Substance Abuse and Nurses - the New Mexico Board of Nursing

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Disease Concept of Addiction: DSM IV Definition • Abuse: any use of drugs that causes physical, psychological, economic, legal or social harm to the individual user or to others affected by the drug user’s behavior. • 1. recurrent substance use resulting in failure to fulfill major role obligations at work, school or home • 2. recurrent substance use in situations in which it is physically hazardous, (driving, neglect of children, providing care while impaired) • 3. recurrent substance related legal problems ( arrests, child support arrears)
Disease Concept of Addiction • Substance Dependence: DSM IV 1. Tolerance 2. Withdrawal 3. Taken in larger amounts and over longer period than intended 4. Persistent desire or unsuccessful efforts to cut down or control use 5. Preoccupation in obtaining substance 6. Neglect of other activities 7. Continued use despite harmful consequences
Page 1 and 2: Substance Abuse, Nurses and the Div
Page 3 and 4: Theories of addictions (43 in 1980,
Page 8 and 9: Disease Concept of Addiction 1. Pri
Page 10 and 11: Progressive • Review of Jellinik
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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