zdrowia89.
Strategie redukcji szkód mogą obejmować:
- Programy wymiany igieł
- Dostęp do naloksonu (Narcan) w celu przeciwdziałania przedawkowaniu opioidów
- Bezpieczniejsze praktyki używania
- Alternatywy dla ryzykownych zachowań
- Edukację na temat bezpieczniejszych praktyk używania substancji90
Leczenie wspomagane lekami (MAT)
Leczenie wspomagane lekami (Medication-Assisted Treatment, MAT) wykorzystuje oparte na dowodach leki, aby pomóc znormalizować funkcje mózgu, zmniejszyć głód i złagodzić objawy odstawienia. Łączy to z poradnictwem i terapiami behawioralnymi w celu rozwiązania problemu uzależnienia91.
Badania wykazały, że MAT jest skuteczne w pomaganiu ludziom w powrocie do zdrowia z zaburzeniami związanymi z używaniem opioidów92.
Leczenie wspomagane lekami w przypadku zaburzeń związanych z używaniem substancji obejmuje buprenorfinę w przypadku zaburzeń związanych z używaniem opioidów, naltrekson o przedłużonym działaniu w postaci iniekcyjnej i doustny naltrekson oraz inne leki na zaburzenia związane z używaniem alkoholu i leki do rzucania palenia93.
MAT jest interwencją opartą na dowodach dla dorosłych z zaburzeniami związanymi z używaniem opioidów94. MAT łączy przepisywane leki z interwencjami behawioralnymi w leczeniu zaburzeń związanych z używaniem substancji95.
Terapie behawioralne i podejścia psychoterapeutyczne
Doradztwo indywidualne i/lub grupowe oraz inne terapie behawioralne są najczęściej stosowanymi formami leczenia nadużywania narkotyków96.
W zależności od placówki i programu leczenia uzależnienia od narkotyków, w którym uczestniczysz, możesz skorzystać z:
- Terapii akceptacji i zaangażowania (ACT)
- Terapii poznawczo-behawioralnej (CBT)
- Terapii dialektyczno-behawioralnej (DBT)
- Wywiadu motywacyjnego
- Modelu powrotu do zdrowia 12 kroków
- Terapii rodzinnej
- Terapii grupowej
- Terapii indywidualnej
- Terapii doświadczalnych97
Każdy program leczenia uzależnień od substancji będzie oferował własny zestaw interwencji terapeutycznych, które zespół opieki wybierze, aby spełnić potrzeby osoby otrzymującej leczenie98.
Wyzwania i specjalne populacje w opiece nad uzależnieniami
Stygmatyzacja i bariery w dostępie do leczenia
Stygmatyzacja otaczająca osoby z zaburzeniami związanymi z używaniem substancji jest powszechnym zjawiskiem, które może znacząco wpływać na wyniki leczenia, świadczeniodawców opieki zdrowotnej, badania, polityki i społeczeństwo99.
Stygmatyzacja dotycząca osób z uzależnieniem może obejmować niedokładne lub niepotwierdzone przekonania, takie jak to, że są oni niebezpieczni, niezdolni do zarządzania leczeniem lub winni swojego stanu100.
Jako klinicysta, możesz wykazać przywództwo w tym, jak język może destygmatyzować chorobę uzależnienia101.
Stygmatyzacja dotycząca osób z zaburzeniami związanymi z używaniem substancji może wynikać z niedokładnych przekonań, że uzależnienie jest osobistą porażką zamiast tego, czym naprawdę jest – przewlekłą, uleczalną chorobą, z której ludzie mogą wyzdrowieć i nadal prowadzić zdrowe życie102.
Skuteczne sposoby edukowania klientów na temat nadużywania substancji i zapobiegania uzależnieniom obejmują: używanie języka niestygmatyzującego, skupionego na osobie: na przykład mówienie osoba z zaburzeniami związanymi z używaniem substancji zamiast narkoman lub alkoholik103.
Współistniejące problemy medyczne i psychiczne
Uzależnienie od narkotyków jest powiązane z wieloma problemami, które mogą być rozwiązane dzięki terapii lub poradnictwu, w tym inne podstawowe problemy zdrowia psychicznego lub problemy małżeńskie lub rodzinne104.
Programy leczenia powinny oceniać pacjentów pod kątem obecności HIV/AIDS, wirusowego zapalenia wątroby typu B i C, gruźlicy i innych chorób zakaźnych, a także zapewniać celowe poradnictwo w zakresie redukcji ryzyka, aby pomóc pacjentom zmodyfikować lub zmienić zachowania, które narażają ich na ryzyko zarażenia lub rozprzestrzeniania chorób zakaźnych105.
Więcej niż 50 procent osób z zaburzeniami używania substancji miało również problemy ze zdrowiem psychicznym w pewnym momencie swojego życia106.
Osoby z depresją lub innymi problemami zdrowia psychicznego są szczególnie narażone na używanie alkoholu i narkotyków107.
Osoby, które używają alkoholu lub innych narkotyków, powinny zostać przebadane pod kątem depresji, zaburzeń lękowych i innych problemów zdrowia psychicznego108.
Populacje szczególne wymagające specjalistycznej opieki
Pielęgniarki zajmujące się uzależnieniami mają do czynienia z unikalnymi sytuacjami, w których muszą stosować różne podejścia do opieki nad specjalnymi populacjami109.
Programy perinatalne odbywają się na poziomie opieki ambulatoryjnej i stacjonarnej oraz aktywnie promują zdrowie naszej społeczności, oferując leczenie oparte na dowodach, aby pomóc kobietom w ciąży i wychowującym dzieci wprowadzić pozytywne zmiany w ich powrocie do zdrowia110.
IDHS/SUPR finansuje specjalne usługi dla kobiet w ciąży lub kobiet z dziećmi, aby interweniować w używanie substancji, zanim dojdzie do trwałego uszkodzenia płodu, matki stracą prawa do opieki nad dziećmi lub dzieci zostaną skrzywdzone111.
W NewYork-Presbyterian geriatrzy psychiatrzy i inni specjaliści w zakresie zdrowia psychicznego z doświadczeniem w opiece nad starszymi pacjentami oferują doświadczenie i współczucie. Wykorzystując terapię poznawczą, terapie oparte na nagrodach i inne techniki, celują w używanie substancji wraz z wszelkimi współistniejącymi zaburzeniami, aby pomóc naszym starszym pacjentom osiągnąć abstynencję i powrót do zdrowia112.
Monitorowanie i ocena postępów leczenia
Ocena skuteczności interwencji pielęgniarskich
Ocena skuteczności interwencji pielęgniarskich jest kluczowym elementem procesu pielęgniarskiego w leczeniu zaburzeń związanych z używaniem substancji113.
Ewaluacja odbywa się na kilku poziomach poprzez ocenę zindywidualizowanych wyników SMART związanych z skutecznością planu leczenia odstawienia, zarządzania objawami i gotowości i postępów pacjenta w kierunku zmian w jego zachowaniu114.
Pielęgniarki powinny regularnie oceniać:
- Ustępowanie objawów odstawienia
- Poprawę stanu fizycznego
- Rozwój umiejętności radzenia sobie
- Postęp w kierunku celów rehabilitacyjnych
- Skuteczność farmakoterapii
- Stabilność emocjonalną i psychologiczną
- Funkcjonowanie społeczne115
Dokumentacja i raportowanie
Dokładna i kompleksowa dokumentacja jest niezbędna w opiece nad pacjentami z zaburzeniami związanymi z używaniem substancji116.
Dokumentacja powinna obejmować:
- Szczegółową ocenę początkową
- Zindywidualizowany plan opieki
- Monitorowanie parametrów życiowych i objawów odstawienia
- Podawane leki i odpowiedź pacjenta
- Interwencje pielęgniarskie i ich skuteczność
- Edukację pacjenta i rodziny
- Postęp w kierunku celów leczenia
- Plany wypisu i skierowania117
Strategie długoterminowego utrzymania abstynencji
Uzależnienie jest chorobą przewlekłą, taką jak cukrzyca czy astma. Podobnie jak w przypadku innych chorób przewlekłych, bardzo trudno jest samodzielnie zarządzać swoją chorobą bez pomocy118.
Uzależnienie jest zaburzeniem mózgu, które sprawia, że ktoś chce używać czegoś mimo szkód, jakie może to spowodować119.
Ludzie, którzy otrzymują leczenie, uczą się, jak radzić sobie z uzależnieniem, ale uzależnienie nigdy nie znika120.
Strategie długoterminowego utrzymania abstynencji mogą obejmować:
- Regularne uczestnictwo w grupach wsparcia
- Kontynuację terapii indywidualnej lub grupowej
- Budowanie zdrowych relacji i sieci wsparcia
- Rozwijanie zdrowych zainteresowań i działań
- Zarządzanie stresem i emocjami
- Ciągłą edukację na temat uzależnienia i powrotu do zdrowia
- Identyfikację i unikanie wyzwalaczy121
Przykładowy plan opieki pielęgniarskiej
Poniżej przedstawiono przykładowy plan opieki pielęgniarskiej dla pacjenta z zaburzeniem związanym z używaniem substancji:
Diagnoza pielęgniarska: Nieskuteczne radzenie sobie
Diagnoza pielęgniarska: Nieskuteczne radzenie sobie związane z nadużywaniem substancji, jak potwierdza zgłaszanie przez pacjenta używania heroiny, zmiany skórne, utrata zębów, nieprzyjemny zapach z ust i wysypka na klatce piersiowej122.
Cele:
- Pacjent wymieni 5 powodów, dla których powinien zaprzestać używania narkotyków, i 5 powodów, dla których powinien kontynuować używanie narkotyków.
- Pacjent zwerbalizuje 6 skutków ubocznych nadużywania narkotyków i jak używanie narkotyków wpływa na jego zdrowie.
Interwencje pielęgniarskie:
- Pielęgniarka edukuje pacjenta na temat 6 skutków ubocznych nadużywania narkotyków i jak używanie narkotyków wpływa na zdrowie pacjenta.
- Pielęgniarka dostarcza pacjentowi lokalne listy Grup Wsparcia dla Uzależnionych i Uzależnień, do których pacjent może uczęszczać123.
Diagnoza pielęgniarska: Ryzyko urazu
Cele:
- Pacjent będzie stabilny i pozostanie wolny od urazów124.
- Pacjent zidentyfikuje sytuacje wysokiego ryzyka, które mogą prowadzić do nawrotu.
Interwencje pielęgniarskie:
- Monitorowanie parametrów życiowych i stanu neurologicznego
- Ocena ryzyka samookaleczenia i samobójstwa
- Zapewnienie bezpiecznego środowiska
- Edukacja na temat ryzyka związanego z używaniem substancji
- Nauczanie technik zapobiegania nawrotom125
Diagnoza pielęgniarska: Zaburzenia odżywiania
Cele:
- Pacjent będzie utrzymywać odpowiednie odżywienie i nawodnienie.
- Pacjent wykaże poprawę stanu odżywienia w ciągu 1 tygodnia.
Interwencje pielęgniarskie:
- Ocena stanu odżywienia i nawyków żywieniowych
- Monitorowanie masy ciała i równowagi elektrolitowej
- Zapewnienie odpowiedniego nawodnienia
- Edukacja na temat prawidłowego odżywiania
- Konsultacja z dietetykiem w razie potrzeby126
Przewlekłe używanie substancji wpływa na stan odżywienia i skład ciała osoby poprzez zmniejszone spożycie, wchłanianie składników odżywczych, zmieniony metabolizm, niezdrowe nawyki żywieniowe i dysregulację hormonów, które zmieniają mechanizmy sytości i spożycia pokarmów127.
Wnioski i znaczenie opieki pielęgniarskiej
Opieka pielęgniarska nad osobami z zaburzeniami związanymi z używaniem substancji jest złożona i wymaga holistycznego podejścia uwzględniającego fizyczne, psychologiczne, społeczne i duchowe potrzeby pacjenta128.
Jakościowa opieka pielęgniarska jest niezbędna dla poprawy jakości życia, stanu zdrowia i utrzymania statusu wolnego od nadużywania substancji u osób z zaburzeniami związanymi z używaniem substancji129.
Pielęgniarki udzielają wsparcia pacjentom cierpiącym z powodu zaburzeń związanych z używaniem substancji poprzez leczenie objawów fizycznych, oferowanie zasobów i zarządzanie stresem psychospołecznym130.
Interwencje i opieka pielęgniarska są niezbędne dla powrotu pacjenta do zdrowia131.
Jako zespół, profesjonalne pielęgniarki pracujące w szpitalu i opiece środowiskowej powinny być wrażliwe na potrzeby osób z zaburzeniami związanymi z używaniem substancji i identyfikować strategie rozwiązywania ich problemów. Pozytywne wyniki pielęgniarskie poprawiają ich jakość życia132.
Wczesne rozpoznanie, zgłaszanie i interwencja są fundamentalne dla ochrony pacjentów przed szkodami i pomocy kolegom w powrocie do zdrowia133.
Gdy leczenie dla pielęgniarek jest indywidualnie dostosowane do ich potrzeb i istnieje odpowiedni system monitorowania wsparcia, pielęgniarki mogą wyzdrowieć i bezpiecznie wrócić do praktyki134.
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Materiały źródłowe
- #1 Drug addiction (substance use disorder) – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112
Drug addiction, also called substance use disorder, is a disease that affects a person’s brain and behavior and leads to an inability to control the use of a legal or illegal drug or medicine. […] Help from your health care provider, family, friends, support groups or an organized treatment program can help you overcome your drug addiction and stay drug-free. […] If your drug use is out of control or causing problems, get help. The sooner you seek help, the greater your chances for a long-term recovery. Talk with your health care provider or see a mental health provider, such as a doctor who specializes in addiction medicine or addiction psychiatry, or a licensed alcohol and drug counselor. […] It’s important to plan an intervention carefully. It may be done by family and friends in consultation with a health care provider or mental health professional such as a licensed alcohol and drug counselor, or directed by an intervention professional.
