Prenatal Substance Dependence_Abuse

Prenatal Substance Dependence_Abuse -...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
Prenatal Substance Dependence/Abuse This disorder is a continuum of phases incorporating a cluster of cognitive, behavioral, and physiological  symptoms that include loss of control over use of the substance and continued use of the substance, despite adverse  maternal/fetal   consequences   (e.g.,   poor   nutrition/weight   gain,   anemia,   predisposition   to   infection,   PIH,   fetal  defects/IUGR, fetal alcohol syndrome [FAS]). The drugs most often abused are alcohol, cocaine (crack), heroin,  methamphetamine, barbiturates, marijuana, and phencyclidine (PCP). Care depends on the degree of abuse and  whether the client is intoxicated or is in the withdrawal phase. The client who is addicted may not seek care during the  prenatal period, compounding any existing or developing problems. In addition, negative attitudes on the part of  society and often from caregivers affect the pregnant woman and her care. A return to health consists of gaining a mastery and control over self and environment, and pleasure seeking that  does not require the use of drugs. (This plan of care is to be used in conjunction with the CP: The High-Risk Pregnancy.) CLIENT ASSESSMENT DATA BASE Activity/Rest Lack of energy/fatigue, malaise Incoordination, unsteady gait Sleeplessness/insomnia; hyperactivity Yawning (beyond first trimester) Circulation Systemic hypertension; orthostatic hypotension Tachycardia, palpitations Ventricular arrhythmias History of endocarditis, sudden coronary artery spasm, myocardial infarction (rare) Ego Integrity Pregnancy usually not planned May express indecision about pregnancy (i.e., issues of abortion, adoption), concern regarding involvement of  social/legal agencies Labile mood, irritability, lack of motivation, denial of problem Low self-esteem; feelings of guilt regarding substance use, or grandiose behavior Presence of stressors (financial, changes in lifestyle) Increased dependency needs Inadequate coping skills/support systems Elimination Diarrhea or constipation Burning on urination; frequency, hesitancy, lower abdominal or back pain (UTI) Food/Fluid Appetite changes, anorexia, nausea, vomiting Inadequate nutritional/fluid intake Low weight gain Pathological edema
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Hygiene Poor oral/body hygiene Neurosensory Dizziness Slurred speech Hyperactivity; tremors of  hands, tongue, eyelids Pupillary dilation or constriction, nystagmus, diplopia Decreased attention span, impaired memory Irritability, depression, confusion, hallucinations, delirium, coma History of seizure activity Pain/Discomfort Low threshold for pain or decreased response to pain Muscle pain, headache Early uterine contractions Pain on urination, vaginal itching Respiration
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

Page1 / 12

Prenatal Substance Dependence_Abuse -...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online