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SUBSTANCE DEPENDENCE/ABUSE REHABILITATION DSM-IV ALCOHOL USE DISORDERS 303.90 Alcohol dependence 305.00 Alcohol abuse AMPHETAMINE (OR AMPHETAMINE-LIKE) USE DISORDERS 304.40 Amphetamine dependence 305.70 Amphetamine abuse CANNABIS USE DISORDERS 304.30 Cannabis dependence 305.20 Cannabis abuse COCAINE USE DISORDERS 304.20 Cocaine dependence 305.60 Cocaine abuse HALLUCINOGEN USE DISORDERS 304.60 Hallucinogen dependence 305.30 Hallucinogen abuse INHALANT USE DISORDERS 304.60 Inhalant dependence 305.90 Inhalant abuse NICOTINE USE DISORDERS 305.10 Nicotine dependence OPIOID USE DISORDERS 304.00 Opioid dependence 305.50 Opioid abuse PHENCYCLIDINE USE DISORDERS 304.90 Phencyclidine dependence 305.90 Phencyclidine abuse SEDATIVE, HYPNOTIC, OR ANXIOLYTIC SUBSTANCE USE DISORDERS 304.10 Sedative, hypnotic, or anxiolytic dependence 305.40 Sedative, hypnotic, or anxiolytic abuse POLYSUBSTANCE USE DISORDER 304.80 Polysubstance dependence (For other listings, consult DSM-IV manual.) Many drugs and volatile substances are subject to abuse (as noted in previous plans of care). 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 a continued use of the substance  despite adverse consequences. A number of factors have been implicated in the predisposition to abuse a  substance   (e.g.,   biological,   biochemical,   psychological   [including   developmental],   personality,  sociocultural and conditioning, and cultural and ethnic influences). However, no single theory adequately  explains the etiology of this problem. This plan of care addresses issues of dependence and is to be used in conjunction with plans of care  relative to acute intoxification / withdrawal from specific substance(s). CLIENT ASSESSMENT DATA BASE Refer to appropriate acute plan of care regarding involved substance(s). DIAGNOSTIC STUDIES
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Drug (including-alcohol) Screen:  Identifies drug(s) being used. Addiction Severity Index (ASI)  Assessment Tool: Produces a “problem severity profile” of the patient,  including chemical, medical, psychological, legal, family / social and employment / support aspects,  indicating areas of treatment needs. Other Screening Studies (e.g., Hepatitis, HIV, TB):  Depend on general condition, individual risk factors,  and care setting. NURSING PRIORITIES 1. Provide support for decision to stop substance use. 2. Strengthen individual coping skills. 3. Facilitate learning of new ways to reduce anxiety. 4.
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