- #2 Treatment of Substance Use Disorders | Overdose Prevention | CDChttps://www.cdc.gov/overdose-prevention/treatment/index.html
Millions of Americans have a substance use disorder (SUD), and it remains an important health issue in our country. […] A substance use disorder (SUD) is a treatable, chronic disease characterized by a cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems. […] SUDs can lead to significant problems in all aspects of a person’s life. Patterns of symptoms resulting from substance use (drugs or alcohol) can help a doctor diagnose a person with a SUD or SUDs and connect them to appropriate treatment. […] Addiction is a disease, not a character flaw. People experiencing SUDs have trouble controlling their drug use even though they know drugs are harmful. […] Overcoming an SUD is not as simple as resisting the temptation to take drugs. Recovery may involve medication to help with cravings and withdrawal as well as different forms of therapy. It may even require checking into a rehabilitation facility.
- #3 Substance Abuse Disorders Nursing Care Management – Nurseslabshttps://nurseslabs.com/substance-abuse-disorders/
Substance abuse disorders (SUDs) pose significant challenges to individuals, families, and communities worldwide. SUDs encompass a range of conditions characterized by the excessive and harmful use of psychoactive substances, including drugs and alcohol. […] This guide aims to tackle the complexities of SUDs, its impact on physical and mental health, and the importance of nursing care in supporting individuals on their journey to recovery. […] Nursing care of a client with substance abuse disorder includes the following: […] Assessment of a client with substance abuse disorder includes: […] Based on the assessment data, the major nursing diagnosis for substance abuse are: […] Treatment outcomes for clients with substance use may include the following: […] Nursing interventions for a client with substance abuse include: […] Goals are met as evidenced by: […] Documentation in a client with substance abuse disorders includes:
- #4 Addiction – Healthy People 2030 | odphp.health.govhttps://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/addiction
More than 20 million people in the United States have a substance use disorder, and most of them dont get the treatment they need. […] Healthy People 2030 focuses on preventing substance use disorders like drug or alcohol addiction and helping people with these disorders get treatment. […] Strategies to prevent drug and alcohol use at the school, family, and community level are key to reducing substance use disorders. […] Interventions to help people with substance use disorders get treatment can help reduce related health problems and deaths. […] Increase the proportion of people with a substance use disorder who got treatment in the past year SU01 Little or no detectable change. […] Increase the rate of people with an opioid use disorder getting medications for addiction treatment SUD03 Developmental.
- #5 Substance use disorder – Wikipediahttps://en.wikipedia.org/wiki/Substance_use_disorder
Substance use disorder (SUD) is the persistent use of drugs despite substantial harm and adverse consequences to self and others. […] Substance use disorders are characterized by an array of mental, emotional, physical, and behavioral problems such as chronic guilt; an inability to reduce or stop consuming the substance(s) despite repeated attempts; operating vehicles while intoxicated; and physiological withdrawal symptoms. […] In 2017, globally 271 million people (5.5% of adults) were estimated to have used one or more illicit drugs. […] To effectively combat SUD, it’s crucial to address its causes particularly in mental health challenges. By improving access to mental health care, people can help prevent and treat substance use more effectively. […] Therapists often classify people with chemical dependencies as either interested or not interested in changing.
- #6 Intervention Program: Substance Use Disorder and Mental Illness in Nursinghttps://www.rn.ca.gov/intervention/impairedrn.shtml
Substance Use Disorder (SUD) is a progressive and chronic disease that affects an estimated 8.4% of the U.S. population. If left untreated, substance use disorder can be fatal. […] Registered nurses are not immune to substance use disorder. Nurses may be particularly susceptible to SUD due several workplace risk factors including: job stress, available access to controlled substances, enabling behavior by reluctant colleagues, and lack of education regarding SUDs. […] If mental illness or substance use disorder problems are left untreated, they may eventually jeopardize patient health and safety. They can also threaten the life of the person afflicted. […] Patient safety depends on early identification of those registered nurses who misuse substances. […] The Intervention Program can help nurses inflicted with substance use disorder or mental illness. The Program does this by assessing each nurses individual recovery needs, referring nurses to appropriate treatment based on those needs, monitoring each participants success in recovery and returning the nurse to work in a safe manner.
- #7 Nurses At Risk: Substance Abuse In The Nursing Communityhttps://www.addictions.com/workcareer/nurses-and-workplace-substance-abuse-risk-factors/
A study funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health, found roughly 4 percent of Americans met the criteria for drug use disorder in the past year and about 10 percent have had drug use disorder at some time in their lives. […] In fact, a 1997 statement by the American Nursing Association estimated as much as 10 to 20 percent of nurses have substance abuse problems. […] Many would believe that medical health professionals, especially nurses would be above addiction because they understand the inherent risks of drug use, but the combination of high-stress work and access to drugs make nurses especially vulnerable to the ravages of drug abuse. […] A nurse who is overworked or has insufficient stress management skills is more likely to abuse substances.
- #8 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
Substance abuse is a serious problem impacting the healthcare system and society as a whole. Substance abuse can refer to the use of illegal drugs, excessive use of alcohol, or the misuse of prescription or over-the-counter medications. Substance abuse often causes negative physical, emotional, and social outcomes. […] Management of substance abuse disorder will depend on various factors such as the specific substance abused, demographics, and the patients overall health. Detoxification may be indicated along with psychosocial therapies and long-term follow-up through continued medical supervision and support groups. […] Nurses provide support to patients suffering from substance abuse disorder by treating physical symptoms, offering resources, and managing psychosocial distress. […] Nursing interventions and care are essential for the patients recovery.
- #9 Drug Use and Addiction: MedlinePlushttps://medlineplus.gov/druguseandaddiction.html
Drug addiction is a chronic brain disease. It causes a person to take drugs repeatedly, despite the harm they cause. Repeated drug use can change the brain and lead to addiction. […] Treatments for drug addiction include counseling, medicines, or both. Research shows that combining medicines with counseling gives most people the best chance of success. […] If you have a mental disorder along with an addiction, it is known as a dual diagnosis. It is important to treat both problems. This will increase your chance of success. […] Drug use and addiction are preventable. Prevention programs involving families, schools, communities, and the media may prevent or reduce drug use and addiction. These programs include education and outreach to help people understand the risks of drug use.
- #10 Veterans with Alcohol & Drug Addiction: Signs & Support – Mental Healthhttps://www.mentalhealth.va.gov/substance-abuse/index.asp
Over time, the unhealthy use of drugs or alcohol can cause changes in your brain that lead to an overwhelming desire to continue or increase your use of the substances even when this usage threatens your life, harms your physical and mental health, ravages your relationships, or impairs your ability to work. These changes in the brain are part of what constitutes substance use disorder. […] Substance use disorder (SUD) is a diagnosed mental health condition that causes people to have difficulty controlling their use of alcohol or drugs such as opioids. Untreated, this unhealthy use can begin to have negative effects on many aspects of life. […] No matter what you are experiencing, treatments and resources are available, and recovery is possible. VA offers evidence-based treatments for SUD that are proven to be effective for most people. These scientifically tested and approved treatments may include therapies, medication or both. Treatments are available at your local VA medical center or clinic. In addition, assessment and treatment referral services are available at Vet Centers.
- #11 Substance use disorder – Wikipediahttps://en.wikipedia.org/wiki/Substance_use_disorder
Substance use disorder (SUD) is the persistent use of drugs despite substantial harm and adverse consequences to self and others. […] Substance use disorders are characterized by an array of mental, emotional, physical, and behavioral problems such as chronic guilt; an inability to reduce or stop consuming the substance(s) despite repeated attempts; operating vehicles while intoxicated; and physiological withdrawal symptoms. […] In 2017, globally 271 million people (5.5% of adults) were estimated to have used one or more illicit drugs. […] To effectively combat SUD, it’s crucial to address its causes particularly in mental health challenges. By improving access to mental health care, people can help prevent and treat substance use more effectively. […] Therapists often classify people with chemical dependencies as either interested or not interested in changing.
- #12 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
This section will apply the nursing process to caring for a hospitalized client diagnosed with a substance use disorder who is receiving withdrawal treatment. […] The client should receive a comprehensive physical examination to evaluate signs related to current withdrawal symptoms, as well as symptoms of concurrent medical and mental health diagnoses. […] A nursing diagnosis related to the abrupt cessation of a psychoactive substance is a syndrome diagnosed as Acute Substance Withdrawal Syndrome. […] An example of a broad goal related to withdrawal treatment is the following: The client will stabilize and remain free from injury. […] In addition to implementing the withdrawal treatment plan prescribed by the provider, the nurse collaboratively develops a post-withdrawal treatment plan with interprofessional health care team members.
- #13 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
This section will apply the nursing process to caring for a hospitalized client diagnosed with a substance use disorder who is receiving withdrawal treatment. […] The client should receive a comprehensive physical examination to evaluate signs related to current withdrawal symptoms, as well as symptoms of concurrent medical and mental health diagnoses. […] A nursing diagnosis related to the abrupt cessation of a psychoactive substance is a syndrome diagnosed as Acute Substance Withdrawal Syndrome. […] An example of a broad goal related to withdrawal treatment is the following: The client will stabilize and remain free from injury. […] In addition to implementing the withdrawal treatment plan prescribed by the provider, the nurse collaboratively develops a post-withdrawal treatment plan with interprofessional health care team members.
- #14 Substance Abuse Disorders Nursing Care Management – Nurseslabshttps://nurseslabs.com/substance-abuse-disorders/
Substance abuse disorders (SUDs) pose significant challenges to individuals, families, and communities worldwide. SUDs encompass a range of conditions characterized by the excessive and harmful use of psychoactive substances, including drugs and alcohol. […] This guide aims to tackle the complexities of SUDs, its impact on physical and mental health, and the importance of nursing care in supporting individuals on their journey to recovery. […] Nursing care of a client with substance abuse disorder includes the following: […] Assessment of a client with substance abuse disorder includes: […] Based on the assessment data, the major nursing diagnosis for substance abuse are: […] Treatment outcomes for clients with substance use may include the following: […] Nursing interventions for a client with substance abuse include: […] Goals are met as evidenced by: […] Documentation in a client with substance abuse disorders includes:
- #15https://www.aurorahealthcare.org/services/behavioral-health-addiction/substance-abuse/signs-symptoms
Substance use disorders occur when an individual continues using the substance, whether its alcohol, cocaine, prescription pain pills or other drugs, despite significant substance-related problems. A person who has a moderate or severe substance use disorder may put substance use before family, relationships and career. He or she will continue to drink or use drugs, even if it’s causing problems. […] Understanding the signs of drug addiction can help you decide if its time to seek help for yourself or a loved one. […] Drug dependence sets in after long-term, compulsive drug use. Thats because your body starts to need higher doses of drugs in order to avoid withdrawal symptoms. […] If you or someone you love is showing signs of drug use or abuse, were here to offer hope and help. […] We help you live well. And were here for you in person and online.
- #16 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with substance abuse based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will verbalize awareness of the relationship between substance abuse and the current situation, The client will verbalize acceptance of responsibility for their own behavior, The client will identify ineffective coping behaviors/consequences, including the use of substances as a method of coping, The client will admit the inability to control their drug habit and surrender to powerlessness over addiction, The client will verbalize acceptance of the need for treatment and awareness that willpower alone cannot control abstinence, The client will demonstrate active participation in the program, The client will regain and maintain a healthy state with a drug-free lifestyle.
- #17 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
This section will apply the nursing process to caring for a hospitalized client diagnosed with a substance use disorder who is receiving withdrawal treatment. […] The client should receive a comprehensive physical examination to evaluate signs related to current withdrawal symptoms, as well as symptoms of concurrent medical and mental health diagnoses. […] A nursing diagnosis related to the abrupt cessation of a psychoactive substance is a syndrome diagnosed as Acute Substance Withdrawal Syndrome. […] An example of a broad goal related to withdrawal treatment is the following: The client will stabilize and remain free from injury. […] In addition to implementing the withdrawal treatment plan prescribed by the provider, the nurse collaboratively develops a post-withdrawal treatment plan with interprofessional health care team members.
- #18 Substance Abuse [+ Free Cheat Sheet] | Lecturio Nursinghttps://www.lecturio.com/nursing/free-cheat-sheet/substance-abuse-nursing-diagnoses/
Potential nursing diagnoses for substance use disorder could include: Ineffective coping: related to reliance on substances as a coping mechanism, Impaired social interaction: difficulty establishing or maintaining relationships due to effects of substance use, Self-neglect: potentially due to prioritizing substance use, Imbalanced nutrition: due to effects or side effects of substance use, Risk for injury: due to impaired coordination, altered judgment, or withdrawal symptoms.
- #19 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
Patients with substance use disorder tend to struggle with ineffective coping when dealing with stressful situations, often resulting in substance abuse. […] With substance abuse, denial is considered a powerful coping mechanism aimed at delaying the truth. […] Patients who are suffering from substance abuse tend to have a continuing perception of powerlessness because they feel that there is no amount of trying or self-control that is going to change their ways. […] Substance abuse can significantly increase the patients risk for suicide. Drug abuse can weaken the patients impulse control, interrupt neurotransmitter pathways, and impair judgment, leading to suicidal ideations and attempts.
- #20 Substance Abuse [+ Free Cheat Sheet] | Lecturio Nursinghttps://www.lecturio.com/nursing/free-cheat-sheet/substance-abuse-nursing-diagnoses/
Potential nursing diagnoses for substance use disorder could include: Ineffective coping: related to reliance on substances as a coping mechanism, Impaired social interaction: difficulty establishing or maintaining relationships due to effects of substance use, Self-neglect: potentially due to prioritizing substance use, Imbalanced nutrition: due to effects or side effects of substance use, Risk for injury: due to impaired coordination, altered judgment, or withdrawal symptoms.
