Chapter 31 Substance Abuse Delmar Learning Copyright 2003
Chapter 31 Substance Abuse Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company
Commonly Abused Substances in the United States • • Tobacco Alcohol Street drugs Prescription drugs Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
History of Substance Abuse in the U. S. • • Whiskey Rebellion Civil War Prohibition 1930 s Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
History of Substance Abuse in the U. S. (cont. ) • • 1960 s 1980 s 1990 s 2000 s Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Substance Abuse Statistics for the 2000 s • • Prevalence Trends Morbidity Mortality Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Nature of Addiction • • Viewed as a disease Tolerance Withdrawal Physiologic dependence Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Effects of Substance Abuse on Health • Tobacco § § Stimulant Increases risk for disease • Alcohol § § Depressant Increases risk for disease Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Effects of Substance Abuse on Health • • Marijuana Heroin Cocaine Methamphetamine Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Effects of Substance Abuse on Health (cont. ) • Caffeine § § § Stimulant Widely used Affects multiple body systems Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Properties of Sedatives • • Addictive properties Intoxication Overdose Withdrawal Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Properties of Narcotics • • Addictive properties Intoxication Overdose Withdrawal Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Properties of Cocaine • • Addictive properties Intoxication Overdose Withdrawal Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Drugs Misused and Abused • Steroids • Inhalants • Prescription drugs Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Common Attitudes of Nurses toward Substance Abusers • • Judgmental Negative Uncaring Important to convey a caring, nonjudgmental attitude Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Legal Issues • Relationship between substance abuse and crime Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Substance Abuse and the Community Health Nurse • Effects of attitudes on the delivery of care § § Use of labels Unrealistic expectations Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
At Risk Populations • • • Women Children and youth Elders Gays, lesbians, and transgender Mentally ill Health care professionals Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Levels of Prevention • Primary prevention § § Community based Health promotion activities Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Levels of Prevention • Secondary prevention § § Assessment in home, schools, workplace Facilitate effective family coping strategies Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Levels of Prevention (cont. ) • Tertiary prevention § § § Detoxification Transitional housing Clinics & hospitals Home care Support groups Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
Key Concepts • “Equal opportunity” addictions • Individual and societal approach to care • Self-awareness of attitudes toward caring for clients with addiction Chapter 31 Copyright © 2003 Delmar Learning, a Thomson Learning company
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