Substance Abuse and Nurses - the New Mexico Board of Nursing

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Progressive • Review of Jellinik chart handout • Applies to addictive process, not abuse • Progressive deterioration • Defense mechanisms are unconscious • Lack of insight is perplexing to outsiders • Physiological changes/brain changes due to neurotransmitters and receptor sites • Recovery is progressive too
Chronic • Neurobiology of addiction • Use for pleasurable effect (reward) or positive reinforcement • Continued seeking of pleasure/reward • Sensitization or adaptation to reward (tolerance) • Use to avoid adverse effects (withdrawal) or negative reinforcement • Rewarded behavior is reinforcing behavior (operant conditioning) • Changes in brain chemistry can be permanent • Helps explain inability to reduce/control use and relapse after abstinence (Koob & Le Moal, 2008)
Page 1 and 2: Substance Abuse, Nurses and the Div
Page 3 and 4: Theories of addictions (43 in 1980,
Page 6 and 7: Disease Concept of Addiction: DSM I
Page 8 and 9: Disease Concept of Addiction 1. Pri
Page 12 and 13: Fatal • History of physical/sexua
Page 14 and 15: Stereotypes about addiction: Alcoho
Page 16 and 17: Stereotypes about health care profe
Page 18 and 19: Problem of Addiction: • Winick (1
Page 20 and 21: Occupations with highest risk for s
Page 22 and 23: Impairment • Nurses report that a
Page 24 and 25: Impairment and abuse • USA has a
Page 26 and 27: Prevalence: • Abuse and addiction
Page 28 and 29: Prevalence : Women: cont. • Tripl
Page 30 and 31: Identification: signs & symptoms co
Page 32: Risk Factors for Nurses • Substan
Page 35 and 36: Risk Factors: The Big 4 Attitude co
Page 37 and 38: Risk Factors: The big 4 Access cont
Page 39 and 40: Risk Factors: The big 4 Lack of Edu
Page 41 and 42: Intervention: Worst thing is to do
Page 43 and 44: Why alternative to discipline progr
Page 45 and 46: 3 general types of programs #1: Alt
Page 47 and 48: Purpose of Regulation • Protectio
Page 49 and 50: Mandatory compliance with DP • DP
Page 51 and 52: Benefits of DP • Opportunity for
Page 53 and 54: Why do individuals relapse • With
Page 55 and 56: Relapse: Depends as much on environ
Page 57 and 58: Relapse: Slip vs Relapse • Relaps
Page 59 and 60: Recovery: A difficult, full time jo
Page 61 and 62:
Recovery • 85-90% of health care
Page 63 and 64:
Conclusions • Drug addiction is a
Page 65 and 66:
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Substance Abuse and Nurses - the New Mexico Board of Nursing

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