- #21 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Therapeutic interventions and nursing actions for patients with substance abuse may include: Helping the Patient to Accepting Reality, Promoting Effective Coping, Promoting Support and Self-Esteem, Promoting Nutrition, Improving Sexual Functioning, Initiating Patient Education and Health Teachings, Administer Medications and Provide Pharmacologic Support. […] Chronic substance use affects a persons nutritional status and body composition through decreased intake, nutrient absorption, altered metabolism, unhealthy eating habits, and dysregulation of hormones that alter the mechanisms of satiety and food intake. […] Substance abuse can significantly impact sexual functioning in individuals, leading to various difficulties such as erectile dysfunction, decreased libido, and impaired sexual performance.
- #22 Substance Abuse [+ Free Cheat Sheet] | Lecturio Nursinghttps://www.lecturio.com/nursing/free-cheat-sheet/substance-abuse-nursing-diagnoses/
Potential nursing diagnoses for substance use disorder could include: Ineffective coping: related to reliance on substances as a coping mechanism, Impaired social interaction: difficulty establishing or maintaining relationships due to effects of substance use, Self-neglect: potentially due to prioritizing substance use, Imbalanced nutrition: due to effects or side effects of substance use, Risk for injury: due to impaired coordination, altered judgment, or withdrawal symptoms.
- #23 Substance Abuse [+ Free Cheat Sheet] | Lecturio Nursinghttps://www.lecturio.com/nursing/free-cheat-sheet/substance-abuse-nursing-diagnoses/
Potential nursing diagnoses for substance use disorder could include: Ineffective coping: related to reliance on substances as a coping mechanism, Impaired social interaction: difficulty establishing or maintaining relationships due to effects of substance use, Self-neglect: potentially due to prioritizing substance use, Imbalanced nutrition: due to effects or side effects of substance use, Risk for injury: due to impaired coordination, altered judgment, or withdrawal symptoms.
- #24 Substance Abuse [+ Free Cheat Sheet] | Lecturio Nursinghttps://www.lecturio.com/nursing/free-cheat-sheet/substance-abuse-nursing-diagnoses/
Potential nursing diagnoses for substance use disorder could include: Ineffective coping: related to reliance on substances as a coping mechanism, Impaired social interaction: difficulty establishing or maintaining relationships due to effects of substance use, Self-neglect: potentially due to prioritizing substance use, Imbalanced nutrition: due to effects or side effects of substance use, Risk for injury: due to impaired coordination, altered judgment, or withdrawal symptoms.
- #25 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
Patients with substance use disorder tend to struggle with ineffective coping when dealing with stressful situations, often resulting in substance abuse. […] With substance abuse, denial is considered a powerful coping mechanism aimed at delaying the truth. […] Patients who are suffering from substance abuse tend to have a continuing perception of powerlessness because they feel that there is no amount of trying or self-control that is going to change their ways. […] Substance abuse can significantly increase the patients risk for suicide. Drug abuse can weaken the patients impulse control, interrupt neurotransmitter pathways, and impair judgment, leading to suicidal ideations and attempts.
- #26 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
The only substances for which there are FDA-approved prescription therapies are opioids, alcohol, and nicotine. […] Detoxification (known as detox or withdrawal therapy) helps the patient to stop using the addictive substance as soon as possible while maintaining their safety. […] The nurse must remain nonjudgmental in treating patients with substance abuse disorders. Patients with addiction may seek medical support over and over in relation to their substance use, and the nurse can continue to provide resources for recovery. […] Once the nurse identifies nursing diagnoses related to substance abuse, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute substance withdrawal syndrome occurs when substance-dependent patients suddenly reduce or stop their intake of a substance, causing various physiological and behavioral changes.
- #27 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with substance abuse based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will verbalize awareness of the relationship between substance abuse and the current situation, The client will verbalize acceptance of responsibility for their own behavior, The client will identify ineffective coping behaviors/consequences, including the use of substances as a method of coping, The client will admit the inability to control their drug habit and surrender to powerlessness over addiction, The client will verbalize acceptance of the need for treatment and awareness that willpower alone cannot control abstinence, The client will demonstrate active participation in the program, The client will regain and maintain a healthy state with a drug-free lifestyle.
- #28 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Use this nursing care plan and management guide to help care for patients with substance abuse. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for substance abuse in this guide. […] Substance use disorders involve excessive use of nicotine, alcohol, and other illicit substances that leads to social, academic, and occupational impairment. […] Nursing care plans and management for clients who abuse substances include providing support for the decision to stop substance use, strengthening individual coping skills, facilitating learning of new ways to reduce anxiety, promoting family involvement in a rehabilitation program, facilitating family growth and development, and provide information about the prognosis and treatment needs. […] The following are the nursing priorities for patients with substance abuse: Ensure safety and monitor for withdrawal symptoms, Provide education on substance abuse and its effects, Assist in developing coping skills and relapse prevention strategies, Facilitate access to appropriate treatment programs and resources, Support the patients physical and emotional well-being, Address any co-occurring mental health issues, Encourage participation in support groups or counseling.
- #29 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Therapeutic interventions and nursing actions for patients with substance abuse may include: Helping the Patient to Accepting Reality, Promoting Effective Coping, Promoting Support and Self-Esteem, Promoting Nutrition, Improving Sexual Functioning, Initiating Patient Education and Health Teachings, Administer Medications and Provide Pharmacologic Support. […] Chronic substance use affects a persons nutritional status and body composition through decreased intake, nutrient absorption, altered metabolism, unhealthy eating habits, and dysregulation of hormones that alter the mechanisms of satiety and food intake. […] Substance abuse can significantly impact sexual functioning in individuals, leading to various difficulties such as erectile dysfunction, decreased libido, and impaired sexual performance.
- #30 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
The only substances for which there are FDA-approved prescription therapies are opioids, alcohol, and nicotine. […] Detoxification (known as detox or withdrawal therapy) helps the patient to stop using the addictive substance as soon as possible while maintaining their safety. […] The nurse must remain nonjudgmental in treating patients with substance abuse disorders. Patients with addiction may seek medical support over and over in relation to their substance use, and the nurse can continue to provide resources for recovery. […] Once the nurse identifies nursing diagnoses related to substance abuse, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute substance withdrawal syndrome occurs when substance-dependent patients suddenly reduce or stop their intake of a substance, causing various physiological and behavioral changes.
- #31 Drug addiction (substance use disorder) – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/drug-addiction/diagnosis-treatment/drc-20365113
The goal of detoxification, also called „detox” or withdrawal therapy, is to enable you to stop taking the addicting drug as quickly and safely as possible. […] After discussion with you, your health care provider may recommend medicine as part of your treatment for opioid addiction. Medicines don’t cure your opioid addiction, but they can help in your recovery. […] As part of a drug treatment program, behavior therapy a form of psychotherapy can be done by a psychologist or psychiatrist, or you may receive counseling from a licensed alcohol and drug counselor. […] Even after you’ve completed initial treatment, ongoing treatment and support can help prevent a relapse. Follow-up care can include periodic appointments with your counselor, continuing in a self-help program or attending a regular group session.
- #32 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Therapeutic interventions and nursing actions for patients with substance abuse may include: Helping the Patient to Accepting Reality, Promoting Effective Coping, Promoting Support and Self-Esteem, Promoting Nutrition, Improving Sexual Functioning, Initiating Patient Education and Health Teachings, Administer Medications and Provide Pharmacologic Support. […] Chronic substance use affects a persons nutritional status and body composition through decreased intake, nutrient absorption, altered metabolism, unhealthy eating habits, and dysregulation of hormones that alter the mechanisms of satiety and food intake. […] Substance abuse can significantly impact sexual functioning in individuals, leading to various difficulties such as erectile dysfunction, decreased libido, and impaired sexual performance.
- #33https://atriumhealth.org/medical-services/prevention-wellness/behavioral-health/substance-use-disorder-treatment
Substance use disorder is a condition where someone has trouble controlling their use of substances like alcohol and drugs. […] At Atrium Health, we offer evidence-based treatment options for those dealing with drug addiction and alcoholism. […] We offer proven treatment options and programs for drug addiction and alcoholism. Our inpatient and outpatient programs are grounded in 12-step recovery principles, focusing on your mental, physical and spiritual well-being. […] Receive round-the-clock medical supervision and support to safely withdraw from drugs or alcohol, using medications and therapeutic approaches to manage withdrawal symptoms. […] MAT uses evidence-based medications to help normalize brain function, reduce cravings and alleviate withdrawal symptoms. And combines that with counseling and behavioral therapies to address addiction.
- #34 Substance Use Recovery and Wellness – Behavioral Health | Loma Linda University Healthhttps://lluh.org/behavioral-health/our-services/substance-use-recovery-and-wellness
Our treatment team includes all the specialists you need: Psychiatrists, Behavioral health specialists, Dieticians, Registered nurses, Chemical dependency counselors, Family therapists, Chaplains, Acupuncturist, Recreational therapists, Yoga instructor. […] Safe detoxification is one of the first steps in any recovery program. Your medically-managed withdrawal is supervised by a psychiatrist who specializes in addiction medicine. […] We offer inpatient and outpatient MAT services to provide an additional level of care if you’re struggling with a substance use disorder. In combination with behavioral therapies, tailored medical treatments allow for an effective and holistic approach to recovery. MAT can help treat a variety of addictions, including opioid, alcohol and nicotine. […] One of our goals is to create a healthy community around you. Our program puts a heavy emphasis on enhancing the quality of life for your whole family. Treatment focuses on rebuilding and strengthening family bonds in group settings, including: Couples groups, which focus on improving communication between you and your spouse. Family groups, which bring together the entire family unit to better understand, cope and heal.
- #35 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Health teachings for patients with substance abuse focus on providing education and support to promote physical and mental well-being. […] Medications used in substance abuse treatment vary depending on the substance of abuse. They can include medications such as disulfiram, acamprosate, and naltrexone for alcohol use disorder, methadone, buprenorphine, and naltrexone for opioid use disorder, and nicotine replacement therapy, bupropion, and varenicline for nicotine dependence, among others.
- #36 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
The only substances for which there are FDA-approved prescription therapies are opioids, alcohol, and nicotine. […] Detoxification (known as detox or withdrawal therapy) helps the patient to stop using the addictive substance as soon as possible while maintaining their safety. […] The nurse must remain nonjudgmental in treating patients with substance abuse disorders. Patients with addiction may seek medical support over and over in relation to their substance use, and the nurse can continue to provide resources for recovery. […] Once the nurse identifies nursing diagnoses related to substance abuse, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute substance withdrawal syndrome occurs when substance-dependent patients suddenly reduce or stop their intake of a substance, causing various physiological and behavioral changes.
- #37 Substance use disorder – Wikipediahttps://en.wikipedia.org/wiki/Substance_use_disorder
About 11% of Americans with substance use disorder seek treatment, and 40-60% of those people relapse within a year. […] Medication-assisted treatment (MAT) refers to the combination of behavioral interventions and medications to treat substance use disorders. […] Medications can be used in treatment to lessen withdrawal symptoms. Evidence has demonstrated the efficacy of medication-assisted treatment at reducing illicit drug use and overdose deaths, improving retention in treatment, and reducing HIV transmission.
- #38 Psychiatry.org – What Is a Substance Use Disorder?https://www.psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder
Because SUDs affect many aspects of a person’s life, multiple types of treatment are often required. For most, a combination of medication and individual or group therapy is most effective. Treatment approaches that address an individual’s specific situation and any co-occurring medical, psychiatric, and social problems are optimal for sustained recovery. […] Medications are used to control cravings, relieve symptoms of withdrawal, and to prevent relapses. Psychotherapy can help individuals with SUD better understand their behavior and motivations, develop higher self-esteem, cope with stress, and address other psychiatric problems. […] A person’s recovery plan is unique to the person’s specific needs and may include strategies outside of formal treatment. These may include: Hospitalization or outpatient guidance for medical withdrawal management (detoxification).
- #39 Psychiatry.org – What Is a Substance Use Disorder?https://www.psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder
Because SUDs affect many aspects of a person’s life, multiple types of treatment are often required. For most, a combination of medication and individual or group therapy is most effective. Treatment approaches that address an individual’s specific situation and any co-occurring medical, psychiatric, and social problems are optimal for sustained recovery. […] Medications are used to control cravings, relieve symptoms of withdrawal, and to prevent relapses. Psychotherapy can help individuals with SUD better understand their behavior and motivations, develop higher self-esteem, cope with stress, and address other psychiatric problems. […] A person’s recovery plan is unique to the person’s specific needs and may include strategies outside of formal treatment. These may include: Hospitalization or outpatient guidance for medical withdrawal management (detoxification).
- #40 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Health teachings for patients with substance abuse focus on providing education and support to promote physical and mental well-being. […] Medications used in substance abuse treatment vary depending on the substance of abuse. They can include medications such as disulfiram, acamprosate, and naltrexone for alcohol use disorder, methadone, buprenorphine, and naltrexone for opioid use disorder, and nicotine replacement therapy, bupropion, and varenicline for nicotine dependence, among others.
- #41 Treatment of Substance Use Disorders | Overdose Prevention | CDChttps://www.cdc.gov/overdose-prevention/treatment/index.html
Like many other chronic conditions, treatment is available for substance use disorders. While no single treatment method is right for everyone, recovery is possible, and help is available for patients with SUDs. […] There are safe and effective ways to recover from SUDs. Finding the right treatment option can be the key to a successful recovery journey. […] Specific conditions like opioid use disorder may require medication as the first course of treatment. MOUD can help with cravings and withdrawal symptoms. […] Research has demonstrated that MOUD is effective in helping people recover from their OUD. […] SUD is a treatable, chronic disease that can affect people of any race, sex, income level, or social class. […] Finding a doctor who is comfortable discussing SUDs can help ensure long-term recovery.
