Drug Abuse - Drug Abuse NURS 324 FALL 2010 Dr Smith...

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Unformatted text preview: Drug Abuse NURS 324 FALL 2010 Dr. Smith Relevance to Nursing • Abuse of legal and illegal drugs is a very common problem in the population at large • Drug abuse causes significant health problems and affects nursing care for other diseases • Knowledge of drug abuse enables nurses to recognize abuse and toxicity, participate in treatment and withdrawal, and educate patients who are stuggling with addiction and recovery Drug Abuse • Highly situation dependent • Acceptable use vs. abuse is socially and culturally defined-alcohol-cigarette smoking • Exists on a spectrum from occasional use to compulsive Addiction • “a disease process characterized by the continued use of a specific psychoactive substance despite physical, psychological, or social harm” • Exhibited by behavior • Related to, but not equal to, physical dependence on a substance Other Definitions • Tolerance • Cross-tolerance • Psychologic dependence • Cross-dependence Abuse and Dependence Diagnoses • The American Psychiatric Association has set criteria to diagnose substance abuse and dependence (Table 37-1) • Abuse: negative effects on social life, responsibilities, legal problems, physical harm from drug use • Dependence: worsening social effects of drug use, increased physical harm, may include tolerance and withdrawal syndrome What Leads to Drug Abuse? • Reinforcing qualities of drugs • Physical dependence • Psychological dependence • Social factors • Availability • Individual vulnerability Neurobiology of Addiction Hyman, S.E., Malenka, R.C., Nestler, E.J., (2006). Neural mechanisms of addiction: The role of reward-related learning and memory. Annual Review of Neuroscience, 29 : 565-598. Neurobiology of Addiction Hyman, S.E., Malenka, R.C., Nestler, E.J., (2006). Hyman, S....
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This note was uploaded on 02/15/2011 for the course NURS 324 taught by Professor Smith during the Fall '10 term at South Carolina.

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Drug Abuse - Drug Abuse NURS 324 FALL 2010 Dr Smith...

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