Substance Use Assessment and Screening Techniques

Alcohol Use

High incidence of consumption affecting health status.

Dose-Related Effects

Higher alcohol intake increases health risks.

Morbidity and Mortality

Data reflecting consequences of excessive alcohol use.

Alcohol Interactive Medications

Many medications interact negatively with alcohol.

Alcohol Dependence

Increases risk for emergency department visits.

Binge Drinking

Associated with escalating health risks.

Illicit Drug Use

Includes marijuana/hashish, cocaine/crack heroin, hallucinogens, inhalants, or prescription-type drugs used nonmedically.

Prevalence in Adolescents

Highest illicit drug use among ages 12 and older.

Consequences of Illicit Drugs

Affects health, relationships, and career opportunities.

Prescription Drug Abuse

Increased overdose deaths surpass motor vehicle accidents.

Opioid Crisis Factors

Includes increased prescriptions and marketing strategies.

Contributing factors to Rx abuse and opioid

Increase in Rx for pain medication

Marketing strategies to Promote medications

Misrepresentation of addictive nature

Combination Addictions

Mixing alcohol with other addictive medications.

DSM-V

Standard for diagnosing substance use disorders.

Underdiagnosed Alcohol Problems

Often unrecognized in primary care settings.

Developmental Competence

Impact of substance use across different life stages.

Adolescent Risks

Alcohol affects brain development and maturity.

Pregnancy Risks

Alcohol use harms both mother and fetus.

Fetal Alcohol Spectrum

Adverse effects include deformities and learning issues.

Safe Alcohol Levels

No safe amount of alcohol for pregnant women.

Aging Adult Risks

Increased drinking among older adults noted.

Metabolic Changes

Decreased functions increase alcohol bioavailability.

Polypharmacy Effects

Multiple medications interacting with alcohol increase risks.

Cognitive Decline

Alcohol consumption linked to increased cognitive issues.

Subjective Data

Information gathered through patient questioning.

Intoxicated Patients

History collection is unreliable during intoxication.

AUDIT Questionnaire

Screening tool assessing alcohol consumption and consequences.

Three domains of the AUDIT questionnaire

include alcohol consumption, alcohol dependence, and adverse consequences

Maximum Score in AUDIT questionnaire

40

AUDIT-C

Shorter version for acute care settings.

Maximum AUDIT-C questionnaire

12

Standard Clinical Diagnostic Criteria

Identifies maladaptive alcohol use patterns.

TWEAK Questions

Screening tool for women's alcohol use.

SMAST-G Questionnaire

Designed for older adults' alcohol screening.

10 questions with yes/no response that addressalcohol use and related problems.

Two or more yes SMAST-G questionnaire

Indicate alcohol problem and potential need for further assessment.

Brief Intervention

Short assistance statement for at-risk patients.

CIWA Scale

Most sensitive Measures withdrawal symptoms objectively.

CIWA Score of 0-7

Monitor every 4 hours

All scores below 8 for 72 hours

You can discontinue the CIWA Scale monitoring.

Withdrawal Symptoms

Physiological effects after ceasing substance use.

withdrawal

cessation of substances leads to physiological effects.

Intoxication Definition

Behavioral changes due to substance effects.

substances

Refers to non-medical agents taken to alter mood or behavior

Substance Abuse

Recurrent use causing functional impairment.

Dependence Definition

Physiological reliance on a substance.

Tolerance Definition

Need for increased substance for desired effect.

Clinical Signs

Indicators of substance abuse disorders.

Nurse's Professional Obligation

Must provide care regardless of personal feelings.

Nonjudgmental Care

Essential for treating substance-abusing patients.

Assessment Recommendations

Clear conclusions and recommendations for patient care.

Screening Tools

Instruments to identify substance use issues.

Adverse Consequences

Negative outcomes from substance abuse.

Health Impact

Substance use affects overall health and well-being.

Risk Factors

Characteristics increasing substance use problems.

Screening Importance

Identifying issues early can improve outcomes.

Behavioral Changes

Alterations in mood or behavior from substances.

Long-term Effects

Persistent issues resulting from substance use.

Emergency Department Care

Special considerations for patients with substance issues.

Patient History Collection

Gathering reliable data when sober.