- #42 Psychiatry.org – What Is a Substance Use Disorder?https://www.psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder
Because SUDs affect many aspects of a person’s life, multiple types of treatment are often required. For most, a combination of medication and individual or group therapy is most effective. Treatment approaches that address an individual’s specific situation and any co-occurring medical, psychiatric, and social problems are optimal for sustained recovery. […] Medications are used to control cravings, relieve symptoms of withdrawal, and to prevent relapses. Psychotherapy can help individuals with SUD better understand their behavior and motivations, develop higher self-esteem, cope with stress, and address other psychiatric problems. […] A person’s recovery plan is unique to the person’s specific needs and may include strategies outside of formal treatment. These may include: Hospitalization or outpatient guidance for medical withdrawal management (detoxification).
- #43 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Therapeutic interventions and nursing actions for patients with substance abuse may include: Helping the Patient to Accepting Reality, Promoting Effective Coping, Promoting Support and Self-Esteem, Promoting Nutrition, Improving Sexual Functioning, Initiating Patient Education and Health Teachings, Administer Medications and Provide Pharmacologic Support. […] Chronic substance use affects a persons nutritional status and body composition through decreased intake, nutrient absorption, altered metabolism, unhealthy eating habits, and dysregulation of hormones that alter the mechanisms of satiety and food intake. […] Substance abuse can significantly impact sexual functioning in individuals, leading to various difficulties such as erectile dysfunction, decreased libido, and impaired sexual performance.
- #44https://atriumhealth.org/medical-services/prevention-wellness/behavioral-health/substance-use-disorder-treatment
Counseling can help identify the root cause of your drug use, repair relationships and help you adopt healthier coping skills (tools for handling life’s challenges). […] This therapeutic approach addresses issues within a family unit, aiming to improve communication and relationships. […] These are therapist-led sessions with multiple individuals, providing support and fostering personal growth through shared experiences and interactions. […] Our integrated approach ensures comprehensive care for both addiction and mental health issues. […] We offer ongoing support once you’ve completed addiction treatment. This may include counseling and help connecting with resources that aid in continuing recovery and preventing relapses. […] You learn how to manage symptoms of the disease (substance use disorder)
- #45 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Therapeutic interventions and nursing actions for patients with substance abuse may include: Helping the Patient to Accepting Reality, Promoting Effective Coping, Promoting Support and Self-Esteem, Promoting Nutrition, Improving Sexual Functioning, Initiating Patient Education and Health Teachings, Administer Medications and Provide Pharmacologic Support. […] Chronic substance use affects a persons nutritional status and body composition through decreased intake, nutrient absorption, altered metabolism, unhealthy eating habits, and dysregulation of hormones that alter the mechanisms of satiety and food intake. […] Substance abuse can significantly impact sexual functioning in individuals, leading to various difficulties such as erectile dysfunction, decreased libido, and impaired sexual performance.
- #46 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
Building trust and showing empathy toward patients struggling with addiction is crucial. […] Acknowledging your patients struggles and courage is essential to providing compassionate and effective care. […] Its crucial that you objectively share the risks of addiction. […] Educating about the potential risks of long-term substance use can be helpful since some patients might not be aware of certain substance-induced health conditions and how they can contribute to more issues in the long run. […] Normalizing the conversation about drug addiction helps break down barriers to seeking help. […] Promoting collaboration as a health provider helping a patient with addiction is crucial for achieving positive treatment outcomes. […] Addressing co-occurring conditions when working with a patient with addiction is crucial for providing comprehensive, effective care. […] As a health provider, its crucial that you speak to patients with addiction with compassion, avoiding judgment or biased language. […] Providing an environment free of stigma can go a long way in their recovery journey and influence other health providers to do the same.
- #47 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Nursing interventions are helping PDD acknowledge the drug addiction and facilitating development of effective coping skills, medication self-efficacy, information-processing skills, occupational skill, and social skill by using the nursing process to (a) assessment information and health-care needs of PDD and (b) identified nursing diagnosis based on NANDA International (NANDA-1) classification system. […] The family or significant others may have difficulty understanding that psychotic behavior is related to medical illness. […] Sobriety, including abstinence from all substances, is associated with greater success in recovery.
- #48 8 Substance Abuse Nursing Care Plans – HereNOW Helphttps://herenowhelp.com/2022/10/20/8-substance-abuse-nursing-care-plans/
The following are nursing interventions for substance abuse. […] Maintain firm expectation that patient attend recovery support and therapy groups regularly. Attendance is related to admitting need for help, to working with denial, and for maintenance of a long-term drug-free existence. […] Encourage family members to seek help whether or not the abuser seeks it. To assist the patient deal appropriately with the situation.
- #49 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
The only substances for which there are FDA-approved prescription therapies are opioids, alcohol, and nicotine. […] Detoxification (known as detox or withdrawal therapy) helps the patient to stop using the addictive substance as soon as possible while maintaining their safety. […] The nurse must remain nonjudgmental in treating patients with substance abuse disorders. Patients with addiction may seek medical support over and over in relation to their substance use, and the nurse can continue to provide resources for recovery. […] Once the nurse identifies nursing diagnoses related to substance abuse, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute substance withdrawal syndrome occurs when substance-dependent patients suddenly reduce or stop their intake of a substance, causing various physiological and behavioral changes.
- #50 Caring For Patients With Substance Use Disorders | NurseJournal.orghttps://nursejournal.org/articles/caring-for-patients-with-substance-use-disorder/
Most nurses will provide care to patients with substance use disorder, even if they have not focused their professional career on treating patients with these conditions. These tips can help identify patients and improve patient outcomes. […] McMahon encourages nurses to see recovery as a process people must go through to live self-directed lives. […] Addiction nurses help educate people to make better lifestyle choices and enjoy their recovery. […] Substance use nurses face unique situations in which they must use different approaches to care for special populations. […] It is crucial that nurses learn how to recognize the signs of withdrawal and manage the symptoms with proper medical and psychological care. […] Practicing kindness and a non-judgmental attitude is a good practice that helps patients open up and talk about their challenges. […] Most nurses who encounter patients with substance use disorders or behavioral addictions must know how to identify withdrawal symptoms. They must also practice relevant skills that encourage patients to share their challenges, including kindness and non-judgmental attitudes.
- #51 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
Building trust and showing empathy toward patients struggling with addiction is crucial. […] Acknowledging your patients struggles and courage is essential to providing compassionate and effective care. […] Its crucial that you objectively share the risks of addiction. […] Educating about the potential risks of long-term substance use can be helpful since some patients might not be aware of certain substance-induced health conditions and how they can contribute to more issues in the long run. […] Normalizing the conversation about drug addiction helps break down barriers to seeking help. […] Promoting collaboration as a health provider helping a patient with addiction is crucial for achieving positive treatment outcomes. […] Addressing co-occurring conditions when working with a patient with addiction is crucial for providing comprehensive, effective care. […] As a health provider, its crucial that you speak to patients with addiction with compassion, avoiding judgment or biased language. […] Providing an environment free of stigma can go a long way in their recovery journey and influence other health providers to do the same.
- #52 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
Building trust and showing empathy toward patients struggling with addiction is crucial. […] Acknowledging your patients struggles and courage is essential to providing compassionate and effective care. […] Its crucial that you objectively share the risks of addiction. […] Educating about the potential risks of long-term substance use can be helpful since some patients might not be aware of certain substance-induced health conditions and how they can contribute to more issues in the long run. […] Normalizing the conversation about drug addiction helps break down barriers to seeking help. […] Promoting collaboration as a health provider helping a patient with addiction is crucial for achieving positive treatment outcomes. […] Addressing co-occurring conditions when working with a patient with addiction is crucial for providing comprehensive, effective care. […] As a health provider, its crucial that you speak to patients with addiction with compassion, avoiding judgment or biased language. […] Providing an environment free of stigma can go a long way in their recovery journey and influence other health providers to do the same.
- #53 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
Building trust and showing empathy toward patients struggling with addiction is crucial. […] Acknowledging your patients struggles and courage is essential to providing compassionate and effective care. […] Its crucial that you objectively share the risks of addiction. […] Educating about the potential risks of long-term substance use can be helpful since some patients might not be aware of certain substance-induced health conditions and how they can contribute to more issues in the long run. […] Normalizing the conversation about drug addiction helps break down barriers to seeking help. […] Promoting collaboration as a health provider helping a patient with addiction is crucial for achieving positive treatment outcomes. […] Addressing co-occurring conditions when working with a patient with addiction is crucial for providing comprehensive, effective care. […] As a health provider, its crucial that you speak to patients with addiction with compassion, avoiding judgment or biased language. […] Providing an environment free of stigma can go a long way in their recovery journey and influence other health providers to do the same.
- #54 Effective Nursing Recovery-Oriented Interventions for Individuals With Substance Use Disorder: A Literature Review – PubMedhttps://pubmed.ncbi.nlm.nih.gov/37140411/
Nurses support the recovery of individuals with substance use disorder. How they support individuals, however, may impact the effectiveness of their work. […] The purpose of this literature review is to examine effective nursing interventions that promoted recovery of those with substance use disorders from the perspective of nurses and individuals who received nursing care. […] The review identified that effective interventions were based on three major themes: person-centered care, empowerment, and maintaining supports and capability enhancement. […] Nurses should utilize the more prominent interventions as they offer the most benefit and integrate interventions that are often overlooked.
- #55 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
Nursing interventions provide a supportive environment while the client undergoes withdrawal treatment. […] Clients with substance use disorders may exhibit a poor nutritional status due to long-term use of substances taking precedence over food and fluid intake. […] Developing a therapeutic nurse-client relationship can encourage the client to explore harmful feelings of anxiety, hopelessness, and spiritual distress. […] Evaluation occurs on several levels by assessing the individualized SMART outcomes related to the effectiveness of the withdrawal treatment plan, symptom management, and the clients readiness and progress towards changes in their behavior.
- #56 Caring For Patients With Substance Use Disorders | NurseJournal.orghttps://nursejournal.org/articles/caring-for-patients-with-substance-use-disorder/
Most nurses will provide care to patients with substance use disorder, even if they have not focused their professional career on treating patients with these conditions. These tips can help identify patients and improve patient outcomes. […] McMahon encourages nurses to see recovery as a process people must go through to live self-directed lives. […] Addiction nurses help educate people to make better lifestyle choices and enjoy their recovery. […] Substance use nurses face unique situations in which they must use different approaches to care for special populations. […] It is crucial that nurses learn how to recognize the signs of withdrawal and manage the symptoms with proper medical and psychological care. […] Practicing kindness and a non-judgmental attitude is a good practice that helps patients open up and talk about their challenges. […] Most nurses who encounter patients with substance use disorders or behavioral addictions must know how to identify withdrawal symptoms. They must also practice relevant skills that encourage patients to share their challenges, including kindness and non-judgmental attitudes.
- #57 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
Nursing interventions provide a supportive environment while the client undergoes withdrawal treatment. […] Clients with substance use disorders may exhibit a poor nutritional status due to long-term use of substances taking precedence over food and fluid intake. […] Developing a therapeutic nurse-client relationship can encourage the client to explore harmful feelings of anxiety, hopelessness, and spiritual distress. […] Evaluation occurs on several levels by assessing the individualized SMART outcomes related to the effectiveness of the withdrawal treatment plan, symptom management, and the clients readiness and progress towards changes in their behavior.
- #58 Substance use treatment – Canada.cahttps://www.canada.ca/en/health-canada/services/substance-use/treatment.html
If you are ready for help, a combination of health and social supports, like medication and therapy, will give you the best results. […] A good treatment program should also include ways to reduce your harms from substance use in case you use substances again. […] Medications can help you with various substance use issues or addiction. […] Psychological supports like therapy and counselling are talk-based approaches that can help you reduce or stop using substances. […] You might need short-term help dealing with substance use withdrawal (also called detoxification or detox). Withdrawal management is the initial supervised, controlled period of stopping the use of a substance. […] Given the high risk of relapse and harm, you should transition immediately after withdrawal management services to mental health and substance use services.
- #59 Substance use treatment – Canada.cahttps://www.canada.ca/en/health-canada/services/substance-use/treatment.html
If you are ready for help, a combination of health and social supports, like medication and therapy, will give you the best results. […] A good treatment program should also include ways to reduce your harms from substance use in case you use substances again. […] Medications can help you with various substance use issues or addiction. […] Psychological supports like therapy and counselling are talk-based approaches that can help you reduce or stop using substances. […] You might need short-term help dealing with substance use withdrawal (also called detoxification or detox). Withdrawal management is the initial supervised, controlled period of stopping the use of a substance. […] Given the high risk of relapse and harm, you should transition immediately after withdrawal management services to mental health and substance use services.
- #60 Substance Use Disorders | NAMIhttps://www.nami.org/about-mental-illness/common-with-mental-illness/substance-use-disorders/
Substance use disorders â the repeated misuse of alcohol and/or drugs â often occur simultaneously in individuals with mental illness, usually to cope with overwhelming symptoms. The combination of these two illnesses has its own term: dual diagnosis, or co-occurring disorders. Either disorder (substance use or mental illness) can develop first. […] According to the National Survey on Drug Use and Health, 17 million U.S. adults experienced both mental illness and a substance use disorder in 2020. […] The best treatment for dual diagnosis is integrated intervention, when a person receives care for both their diagnosed mental illness and substance use disorder. The idea that âI cannot treat your depression because you are also drinkingâ is outdated â current thinking requires both issues be addressed.
- #61 Substance Use Disorders | NAMIhttps://www.nami.org/about-mental-illness/common-with-mental-illness/substance-use-disorders/
Substance use disorders â the repeated misuse of alcohol and/or drugs â often occur simultaneously in individuals with mental illness, usually to cope with overwhelming symptoms. The combination of these two illnesses has its own term: dual diagnosis, or co-occurring disorders. Either disorder (substance use or mental illness) can develop first. […] According to the National Survey on Drug Use and Health, 17 million U.S. adults experienced both mental illness and a substance use disorder in 2020. […] The best treatment for dual diagnosis is integrated intervention, when a person receives care for both their diagnosed mental illness and substance use disorder. The idea that âI cannot treat your depression because you are also drinkingâ is outdated â current thinking requires both issues be addressed.
