generally more likely to report symptoms meeting criteria for drug abuse and dependence. Epidemiological studies have indicated that dropping out of high school results in an elevated long-term risk for substance abuse (Crum et al., 1993; Harford et al., 2006). In conclusion, the latent structure of substance use disorders appears to be best described by substance dependence and a minor abuse factor highly correlated with dependence. In view of the high correlations between the factors and similar associations between most covariates and the dependence and abuse factors, the findings appear equivocal on the value of retaining separate factors, although for some specialized purposes, this separation may remain of value. The National Institute on Drug Abuse (NIDA) reports that the inappropriate use of prescription medications is a serious public health concern.27 In 2006, over 5 million people were users of nonprescribed prescription pain relievers. The three most commonly abused classes of drugs are opioids, central nervous system (CNS) depressants, and CNS stimulants. Alcoholism and drug addiction have obvious and well documented effects on chronic substance abusers. Prolonged abuse of drugs and/or alcohol will deteriorate a person’s physical health, impair his or her mental functioning and damage the spirit. Agrawal, A., Lynskey, M. T., Madden, P. A. F., Bucholz, K. K., & Heath, A.C. (2007). A latent class analysis of illicit drug abuse/dependence: Results from the National Epidemiological Survey on Alcohol and Related Conditions. Addiction, 102, 94–104. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Reply | Quote & Reply Feb 18, 2019 07:44 PM0 LikeSubstantive Post Profile Picture Stephanie Green 6 posts Re:Re:Topic 2 DQ 1 Good analysis ELizabeth. After reading the article you chose, it had me remembering the days before care bundles when evryone received a foley because it was easier and central lines were common as well. As the research began pouring in on the infection rates, it was difficult to pull the physicians on board at the time because it was nursing coming up with the study. Once physicians began looking at the statistics and the proposed bundles, the evidence based practice standards (though that is not what it was called at the time) took hold and patients received better care and better outcomes. This study is spot on with the data supporting higher infection rates in femoral lines. The places I have worked will only fo femoral lines as a last resort. Reply | Quote & Reply Feb 18, 2019 05:57 PM0 Like Profile Picture Elizabeth Tarango 4 posts Re:Topic 2 DQ 1
Korean Journal performed a research article regarding central line infections in the intensive care unit.
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