OutcomeExhibits evidence of increased self-worth by attempting new projects without fear of failure and by demonstrating less defensive behavior toward othersoDeficient knowledge (effects of substance abuse on the body) related to denial of problems with substances evidenced by abuseof substancesOutcomesVerbalizes importance of abstaining from use of substances to maintain optimal wellnessoFor the clients withdrawing from CNS depressants:Risk for injury related to CNS agitationoFor the clients withdrawing from CNS stimulants:Risk for suicide related to intense feelings of lassitude and depression, “crashing,” suicidal ideationPlanning/ImplementationoDetoxificationProvide safe and supportive environmentAdminister substitution therapyoIntermediate CareProvide explanations of physical symptomsPromote understanding and identify causes of substance dependencyHelp client accept use of substance as a problemProvide education and assistance to client and familyoRehabilitationEncourage continued participation in long-term treatmentPromote participation in outpatient support systemAssist client to identify alternative sources of satisfactionProvide support for health promotion and maintenanceClient/Family EducationoNature of the IllnessEffects (of Substance) on the BodyAlcoholOther CNS depressantsHallucinogensInhalants
OpioidsCannabinolsWays in which use of substance affects lifeoManagement of the IllnessActivities to substitute for (substance) in times of stressRelaxation techniquesProgressive relaxationTense and relaxDeep breathingAutogenicsProblem-solving skillsEssentials of good nutritionoSupport ServicesFinancial assistanceLegal assistanceAlcoholics Anonymous (or other support group specific to another substance)One-to-one support systemNursing Process: EvaluationoEvaluation involves reassessment to determine whether the nursing interventions have been effective in achieving the intended goals of careTreatment Modalities for Substance-Related DisordersoAlcoholics AnonymousIs a major self-help organization for the treatment of alcoholismBased on the concept of:Peer supportAcceptanceUnderstanding from others who have experienced the same problemThe 12 steps that embody the philosophy of AA provide specific guidelines on how to attain and maintain sobrietyTotal abstinence is promoted as the only cureThe person can never safely return to social drinkingoVarious support groups patterned after AA but for individuals with problems with other substancesoCounselingoGroup therapyoPharmacotherapy for AlcoholismDisulfiram (Antabuse)Other medicationsNaltrexone (ReVia)Nalmefene (Revex)SSRIsAcamprosate (Campral)oPsychopharmacology for substance intoxication and substance withdrawal:
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- Spring '17