- #62 Substance Use Disorders | NAMIhttps://www.nami.org/about-mental-illness/common-with-mental-illness/substance-use-disorders/
Substance use disorders â the repeated misuse of alcohol and/or drugs â often occur simultaneously in individuals with mental illness, usually to cope with overwhelming symptoms. The combination of these two illnesses has its own term: dual diagnosis, or co-occurring disorders. Either disorder (substance use or mental illness) can develop first. […] According to the National Survey on Drug Use and Health, 17 million U.S. adults experienced both mental illness and a substance use disorder in 2020. […] The best treatment for dual diagnosis is integrated intervention, when a person receives care for both their diagnosed mental illness and substance use disorder. The idea that âI cannot treat your depression because you are also drinkingâ is outdated â current thinking requires both issues be addressed.
- #63 Treatment for Substance Use Disorders | Cigna Healthcarehttps://www.cigna.com/knowledge-center/treatment-for-substance-use-disorders
Getting treatment for substance use disorder is difficult. The first step toward getting the right treatment is a full evaluation. After this evaluation, you’ll get a treatment recommendation. The recommended treatment will happen on either an inpatient or outpatient basis. Outpatient care can include 12-step programs, therapy, support groups, and partial hospitalization. Routine Outpatient Care (ROC) includes individual counseling with a trained therapist. Substance Use Disorder Intensive Outpatient Program (IOP) is a structured treatment that teaches about addiction and recovery. Partial hospitalization can help patients who are still struggling after completing lower levels of care. Inpatient Detox is right for people who need 24-hour intensive medical care. Inpatient Residential is tried after multiple attempts at other levels of care have failed. People with substance use disorder are most likely to recover if they learn about their addiction, manage conflict in a healthy way, take care of their physical and emotional health, follow the direction of their health care providers, develop a sober support group, and make changes to the parts of their life that support drinking or using. Recovery takes heroic effort every day. Relapse is common during the recovery process. Extra support is needed during a relapse. Having a loved one with an addiction problem is tough on family members. A higher level of care should be considered when the patient has been sticking to treatment but is still drinking or using. Your first step is to get a clear understanding of the situation and then you can look at the available treatment options. Early identification and treatment of substance use is crucial. You may not be able to cure the illness, but you can provide support and guide the person to competent help.
- #64 Drug Use and Addiction: MedlinePlushttps://medlineplus.gov/druguseandaddiction.html
Drug addiction is a chronic brain disease. It causes a person to take drugs repeatedly, despite the harm they cause. Repeated drug use can change the brain and lead to addiction. […] Treatments for drug addiction include counseling, medicines, or both. Research shows that combining medicines with counseling gives most people the best chance of success. […] If you have a mental disorder along with an addiction, it is known as a dual diagnosis. It is important to treat both problems. This will increase your chance of success. […] Drug use and addiction are preventable. Prevention programs involving families, schools, communities, and the media may prevent or reduce drug use and addiction. These programs include education and outreach to help people understand the risks of drug use.
- #65 Drug addiction (substance use disorder) – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/drug-addiction/diagnosis-treatment/drc-20365113
Overcoming an addiction and staying drug-free require a persistent effort. Learning new coping skills and knowing where to find help are essential. […] Drug addiction is linked to many problems that may be helped with therapy or counseling, including other underlying mental health concerns or marriage or family problems. […] Support groups, such as Narcotics Anonymous or Alcoholics Anonymous, can be very effective in coping with addiction. Compassion, understanding and shared experiences can help you break your addiction and stay drug-free.
- #66https://atriumhealth.org/medical-services/prevention-wellness/behavioral-health/substance-use-disorder-treatment
You build a relapse prevention plan […] You find community support. […] Education on recovery tools and preventing relapse […] Access to group meetings, where you receive support from others on the same journey […] Instruction for the family in recovery, as substance use disorder impacts the entire family.
- #67 Drug addiction (substance use disorder) – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/drug-addiction/diagnosis-treatment/drc-20365113
The goal of detoxification, also called „detox” or withdrawal therapy, is to enable you to stop taking the addicting drug as quickly and safely as possible. […] After discussion with you, your health care provider may recommend medicine as part of your treatment for opioid addiction. Medicines don’t cure your opioid addiction, but they can help in your recovery. […] As part of a drug treatment program, behavior therapy a form of psychotherapy can be done by a psychologist or psychiatrist, or you may receive counseling from a licensed alcohol and drug counselor. […] Even after you’ve completed initial treatment, ongoing treatment and support can help prevent a relapse. Follow-up care can include periodic appointments with your counselor, continuing in a self-help program or attending a regular group session.
- #68 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Nursing interventions are helping PDD acknowledge the drug addiction and facilitating development of effective coping skills, medication self-efficacy, information-processing skills, occupational skill, and social skill by using the nursing process to (a) assessment information and health-care needs of PDD and (b) identified nursing diagnosis based on NANDA International (NANDA-1) classification system. […] The family or significant others may have difficulty understanding that psychotic behavior is related to medical illness. […] Sobriety, including abstinence from all substances, is associated with greater success in recovery.
- #69 8 Substance Abuse Nursing Care Plans – HereNOW Helphttps://herenowhelp.com/2022/10/20/8-substance-abuse-nursing-care-plans/
The following are nursing interventions for substance abuse. […] Maintain firm expectation that patient attend recovery support and therapy groups regularly. Attendance is related to admitting need for help, to working with denial, and for maintenance of a long-term drug-free existence. […] Encourage family members to seek help whether or not the abuser seeks it. To assist the patient deal appropriately with the situation.
- #70 Caring For Patients With Substance Use Disorders | NurseJournal.orghttps://nursejournal.org/articles/caring-for-patients-with-substance-use-disorder/
Nurses play an important role in substance use disorder treatment, in and outside treatment facilities. These tips can help improve patient outcomes. […] Nurses are often the first healthcare providers that people with substance use disorders meet and are central to successful treatment. Discover more about addiction, the role substance use nurses play, and tips when a patient is experiencing addiction or a substance use disorder. […] It is crucial that nurses treat addiction in the same way they would treat other diseases. The National Institute on Drug Abuse notes that addiction and other chronic diseases disrupt normal functioning, have serious long-term effects, and in many cases, are preventable and treatable. […] Addictions nursing is a distinct specialty that incorporates therapeutic treatment and recovery services for individuals with substance use or behavioral addictions.
- #71 Caring For Patients With Substance Use Disorders | NurseJournal.orghttps://nursejournal.org/articles/caring-for-patients-with-substance-use-disorder/
The epidemic has highlighted the need for nurses across nearly all specialties to recognize the potential risks associated with opioid medications, understand alternative pain management strategies, identify potential substance use disorders, and support patient recovery. […] The duties and responsibilities of CARN nurse include: Conducting patient assessments and identifying care requirements, Maintaining a knowledge base of new drugs, Administering medications and treatments to relieve symptoms of withdrawal, Educating patients and families on making healthy lifestyle choices, Supporting patients coping with psychological and emotional issues associated with substance use disorders, Recognizing the role trauma plays and assessing for the sequelae of traumatic experiences, Educating communities and advocating for better healthcare practices.
- #72 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Persons with drug addiction (PDDs) may exhibit symptoms affecting the central nervous system. […] Quality nursing care is essential for improving quality of life, health status, and continued abuse-free status of PDD. […] As a team, professional nurses working in hospital and community care should be sensitive to PDD and identify strategies for addressing their issues. Positive nursing outcomes improve their quality of life. […] Professional nurse is working as an integral part of the multidisciplinary treatment team in caring of symptomatic care, limits setting, structured support, psychoeducation, and referrals for continuing care in the community. Family and caregivers are significant in the treatment program to be the part of resolving the problem and feelings surrounding the persons drug use to facilitate recovery sessions.
- #73 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Persons with drug addiction (PDDs) may exhibit symptoms affecting the central nervous system. […] Quality nursing care is essential for improving quality of life, health status, and continued abuse-free status of PDD. […] As a team, professional nurses working in hospital and community care should be sensitive to PDD and identify strategies for addressing their issues. Positive nursing outcomes improve their quality of life. […] Professional nurse is working as an integral part of the multidisciplinary treatment team in caring of symptomatic care, limits setting, structured support, psychoeducation, and referrals for continuing care in the community. Family and caregivers are significant in the treatment program to be the part of resolving the problem and feelings surrounding the persons drug use to facilitate recovery sessions.
- #74 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
This section will apply the nursing process to caring for a hospitalized client diagnosed with a substance use disorder who is receiving withdrawal treatment. […] The client should receive a comprehensive physical examination to evaluate signs related to current withdrawal symptoms, as well as symptoms of concurrent medical and mental health diagnoses. […] A nursing diagnosis related to the abrupt cessation of a psychoactive substance is a syndrome diagnosed as Acute Substance Withdrawal Syndrome. […] An example of a broad goal related to withdrawal treatment is the following: The client will stabilize and remain free from injury. […] In addition to implementing the withdrawal treatment plan prescribed by the provider, the nurse collaboratively develops a post-withdrawal treatment plan with interprofessional health care team members.
- #75 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Nursing interventions are helping PDD acknowledge the drug addiction and facilitating development of effective coping skills, medication self-efficacy, information-processing skills, occupational skill, and social skill by using the nursing process to (a) assessment information and health-care needs of PDD and (b) identified nursing diagnosis based on NANDA International (NANDA-1) classification system. […] The family or significant others may have difficulty understanding that psychotic behavior is related to medical illness. […] Sobriety, including abstinence from all substances, is associated with greater success in recovery.
- #76 Drug Use and Addiction: MedlinePlushttps://medlineplus.gov/druguseandaddiction.html
Drug addiction is a chronic brain disease. It causes a person to take drugs repeatedly, despite the harm they cause. Repeated drug use can change the brain and lead to addiction. […] Treatments for drug addiction include counseling, medicines, or both. Research shows that combining medicines with counseling gives most people the best chance of success. […] If you have a mental disorder along with an addiction, it is known as a dual diagnosis. It is important to treat both problems. This will increase your chance of success. […] Drug use and addiction are preventable. Prevention programs involving families, schools, communities, and the media may prevent or reduce drug use and addiction. These programs include education and outreach to help people understand the risks of drug use.
- #77 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
Building trust and showing empathy toward patients struggling with addiction is crucial. […] Acknowledging your patients struggles and courage is essential to providing compassionate and effective care. […] Its crucial that you objectively share the risks of addiction. […] Educating about the potential risks of long-term substance use can be helpful since some patients might not be aware of certain substance-induced health conditions and how they can contribute to more issues in the long run. […] Normalizing the conversation about drug addiction helps break down barriers to seeking help. […] Promoting collaboration as a health provider helping a patient with addiction is crucial for achieving positive treatment outcomes. […] Addressing co-occurring conditions when working with a patient with addiction is crucial for providing comprehensive, effective care. […] As a health provider, its crucial that you speak to patients with addiction with compassion, avoiding judgment or biased language. […] Providing an environment free of stigma can go a long way in their recovery journey and influence other health providers to do the same.
- #78 Addiction – Healthy People 2030 | odphp.health.govhttps://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/addiction
More than 20 million people in the United States have a substance use disorder, and most of them dont get the treatment they need. […] Healthy People 2030 focuses on preventing substance use disorders like drug or alcohol addiction and helping people with these disorders get treatment. […] Strategies to prevent drug and alcohol use at the school, family, and community level are key to reducing substance use disorders. […] Interventions to help people with substance use disorders get treatment can help reduce related health problems and deaths. […] Increase the proportion of people with a substance use disorder who got treatment in the past year SU01 Little or no detectable change. […] Increase the rate of people with an opioid use disorder getting medications for addiction treatment SUD03 Developmental.
- #79 Substance Use Disorders | NAMIhttps://www.nami.org/about-mental-illness/common-with-mental-illness/substance-use-disorders/
Supportive Housing, like group homes or sober houses, are residential treatment centers that may help people who are newly sober or trying to avoid relapse. […] Self-Help and Support Groups. Dealing with a dual diagnosis can feel challenging and isolating. Support groups allow members to share frustrations, celebrate successes, find referrals for specialists, find the best community resources and swap recovery tips.
- #80 Treatment for Substance Use Disorders | Cigna Healthcarehttps://www.cigna.com/knowledge-center/treatment-for-substance-use-disorders
Getting treatment for substance use disorder is difficult. The first step toward getting the right treatment is a full evaluation. After this evaluation, you’ll get a treatment recommendation. The recommended treatment will happen on either an inpatient or outpatient basis. Outpatient care can include 12-step programs, therapy, support groups, and partial hospitalization. Routine Outpatient Care (ROC) includes individual counseling with a trained therapist. Substance Use Disorder Intensive Outpatient Program (IOP) is a structured treatment that teaches about addiction and recovery. Partial hospitalization can help patients who are still struggling after completing lower levels of care. Inpatient Detox is right for people who need 24-hour intensive medical care. Inpatient Residential is tried after multiple attempts at other levels of care have failed. People with substance use disorder are most likely to recover if they learn about their addiction, manage conflict in a healthy way, take care of their physical and emotional health, follow the direction of their health care providers, develop a sober support group, and make changes to the parts of their life that support drinking or using. Recovery takes heroic effort every day. Relapse is common during the recovery process. Extra support is needed during a relapse. Having a loved one with an addiction problem is tough on family members. A higher level of care should be considered when the patient has been sticking to treatment but is still drinking or using. Your first step is to get a clear understanding of the situation and then you can look at the available treatment options. Early identification and treatment of substance use is crucial. You may not be able to cure the illness, but you can provide support and guide the person to competent help.
