Question

rescription drugs compared with someone whois addicted to/dependent on alcohol or street Styles drugs? b. Have you ever experienced any adverse consequences related to the use of a substance? c. Write about your feelings related to alcohol and substance abuse. Speculate how these feelings may influence your work as a nurse with clients who are substance-dependent? d. What is the incidence and prevalence of substance use disorders? 2. Randy is a 43-year-old man who has been a heavy drinker since the age of 25. Because of his dependency on alcohol, he has a hard time keeping a job and decided to go to a treatment center to try and overcome his addiction. While in a group th session, Randy states, "I don't know why I drink, my father did too. I guess Ileamed it from himwobi3 a What etiological factors are believed to be influential over substance abuse behaviors? has been divorced twice. He has erapy 3. Shannon has suffered from Major Depressive Disorder for five years. She has used varnous types of controlled substances over the years and due to the amount she has used, she need larger and larger doses in order to achieve a "high" Obj 5,6,8 a. What are the effects of the different controlled substances and what are the symptoms of an overdose? b. the significance of recognizing Shannon has having a co-occurring disorder What is a co-morbid disorder? What is the incidence of co-occurring disorders? What is What two main components of interdisciplinary treatment are you likely to see used with this patient and why?

Answer 1

b.The adverse consequences of substance use are

• Loss of a job or work
• Prone for accidents
• Unprotected intercoitus
• Social problem
• Violence
• Mortality and death
• Homicides
• Suicide
• Psychological addictions and problems associated with it
• Physical dependency

c.People who have consumed alcohol or substance loss their stability of cognition and emotions. This happens because of the inhibitory effect on the neurotransmitter and resulting in drinking continuously. It crosses blood brain barrier and increases the level of serotonin and dopamine leading to good moods, a state of elation.

As a nurse it is important to be aware of precautionary steps while handling opposite gender patient,because they can be in any mood righ( happy,elated,violent,aggressive, anger,exploiting behaviours )

d.The prevalent rate for alcohol is 12% and for substance use (illicit drug) is about 2_3%.It is highly prevalent among adolescents ages13 yo 18 years.

2.a.The main etiological factor in this case is habits are behaviour received by the children ,overtime he was addicted and unable to get reversed from it.

The other factors are

• Peer pressure
• Work pressure
• To get relief from depression ,sadness,anxiety
• Cultural and religious beliefs
• Heredity or genetics also plays an important factor.
• Decrease in dopamine secretion making them longe for it

3.a.The effects of different controlled substance are

• Opiod:Nausea,constipation, confusion, dizziness, poor coordination, drowsiness, hyperalgesia,increased medication intake to control pain
• Anti anxiety drugs: alteration in respiratory system,drowsiness, unable To concentrate, slurred speech,unsteady gait.
• Stimulants: irregular heart beat,high blood pressure, insomnia,paranoia, increased body temperature, agitation ,anorexia,increased alertness.

The symptoms of overdose are

• Confusion, unresponsive ,amnesia,
• Flushing
• Vomiting
• Slurred speech
• Tachycardia
• Bradypnea
• Increased body temperature
• Poor gag reflex
• Seizures
• Pale skin

b.The co-morbid disorder refers to additional problems other than substance use.The incidence is about 7.3% overall. The co occurring disorder seems to be a compulsive behaviour of taking it frequently and unable to resist it, anxious ,neurological impairment in severe inhibition of neurotransmitter signals to brain making her wanting for a larger dose,decreased level of dopamine

c.The treatment is mainly integrated treatments including the following

• Assertive community outreach
• Multiple psychotherapy
• Behaviour therapies
• Social activities