- #81 Treatment for Substance Use Disorders | Cigna Healthcarehttps://www.cigna.com/knowledge-center/treatment-for-substance-use-disorders
Getting treatment for substance use disorder is difficult. The first step toward getting the right treatment is a full evaluation. After this evaluation, you’ll get a treatment recommendation. The recommended treatment will happen on either an inpatient or outpatient basis. Outpatient care can include 12-step programs, therapy, support groups, and partial hospitalization. Routine Outpatient Care (ROC) includes individual counseling with a trained therapist. Substance Use Disorder Intensive Outpatient Program (IOP) is a structured treatment that teaches about addiction and recovery. Partial hospitalization can help patients who are still struggling after completing lower levels of care. Inpatient Detox is right for people who need 24-hour intensive medical care. Inpatient Residential is tried after multiple attempts at other levels of care have failed. People with substance use disorder are most likely to recover if they learn about their addiction, manage conflict in a healthy way, take care of their physical and emotional health, follow the direction of their health care providers, develop a sober support group, and make changes to the parts of their life that support drinking or using. Recovery takes heroic effort every day. Relapse is common during the recovery process. Extra support is needed during a relapse. Having a loved one with an addiction problem is tough on family members. A higher level of care should be considered when the patient has been sticking to treatment but is still drinking or using. Your first step is to get a clear understanding of the situation and then you can look at the available treatment options. Early identification and treatment of substance use is crucial. You may not be able to cure the illness, but you can provide support and guide the person to competent help.
- #82 British Journal of Nursing – Working effectively with individuals with substance use disorders: a qualitative descriptive studyhttps://www.britishjournalofnursing.com/content/professional/working-effectively-with-individuals-with-substance-use-disorders-a-qualitative-descriptive-study/
Irrespective of where nurses work, they may provide care to individuals with substance use disorders. Unfortunately, some nurses may not understand how to work with these individuals and stigmatisation may occur. […] To explore how to provide effective care for these individuals. […] Findings consider person-centred care, such as how to create a therapeutic relationship with individuals with substance use disorders, empowerment of these individuals and providing hope, and employing a holistic approach. […] Nurses may encounter individuals with substance use disorders and may benefit from knowledge of how best to intervene. […] Nurses regularly encounter individuals with substance use disorders (SUDs). Whether a SUD is the primary focus of care or not, understanding how best to work with individuals who have SUDs is important.
- #83 Addiction | CAMHhttps://www.camh.ca/en/health-info/mental-illness-and-addiction-index/addiction
There is no one-size-fits-all approach to addiction treatment. […] Choosing the appropriate treatment depends on the severity and type of addiction; the support available from family, friends and others; and the persons motivation to change. […] Some people with substance use problems are able to make changes on their own using self-help materials (e.g., self-help books and websites). […] Self help groups also called mutual aid groups support people who are working to change their substance use. […] To reach out to people who may not be ready, willing or able to give up substances, some treatment programs have adopted a harm reduction approach. […] Counselling generally aims to increase peoples awareness of how substance use affects their lives, what puts them at risk of substance use and how to reduce substance use.
- #84 Addiction | CAMHhttps://www.camh.ca/en/health-info/mental-illness-and-addiction-index/addiction
There is no one-size-fits-all approach to addiction treatment. […] Choosing the appropriate treatment depends on the severity and type of addiction; the support available from family, friends and others; and the persons motivation to change. […] Some people with substance use problems are able to make changes on their own using self-help materials (e.g., self-help books and websites). […] Self help groups also called mutual aid groups support people who are working to change their substance use. […] To reach out to people who may not be ready, willing or able to give up substances, some treatment programs have adopted a harm reduction approach. […] Counselling generally aims to increase peoples awareness of how substance use affects their lives, what puts them at risk of substance use and how to reduce substance use.
- #85 Effective Nursing Recovery-Oriented Interventions for Individuals With Substance Use Disorder: A Literature Review – PubMedhttps://pubmed.ncbi.nlm.nih.gov/37140411/
Nurses support the recovery of individuals with substance use disorder. How they support individuals, however, may impact the effectiveness of their work. […] The purpose of this literature review is to examine effective nursing interventions that promoted recovery of those with substance use disorders from the perspective of nurses and individuals who received nursing care. […] The review identified that effective interventions were based on three major themes: person-centered care, empowerment, and maintaining supports and capability enhancement. […] Nurses should utilize the more prominent interventions as they offer the most benefit and integrate interventions that are often overlooked.
- #86 British Journal of Nursing – Working effectively with individuals with substance use disorders: a qualitative descriptive studyhttps://www.britishjournalofnursing.com/content/professional/working-effectively-with-individuals-with-substance-use-disorders-a-qualitative-descriptive-study/
Irrespective of where nurses work, they may provide care to individuals with substance use disorders. Unfortunately, some nurses may not understand how to work with these individuals and stigmatisation may occur. […] To explore how to provide effective care for these individuals. […] Findings consider person-centred care, such as how to create a therapeutic relationship with individuals with substance use disorders, empowerment of these individuals and providing hope, and employing a holistic approach. […] Nurses may encounter individuals with substance use disorders and may benefit from knowledge of how best to intervene. […] Nurses regularly encounter individuals with substance use disorders (SUDs). Whether a SUD is the primary focus of care or not, understanding how best to work with individuals who have SUDs is important.
- #87 Addiction | CAMHhttps://www.camh.ca/en/health-info/mental-illness-and-addiction-index/addiction
There is no one-size-fits-all approach to addiction treatment. […] Choosing the appropriate treatment depends on the severity and type of addiction; the support available from family, friends and others; and the persons motivation to change. […] Some people with substance use problems are able to make changes on their own using self-help materials (e.g., self-help books and websites). […] Self help groups also called mutual aid groups support people who are working to change their substance use. […] To reach out to people who may not be ready, willing or able to give up substances, some treatment programs have adopted a harm reduction approach. […] Counselling generally aims to increase peoples awareness of how substance use affects their lives, what puts them at risk of substance use and how to reduce substance use.
- #88 Substance Use Disorder Treatment | UC San Diego Healthhttps://health.ucsd.edu/care/behavioral-mental-health/substance-use/
Look to us for comprehensive addiction recovery and treatment services for adults with substance use disorders. […] Our whole-person approach to care is extended to all populations without judgment. […] We recognize both the biological basis of addiction and the sociocultural factors that play a role. […] Our focus is on delivering compassionate, evidence-based care that improves your quality of life and daily life functioning. […] We treat all types of substance use disorders, including the following. […] Because we bring the best available science to our care plans, we employ a „harm reduction” approach to addiction treatment and lifelong recovery. […] This nonjudgmental, evidence-based method of care uses practical strategies to reduce the consequences of drug use and is open to individuals (age 18 and older) in all stages of recovery, including:
- #89 Substance Use Disorder Treatment | UC San Diego Healthhttps://health.ucsd.edu/care/behavioral-mental-health/substance-use/
Look to us for comprehensive addiction recovery and treatment services for adults with substance use disorders. […] Our whole-person approach to care is extended to all populations without judgment. […] We recognize both the biological basis of addiction and the sociocultural factors that play a role. […] Our focus is on delivering compassionate, evidence-based care that improves your quality of life and daily life functioning. […] We treat all types of substance use disorders, including the following. […] Because we bring the best available science to our care plans, we employ a „harm reduction” approach to addiction treatment and lifelong recovery. […] This nonjudgmental, evidence-based method of care uses practical strategies to reduce the consequences of drug use and is open to individuals (age 18 and older) in all stages of recovery, including:
- #90 Substance Use Disorder and Recovery Services – DBH Internet Websitehttps://wp.sbcounty.gov/dbh/sudrs/
DBH offers a wide variety of substance use disorder recovery services for youth and adults. […] What is a Substance Use Disorder (SUD)? Substance Use Disorders occur when the recurrent use of alcohol and/or drugs causes significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home. […] If you suspect a family member or friend might have a problem with substance use, speak to them about getting help. Treatment can be arranged in different modalities to fit almost any schedule. Counselors will work with you and your family member/friend to design a treatment plan that works with you. […] Naloxone (Narcan) Nasal Spray is used to temporarily reverse the effects of an opioid overdose, potentially saving a life. If you suspect someone you know may have an opioid use problem, having Naloxone Nasal Spray nearby can provide additional time to get urgent medical help in the case of an overdose.
- #91https://atriumhealth.org/medical-services/prevention-wellness/behavioral-health/substance-use-disorder-treatment
Substance use disorder is a condition where someone has trouble controlling their use of substances like alcohol and drugs. […] At Atrium Health, we offer evidence-based treatment options for those dealing with drug addiction and alcoholism. […] We offer proven treatment options and programs for drug addiction and alcoholism. Our inpatient and outpatient programs are grounded in 12-step recovery principles, focusing on your mental, physical and spiritual well-being. […] Receive round-the-clock medical supervision and support to safely withdraw from drugs or alcohol, using medications and therapeutic approaches to manage withdrawal symptoms. […] MAT uses evidence-based medications to help normalize brain function, reduce cravings and alleviate withdrawal symptoms. And combines that with counseling and behavioral therapies to address addiction.
- #92 Treatment of Substance Use Disorders | Overdose Prevention | CDChttps://www.cdc.gov/overdose-prevention/treatment/index.html
Like many other chronic conditions, treatment is available for substance use disorders. While no single treatment method is right for everyone, recovery is possible, and help is available for patients with SUDs. […] There are safe and effective ways to recover from SUDs. Finding the right treatment option can be the key to a successful recovery journey. […] Specific conditions like opioid use disorder may require medication as the first course of treatment. MOUD can help with cravings and withdrawal symptoms. […] Research has demonstrated that MOUD is effective in helping people recover from their OUD. […] SUD is a treatable, chronic disease that can affect people of any race, sex, income level, or social class. […] Finding a doctor who is comfortable discussing SUDs can help ensure long-term recovery.
- #93 Substance Use Disorder Treatment | UC San Diego Healthhttps://health.ucsd.edu/care/behavioral-mental-health/substance-use/
We can also help to identify early signs of problematic substance use, provide care for those experiencing significant consequences of drug use, and offer continuity of care following discharge from a residential detoxification program. […] Medication-assisted treatment for substance use disorders includes buprenorphine for opioid use disorder, long-acting injectable and oral naltrexone and other medications for alcohol use disorder and smoking cessation drugs. […] Your care is led by board-certified psychiatrists and licensed psychologists who specialize in treating addiction. […] Together, we can address all aspects of your treatment and recovery. […] Find a substance use disorder specialist to help you break free of the cycle of addiction.
- #94 Substance Abuse Treatment Centers | Acadia Healthcarehttps://www.acadiahealthcare.com/programming-treatment/substance-abuse/
Inpatient treatment for a drug addiction is an intensive, short-term experience that can help you stabilize so that you may step down to a lower level of care or return home safely. […] Residential care for people who are struggling with substance use disorders typically includes round-the-clock supervision, various customized therapeutic interventions, and psychoeducational support. […] At the PHP level, group therapy is typically the main means of drug addiction treatment, though individual and family therapies may also be available. […] IOPs offer considerable flexibility. […] MAT is an evidence-based form of care for adults who have opioid use disorder. […] Each of Acadias drug addiction treatment centers delivers specialized services through a unique mission and philosophy. […] However, at each treatment place, people can feel assured that theyll receive personalized, high-quality care in an atmosphere of dignity and respect.
- #95 Substance use disorder – Wikipediahttps://en.wikipedia.org/wiki/Substance_use_disorder
About 11% of Americans with substance use disorder seek treatment, and 40-60% of those people relapse within a year. […] Medication-assisted treatment (MAT) refers to the combination of behavioral interventions and medications to treat substance use disorders. […] Medications can be used in treatment to lessen withdrawal symptoms. Evidence has demonstrated the efficacy of medication-assisted treatment at reducing illicit drug use and overdose deaths, improving retention in treatment, and reducing HIV transmission.
- #96 Psychiatry.org – What Is a Substance Use Disorder?https://www.psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder
Counseling individual and/or group and other behavioral therapies are the most commonly used forms of drug abuse treatment. […] Treatment programs should assess patients for the presence of HIV/AIDS, hepatitis B and C, tuberculosis and other infectious diseases, as well as provide targeted risk-reduction counseling to help patients modify or change behaviors that place them at risk of contracting or spreading infectious diseases.
- #97 Substance Abuse Treatment Centers | Acadia Healthcarehttps://www.acadiahealthcare.com/programming-treatment/substance-abuse/
Long-term recovery from a drug addiction can be challenging. […] But there are many effective treatment options that can help you discover a healthier life. […] Depending on the facility and drug addiction treatment program you participate in, you may benefit from: Acceptance and commitment therapy (ACT), Cognitive behavioral therapy (CBT), Dialectical behavior therapy (DBT), Motivational interviewing, 12-Step recovery model, Family therapy, Group therapy, Individual therapy, Experiential therapies. […] Each substance abuse treatment program will offer its own set of therapeutic interventions, which the care team will select to meet the needs of the person receiving treatment. […] If you are seeking comprehensive care for an addiction to drugs or alcohol, please contact an Acadia substance abuse treatment facility near you.
- #98 Substance Abuse Treatment Centers | Acadia Healthcarehttps://www.acadiahealthcare.com/programming-treatment/substance-abuse/
Long-term recovery from a drug addiction can be challenging. […] But there are many effective treatment options that can help you discover a healthier life. […] Depending on the facility and drug addiction treatment program you participate in, you may benefit from: Acceptance and commitment therapy (ACT), Cognitive behavioral therapy (CBT), Dialectical behavior therapy (DBT), Motivational interviewing, 12-Step recovery model, Family therapy, Group therapy, Individual therapy, Experiential therapies. […] Each substance abuse treatment program will offer its own set of therapeutic interventions, which the care team will select to meet the needs of the person receiving treatment. […] If you are seeking comprehensive care for an addiction to drugs or alcohol, please contact an Acadia substance abuse treatment facility near you.
- #99 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
When a patient with substance use disorder (SUD) visits, its essential to talk to them in a way that shows sensitivity and empathy while avoiding stigmatizing language. […] As a health provider, its crucial to learn how stigma affects people with addiction and how to create a supportive, compassionate clinical environment for your patients. […] The stigma surrounding people with substance use disorders is a common phenomenon that can significantly impact treatment outcomes, health providers, research, policies, and society. […] Stigma about people with addiction might include inaccurate or unsubstantiated beliefs such as they are dangerous, incapable of managing treatment, or at fault for their condition. […] As a clinician, you can show leadership in how language can destigmatize the disease of addiction.
- #100 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
When a patient with substance use disorder (SUD) visits, its essential to talk to them in a way that shows sensitivity and empathy while avoiding stigmatizing language. […] As a health provider, its crucial to learn how stigma affects people with addiction and how to create a supportive, compassionate clinical environment for your patients. […] The stigma surrounding people with substance use disorders is a common phenomenon that can significantly impact treatment outcomes, health providers, research, policies, and society. […] Stigma about people with addiction might include inaccurate or unsubstantiated beliefs such as they are dangerous, incapable of managing treatment, or at fault for their condition. […] As a clinician, you can show leadership in how language can destigmatize the disease of addiction.
- #101 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
When a patient with substance use disorder (SUD) visits, its essential to talk to them in a way that shows sensitivity and empathy while avoiding stigmatizing language. […] As a health provider, its crucial to learn how stigma affects people with addiction and how to create a supportive, compassionate clinical environment for your patients. […] The stigma surrounding people with substance use disorders is a common phenomenon that can significantly impact treatment outcomes, health providers, research, policies, and society. […] Stigma about people with addiction might include inaccurate or unsubstantiated beliefs such as they are dangerous, incapable of managing treatment, or at fault for their condition. […] As a clinician, you can show leadership in how language can destigmatize the disease of addiction.
- #102 How to Talk With Patients About Substance Use Disorderhttps://www.gatewayfoundation.org/blog/how-to-talk-with-patients-about-substabce-abuse/
Stigma about people with SUD can stem from inaccurate beliefs that addiction is a personal failing instead of what it truthfully is a chronic, treatable disease from which people can recover and continue to lead healthy lives. […] Patient communication in substance use disorders starts with people-first language. […] Use terms that have neutral tones and distinguish the patient from their diagnosis. […] Using medically-accurate language empowers patients to confront their addiction with dignity and receive appropriate care. […] Its best to start your discussion by letting your patient open up and tell their story. […] Being patient and giving them a choice is crucial for establishing trust and respecting their autonomy. […] Seeking permission can help you create a safe, nonjudgmental space, encouraging open communication.
- #103 Substance Abuse [+ Free Cheat Sheet] | Lecturio Nursinghttps://www.lecturio.com/nursing/free-cheat-sheet/substance-abuse-nursing-diagnoses/
Substance Use Disorder (SUD) is a medical condition characterized by the recurrent use of drugs or alcohol that causes significant clinical and functional impairment. This includes health problems, disability, and failure to meet major responsibilities at work, school, or home. […] Substance use disorders are chronic, but treatable medical conditions. […] Healthcare professionals can identify and address substance abuse disorders in their clients by conducting a thorough assessment, including a physical exam, laboratory tests, and a mental health evaluation. They can also use screening tools to identify clients who may be at risk for substance abuse disorder. Treatment options include medication-assisted treatment, behavioral therapy, and support groups. […] Effective ways to educate clients about substance abuse and prevent addiction include: using non-stigmatizing, person-first language: for example, say person with substance use disorder instead of addict or alcoholic.
- #104 Drug addiction (substance use disorder) – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/drug-addiction/diagnosis-treatment/drc-20365113
Overcoming an addiction and staying drug-free require a persistent effort. Learning new coping skills and knowing where to find help are essential. […] Drug addiction is linked to many problems that may be helped with therapy or counseling, including other underlying mental health concerns or marriage or family problems. […] Support groups, such as Narcotics Anonymous or Alcoholics Anonymous, can be very effective in coping with addiction. Compassion, understanding and shared experiences can help you break your addiction and stay drug-free.
- #105 Psychiatry.org – What Is a Substance Use Disorder?https://www.psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder
Counseling individual and/or group and other behavioral therapies are the most commonly used forms of drug abuse treatment. […] Treatment programs should assess patients for the presence of HIV/AIDS, hepatitis B and C, tuberculosis and other infectious diseases, as well as provide targeted risk-reduction counseling to help patients modify or change behaviors that place them at risk of contracting or spreading infectious diseases.
- #106 Addiction | CAMHhttps://www.camh.ca/en/health-info/mental-illness-and-addiction-index/addiction
Addiction refers to the problematic use of a substance. Treatment options for addiction include self-help, counselling, medications and withdrawal management. […] A person who keeps using substances despite the harmful consequences may develop a substance use problem. […] Some people may be aware that their substance use causes problems but continue to use, even when they want to stop. […] This so-called denial, however, may simply be a lack of awareness or insight into the situation. Whether people realize it or not, lack of control is another sign that substance use is a problem. […] People become addicted because of a combination of factors. […] More than 50 per cent of people with substance use disorders have also had mental health problems at some point during their lifetimes.
- #107 Addiction/Substance Use Disorder | Mental Health Americahttps://mhanational.org/conditions/addiction-substance-use-disorder/
Substance use disorder affects an estimated 25 million Americans. […] Alcohol use disorder (heavy drinking) afflicts 16 million adults and almost 300,000 children annually. […] If using substances starts to have a negative effect on life, itâs a sign of possible substance use disorder. […] People with depression or other mental health conditions are particularly vulnerable to alcohol and drug use. […] People who use alcohol or other drugs should get checked for depression, anxiety disorders and other mental health conditions. […] Treatment of substance use disorder might explore abstinence (staying off alcohol or drugs completely) but often include a variety of therapies. […] Self-help groups can be effective in helping to establish a support network. […] If you believe someone you know may have substance use disorder, there are ways you can help. […] Encourage professional help. Let the person know how they can benefit from professional help.
- #108 Addiction/Substance Use Disorder | Mental Health Americahttps://mhanational.org/conditions/addiction-substance-use-disorder/
Substance use disorder affects an estimated 25 million Americans. […] Alcohol use disorder (heavy drinking) afflicts 16 million adults and almost 300,000 children annually. […] If using substances starts to have a negative effect on life, itâs a sign of possible substance use disorder. […] People with depression or other mental health conditions are particularly vulnerable to alcohol and drug use. […] People who use alcohol or other drugs should get checked for depression, anxiety disorders and other mental health conditions. […] Treatment of substance use disorder might explore abstinence (staying off alcohol or drugs completely) but often include a variety of therapies. […] Self-help groups can be effective in helping to establish a support network. […] If you believe someone you know may have substance use disorder, there are ways you can help. […] Encourage professional help. Let the person know how they can benefit from professional help.
- #109 Caring For Patients With Substance Use Disorders | NurseJournal.orghttps://nursejournal.org/articles/caring-for-patients-with-substance-use-disorder/
Most nurses will provide care to patients with substance use disorder, even if they have not focused their professional career on treating patients with these conditions. These tips can help identify patients and improve patient outcomes. […] McMahon encourages nurses to see recovery as a process people must go through to live self-directed lives. […] Addiction nurses help educate people to make better lifestyle choices and enjoy their recovery. […] Substance use nurses face unique situations in which they must use different approaches to care for special populations. […] It is crucial that nurses learn how to recognize the signs of withdrawal and manage the symptoms with proper medical and psychological care. […] Practicing kindness and a non-judgmental attitude is a good practice that helps patients open up and talk about their challenges. […] Most nurses who encounter patients with substance use disorders or behavioral addictions must know how to identify withdrawal symptoms. They must also practice relevant skills that encourage patients to share their challenges, including kindness and non-judgmental attitudes.
- #110 Alcohol & Substance Use Services | Orange County California – Health Care Agencyhttps://www.ochealthinfo.com/services-programs/mental-health-crisis-recovery/alcohol-substance-use-services
Alcohol Substance Use treatment provides a range of outpatient and residential treatment programs designed to reduce or eliminate the abuse of alcohol and other drugs within the community. […] These programs include SUD treatment and levels of care such as Outpatient, Intensive Outpatient, Withdrawal Management (Social Model and Medical Detox), Residential Treatment, and Aftercare/Recovery Services. […] Services at these programs include crisis intervention, assessment and evaluation; individual, group and family counseling, HIV education, pre- and post-test counseling, and voluntary testing; counseling and testing; referrals to other programs when indicated; and outreach to schools and the general community. […] Perinatal Program Services occur at the Outpatient and Residential levels of care and take an active role in promoting the health of our community by offering evidence based treatment to help pregnant and parenting women create positive change in their recovery. […] Other specialized programs include Methadone maintenance and detoxification or other Medication Assisted Treatment (MAT), Recovery Residences, and Drug and DUI court Services for individuals referred by the Orange County Collaborative Court.
- #111 IDHS: Division of Substance Use Prevention and Recovery – IDHS 4650https://www.dhs.state.il.us/page.aspx?item=32300
Substance use disorder treatment is an effective means to reduce illegal drug use, crime, and recidivism within the general population and across offender populations. […] IDHS/SUPR funds special services for pregnant women or women with children to intervene substance use before any permanent damage is done to the fetus, the mothers lose their rights to keep their children, or the children are harmed. […] The overall goals of the SUPR/DCFS Initiative include: Improved health and safety of the child(ren) and mother, Improved parenting skills, Improved family functioning, Recovery from substance use disorders, Improved life management skills of the mother. […] Treatment reduces drug use by 40 to 60 percent, which is comparable to success rates of treatments for other chronic diseases, such as asthma and hypertension. […] In fact, there are multiple paths to recovery including treatment licensed by the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (IDHS/SUPR).
- #112 Addiction & Substance Use Rehab – Psychiatry | NewYork-Presbyterianhttps://www.nyp.org/psychiatry/addiction-substance-use
Addiction is a disease. Repeated exposure to drugs and alcohol changes the way your brain functions. Its normal to struggle with addiction issues long after recovery. At NewYork-Presbyterian, we provide personalized treatment that focuses on long-term strategies for reducing relapse and improving your quality of life. […] About 8 million Americans living with substance use disorder has one or more co-existing psychiatric diseases, such as depression or anxiety. Having two illnesses at the same time known as comorbidity can make treating each disorder more difficult. The clinicians at NewYork-Presbyterian have particular expertise in the care of people with multiple illnesses, offering programs to address the substance use disorder as well as other mental health challenges. […] At NewYork-Presbyterian, our geriatric psychiatrists and other mental health care professionals with expertise caring for older patients offer experience and compassion. Using cognitive-based therapy, reward-based therapies, and other techniques, they target substance use along with any co-existing disorders to help our older patients achieve abstinence and recovery.
- #113 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
Nursing interventions provide a supportive environment while the client undergoes withdrawal treatment. […] Clients with substance use disorders may exhibit a poor nutritional status due to long-term use of substances taking precedence over food and fluid intake. […] Developing a therapeutic nurse-client relationship can encourage the client to explore harmful feelings of anxiety, hopelessness, and spiritual distress. […] Evaluation occurs on several levels by assessing the individualized SMART outcomes related to the effectiveness of the withdrawal treatment plan, symptom management, and the clients readiness and progress towards changes in their behavior.
- #114 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
Nursing interventions provide a supportive environment while the client undergoes withdrawal treatment. […] Clients with substance use disorders may exhibit a poor nutritional status due to long-term use of substances taking precedence over food and fluid intake. […] Developing a therapeutic nurse-client relationship can encourage the client to explore harmful feelings of anxiety, hopelessness, and spiritual distress. […] Evaluation occurs on several levels by assessing the individualized SMART outcomes related to the effectiveness of the withdrawal treatment plan, symptom management, and the clients readiness and progress towards changes in their behavior.
- #115 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with substance abuse based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will verbalize awareness of the relationship between substance abuse and the current situation, The client will verbalize acceptance of responsibility for their own behavior, The client will identify ineffective coping behaviors/consequences, including the use of substances as a method of coping, The client will admit the inability to control their drug habit and surrender to powerlessness over addiction, The client will verbalize acceptance of the need for treatment and awareness that willpower alone cannot control abstinence, The client will demonstrate active participation in the program, The client will regain and maintain a healthy state with a drug-free lifestyle.
- #116 Substance Abuse Disorders Nursing Care Management – Nurseslabshttps://nurseslabs.com/substance-abuse-disorders/
Substance abuse disorders (SUDs) pose significant challenges to individuals, families, and communities worldwide. SUDs encompass a range of conditions characterized by the excessive and harmful use of psychoactive substances, including drugs and alcohol. […] This guide aims to tackle the complexities of SUDs, its impact on physical and mental health, and the importance of nursing care in supporting individuals on their journey to recovery. […] Nursing care of a client with substance abuse disorder includes the following: […] Assessment of a client with substance abuse disorder includes: […] Based on the assessment data, the major nursing diagnosis for substance abuse are: […] Treatment outcomes for clients with substance use may include the following: […] Nursing interventions for a client with substance abuse include: […] Goals are met as evidenced by: […] Documentation in a client with substance abuse disorders includes:
- #117 Nursing Care Plan and Diagnosis for Substance Abuse | Ineffective Health Maintenancehttps://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-substance-abuse-ineffective-health-maintenance/
This nursing care plan is for patients who are experiencing substance abuse. Substance abuse is where a person is dependent on a substance/drug. The most common substances abused by individuals are alcohol and drugs such as heroin, cocaine, and methamphetamine. […] Nurses who care for patients that are experiencing substance abuse should watch for withdrawal symptoms. […] A nursing care plan that can be used for a patient experiencing substance abuse is Ineffective Health Maintenance. […] Nursing Diagnosis: Ineffective health maintenance related to substance abuse as evidence by patient reports to using heroin, skin lesions, loss of teeth, foul smelling breath, and chest rash. […] The patient will list 5 reasons why she would stop using drugs and 5 reasons why she should continue using drugs. -The patient will verbalize 6 side effects from drug abuse and how using drugs affects her health. […] The nurse will educate the patient on 6 side effects from drug abuse and how using drugs affects the patient’s health. […] The nurse will supply the patient with local listings of Substance Abuse and Addiction Support Groups the patient can attend.
- #118 Substance Use Disorders | CMShttps://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders
Substance use disorders can result from all types of substance usealcohol, marijuana, opioids, heroine, etc.that interferes with being able to meet life’s responsibilities, interferes with physical health, or is an illegal substance. […] There are many resources out there to help people with substance use disorders. Just like behavioral health has a specific tribal approach, many of the medication-assisted treatments now have a tribal approach as well. […] Addiction is a chronic illness, just like diabetes or asthma. Like other chronic illnesses, it is very hard for someone to manage their illness without help. […] Addiction is a brain disorder that makes someone want to use something despite the harm it may cause. […] People who receive treatment learn how to cope with their addiction, but the addiction never goes away.
- #119 Substance Use Disorders | CMShttps://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders
Substance use disorders can result from all types of substance usealcohol, marijuana, opioids, heroine, etc.that interferes with being able to meet life’s responsibilities, interferes with physical health, or is an illegal substance. […] There are many resources out there to help people with substance use disorders. Just like behavioral health has a specific tribal approach, many of the medication-assisted treatments now have a tribal approach as well. […] Addiction is a chronic illness, just like diabetes or asthma. Like other chronic illnesses, it is very hard for someone to manage their illness without help. […] Addiction is a brain disorder that makes someone want to use something despite the harm it may cause. […] People who receive treatment learn how to cope with their addiction, but the addiction never goes away.
- #120 Substance Use Disorders | CMShttps://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders
Substance use disorders can result from all types of substance usealcohol, marijuana, opioids, heroine, etc.that interferes with being able to meet life’s responsibilities, interferes with physical health, or is an illegal substance. […] There are many resources out there to help people with substance use disorders. Just like behavioral health has a specific tribal approach, many of the medication-assisted treatments now have a tribal approach as well. […] Addiction is a chronic illness, just like diabetes or asthma. Like other chronic illnesses, it is very hard for someone to manage their illness without help. […] Addiction is a brain disorder that makes someone want to use something despite the harm it may cause. […] People who receive treatment learn how to cope with their addiction, but the addiction never goes away.
- #121 Substance Use Disorder – Addiction treatment | Ohio State Medical Centerhttps://wexnermedical.osu.edu/mental-behavioral/substance-use-disorder-addiction-treatment
We have a diverse continuum of care that offers various sorts of treatment for substance use disorder. Your treatment will begin with an initial evaluation to decide what type and level of care is right for you. […] Depending on the severity of your substance use disorder, you might need to undergo medical withdrawal management, where we will monitor your detoxification process to keep you safe and ease discomfort. […] Our recently opened residential treatment unit offers a safe, supportive environment for those in recovery. You can stay in the in-hospital, 15-bed unit for up to 30 days for further stabilization and the start of treatment, with the goal of getting you back to independent living. […] After an inpatient stay, many people continue treatment in our partial hospitalization program. This program is a lower-cost alternative to overnight hospital care while still providing the structured support you need if you’re not yet ready to make a full return to home or work. […] We offer both individualized therapy and weekly group therapy. The goal is to help you overcome the compulsion for drugs and maintain daily control.
- #122 Nursing Care Plan and Diagnosis for Substance Abuse | Ineffective Health Maintenancehttps://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-substance-abuse-ineffective-health-maintenance/
This nursing care plan is for patients who are experiencing substance abuse. Substance abuse is where a person is dependent on a substance/drug. The most common substances abused by individuals are alcohol and drugs such as heroin, cocaine, and methamphetamine. […] Nurses who care for patients that are experiencing substance abuse should watch for withdrawal symptoms. […] A nursing care plan that can be used for a patient experiencing substance abuse is Ineffective Health Maintenance. […] Nursing Diagnosis: Ineffective health maintenance related to substance abuse as evidence by patient reports to using heroin, skin lesions, loss of teeth, foul smelling breath, and chest rash. […] The patient will list 5 reasons why she would stop using drugs and 5 reasons why she should continue using drugs. -The patient will verbalize 6 side effects from drug abuse and how using drugs affects her health. […] The nurse will educate the patient on 6 side effects from drug abuse and how using drugs affects the patient’s health. […] The nurse will supply the patient with local listings of Substance Abuse and Addiction Support Groups the patient can attend.
- #123 Nursing Care Plan and Diagnosis for Substance Abuse | Ineffective Health Maintenancehttps://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-substance-abuse-ineffective-health-maintenance/
This nursing care plan is for patients who are experiencing substance abuse. Substance abuse is where a person is dependent on a substance/drug. The most common substances abused by individuals are alcohol and drugs such as heroin, cocaine, and methamphetamine. […] Nurses who care for patients that are experiencing substance abuse should watch for withdrawal symptoms. […] A nursing care plan that can be used for a patient experiencing substance abuse is Ineffective Health Maintenance. […] Nursing Diagnosis: Ineffective health maintenance related to substance abuse as evidence by patient reports to using heroin, skin lesions, loss of teeth, foul smelling breath, and chest rash. […] The patient will list 5 reasons why she would stop using drugs and 5 reasons why she should continue using drugs. -The patient will verbalize 6 side effects from drug abuse and how using drugs affects her health. […] The nurse will educate the patient on 6 side effects from drug abuse and how using drugs affects the patient’s health. […] The nurse will supply the patient with local listings of Substance Abuse and Addiction Support Groups the patient can attend.
- #124 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
This section will apply the nursing process to caring for a hospitalized client diagnosed with a substance use disorder who is receiving withdrawal treatment. […] The client should receive a comprehensive physical examination to evaluate signs related to current withdrawal symptoms, as well as symptoms of concurrent medical and mental health diagnoses. […] A nursing diagnosis related to the abrupt cessation of a psychoactive substance is a syndrome diagnosed as Acute Substance Withdrawal Syndrome. […] An example of a broad goal related to withdrawal treatment is the following: The client will stabilize and remain free from injury. […] In addition to implementing the withdrawal treatment plan prescribed by the provider, the nurse collaboratively develops a post-withdrawal treatment plan with interprofessional health care team members.
- #125 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
This section will apply the nursing process to caring for a hospitalized client diagnosed with a substance use disorder who is receiving withdrawal treatment. […] The client should receive a comprehensive physical examination to evaluate signs related to current withdrawal symptoms, as well as symptoms of concurrent medical and mental health diagnoses. […] A nursing diagnosis related to the abrupt cessation of a psychoactive substance is a syndrome diagnosed as Acute Substance Withdrawal Syndrome. […] An example of a broad goal related to withdrawal treatment is the following: The client will stabilize and remain free from injury. […] In addition to implementing the withdrawal treatment plan prescribed by the provider, the nurse collaboratively develops a post-withdrawal treatment plan with interprofessional health care team members.
- #126 14.9 Applying the Nursing Process to Substance Use Disorders – Nursing: Mental Health and Community Conceptshttps://wtcs.pressbooks.pub/nursingmhcc/chapter/14-9-applying-the-nursing-process/
Nursing interventions provide a supportive environment while the client undergoes withdrawal treatment. […] Clients with substance use disorders may exhibit a poor nutritional status due to long-term use of substances taking precedence over food and fluid intake. […] Developing a therapeutic nurse-client relationship can encourage the client to explore harmful feelings of anxiety, hopelessness, and spiritual distress. […] Evaluation occurs on several levels by assessing the individualized SMART outcomes related to the effectiveness of the withdrawal treatment plan, symptom management, and the clients readiness and progress towards changes in their behavior.
- #127 Nursing Diagnosis for Substance Abuse: 8 Care Plans – Nurseslabshttps://nurseslabs.com/substance-abuse-nursing-diagnosis-care-plan/
Therapeutic interventions and nursing actions for patients with substance abuse may include: Helping the Patient to Accepting Reality, Promoting Effective Coping, Promoting Support and Self-Esteem, Promoting Nutrition, Improving Sexual Functioning, Initiating Patient Education and Health Teachings, Administer Medications and Provide Pharmacologic Support. […] Chronic substance use affects a persons nutritional status and body composition through decreased intake, nutrient absorption, altered metabolism, unhealthy eating habits, and dysregulation of hormones that alter the mechanisms of satiety and food intake. […] Substance abuse can significantly impact sexual functioning in individuals, leading to various difficulties such as erectile dysfunction, decreased libido, and impaired sexual performance.
- #128 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Persons with drug addiction (PDDs) may exhibit symptoms affecting the central nervous system. […] Quality nursing care is essential for improving quality of life, health status, and continued abuse-free status of PDD. […] As a team, professional nurses working in hospital and community care should be sensitive to PDD and identify strategies for addressing their issues. Positive nursing outcomes improve their quality of life. […] Professional nurse is working as an integral part of the multidisciplinary treatment team in caring of symptomatic care, limits setting, structured support, psychoeducation, and referrals for continuing care in the community. Family and caregivers are significant in the treatment program to be the part of resolving the problem and feelings surrounding the persons drug use to facilitate recovery sessions.
- #129 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Persons with drug addiction (PDDs) may exhibit symptoms affecting the central nervous system. […] Quality nursing care is essential for improving quality of life, health status, and continued abuse-free status of PDD. […] As a team, professional nurses working in hospital and community care should be sensitive to PDD and identify strategies for addressing their issues. Positive nursing outcomes improve their quality of life. […] Professional nurse is working as an integral part of the multidisciplinary treatment team in caring of symptomatic care, limits setting, structured support, psychoeducation, and referrals for continuing care in the community. Family and caregivers are significant in the treatment program to be the part of resolving the problem and feelings surrounding the persons drug use to facilitate recovery sessions.
- #130 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
Substance abuse is a serious problem impacting the healthcare system and society as a whole. Substance abuse can refer to the use of illegal drugs, excessive use of alcohol, or the misuse of prescription or over-the-counter medications. Substance abuse often causes negative physical, emotional, and social outcomes. […] Management of substance abuse disorder will depend on various factors such as the specific substance abused, demographics, and the patients overall health. Detoxification may be indicated along with psychosocial therapies and long-term follow-up through continued medical supervision and support groups. […] Nurses provide support to patients suffering from substance abuse disorder by treating physical symptoms, offering resources, and managing psychosocial distress. […] Nursing interventions and care are essential for the patients recovery.
- #131 Substance Abuse: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/substance-abuse-nursing-diagnosis-care-plan/
Substance abuse is a serious problem impacting the healthcare system and society as a whole. Substance abuse can refer to the use of illegal drugs, excessive use of alcohol, or the misuse of prescription or over-the-counter medications. Substance abuse often causes negative physical, emotional, and social outcomes. […] Management of substance abuse disorder will depend on various factors such as the specific substance abused, demographics, and the patients overall health. Detoxification may be indicated along with psychosocial therapies and long-term follow-up through continued medical supervision and support groups. […] Nurses provide support to patients suffering from substance abuse disorder by treating physical symptoms, offering resources, and managing psychosocial distress. […] Nursing interventions and care are essential for the patients recovery.
- #132 Nursing Care for Persons with Drug Addiction | IntechOpenhttps://www.intechopen.com/chapters/59036
Persons with drug addiction (PDDs) may exhibit symptoms affecting the central nervous system. […] Quality nursing care is essential for improving quality of life, health status, and continued abuse-free status of PDD. […] As a team, professional nurses working in hospital and community care should be sensitive to PDD and identify strategies for addressing their issues. Positive nursing outcomes improve their quality of life. […] Professional nurse is working as an integral part of the multidisciplinary treatment team in caring of symptomatic care, limits setting, structured support, psychoeducation, and referrals for continuing care in the community. Family and caregivers are significant in the treatment program to be the part of resolving the problem and feelings surrounding the persons drug use to facilitate recovery sessions.
- #133 Substance Use Disorder in Nursing | NCSBNhttps://www.ncsbn.org/nursing-regulation/practice/substance-use-disorder/substance-use-in-nursing.page
No one is immune from developing Substance Use Disorder. It can affect anyone regardless of age, ethnicity, gender, economic circumstance or occupation. Nurses who abuse substances pose a unique challenge to the nursing profession. The behavior that results from this disease has far-reaching and negative effects, not only on the nurses themselves, but also upon the patients who depend on the nurse for safe, competent care. […] Early recognition, reporting and intervention are fundamental for keeping patients safe from harm and helping colleagues recover. […] When treatment for nurses is individually tailored to meet their needs and an appropriate supportive monitoring system is in place, nurses can recover and return to practice safely. An extensive body of scientific evidence demonstrates that approaching substance use disorders as treatable illness is extremely effective for the individual using substances, as well as for society.
- #134 Substance Use Disorder in Nursing | NCSBNhttps://www.ncsbn.org/nursing-regulation/practice/substance-use-disorder/substance-use-in-nursing.page
No one is immune from developing Substance Use Disorder. It can affect anyone regardless of age, ethnicity, gender, economic circumstance or occupation. Nurses who abuse substances pose a unique challenge to the nursing profession. The behavior that results from this disease has far-reaching and negative effects, not only on the nurses themselves, but also upon the patients who depend on the nurse for safe, competent care. […] Early recognition, reporting and intervention are fundamental for keeping patients safe from harm and helping colleagues recover. […] When treatment for nurses is individually tailored to meet their needs and an appropriate supportive monitoring system is in place, nurses can recover and return to practice safely. An extensive body of scientific evidence demonstrates that approaching substance use disorders as treatable illness is extremely effective for the individual using substances, as well as for society.