Substance Abuse
Concept of Addiction
Definition:
Addiction is characterized as a brain disease that evolves over time.
It occurs primarily due to individuals voluntarily consuming drugs.
The repeated use of substances leads to uncontrollable and compulsive drug craving and seeking, ultimately destroying personal functioning.
Abuse:
Describes the use of a substance outside of its medical necessity, resulting in adverse effects both for the user and others.
Dependence (Addiction):
Occurs when there is a tolerance developed to the drug, necessitating increased amounts to avoid withdrawal symptoms.
Operational Definition of Addiction: The Three C’s
Addiction behaviors are motivated by varying emotional responses.
These behaviors can range from the craving to the compulsive spectrum.
Continued usage happens despite adverse health, mental, relational, occupational, and financial consequences.
Loss of Control: A critical element in identifying addiction.
Substance Use, Abuse & Dependence (Addiction)
Examples:
Use:
Having a drink after work.
Abuse:
Having several drinks after work every day and frequently on weekends.
Dependence/Addiction:
Stopping drinking leads to severe withdrawal symptoms such as tremors, elevated blood pressure, and a strong craving for alcohol.
The Most Commonly Abused Substances (Part I)
Caffeine:
Found in coffee, tea, colas, energy drinks, chocolate, Excedrine, and many over-the-counter “diet” pills.
Nicotine
The Most Commonly Abused Substances (Part II)
Common abused substances include:
Alcohol
Amphetamines/Meth
Cannabis
Cocaine
Hallucinogens
Inhalants
Opioids
PCP
Sedatives/Hypnotics/Anxiolytics
Statistics:
Prescription drug overdose is the second leading cause of accidental death in the U.S., with motor vehicle accidents being the first.
Theoretical Approaches to Addiction: Why Some Become Addicts
Contributing Factors:
Genetics & Family Influence
Peer Pressure
Environmental Stress Factors
Chronic Physiologic Disease
Personality Characteristics
Codependency, recognized as a family disease
Genetics/Family Influence
Statistics:
A first-degree relative of an alcoholic has a 50% increased likelihood of abusing alcohol.
The combination of genetics and environment is crucial in promoting substance use, abuse, and addiction tendencies.
Peer Pressure
Individuals most susceptible to peer pressure include:
Those with a family history of substance abuse
Individuals with low self-esteem
Those suffering from depression who may seek self-medication through substances
Environmental Stress Factors
Feeling a lack of control over one’s environment increases susceptibility to substance abuse.
Substance use may become a coping mechanism for stressors.
The absence of effective coping mechanisms may lead to relapse when attempting to cease substance use.
Chronic Physiologic Disease
Abusers undergo physiological changes, particularly in brain chemistry.
Continued drug use is necessary to prevent withdrawal, which can induce significant distress and suffering.
Personality Characteristics
Certain personality types may be predisposed to substance abuse:
Dependent:
Often displays low self-esteem and succumbs to peer pressure.
Antisocial:
Exhibits a disregard for laws, may seek control over others through substance use.
Substance abuse can serve as a form of self-medication for many personality types seeking to improve self-feelings.
Codependency
Definition:
A multi-generational pattern where maladaptive behaviors of others are normalized and excused.
Family members may enable negative behavior, mistakenly believing they are helping by controlling the behavior, when they are in fact being controlled, leading to dysfunctional dynamics.
Treatment for Substance Addiction
Detoxification:
A necessary period for detoxing from substance use.
Certain substances like alcohol and benzodiazepines require a gradual weaning to prevent dangerous withdrawal symptoms.
Medical Intervention:
Proper medications during withdrawal may be necessary to manage symptoms effectively.
Therapy:
Prognosis is poor if therapy (including AA, NA, etc.) is omitted from the treatment plan, which often benefits the family as well.
Various Medical Treatments
For Alcohol:
Use of Librium (chlordiazepoxide) for step-down (weaning) process to control symptoms such as elevated vital signs, agitation, and tremors.
Treatment might extend for up to a week or longer, as necessary.
For Benzodiazepines and Some Narcotics:
Gradual weaning off of drugs is required.
Increased seizure risks exist for patients withdrawing from benzodiazepines for up to two weeks post last dose due to the long half-life of these drugs.
Detox off Other Substances
For Amphetamines, Cocaine, and Crack:
Management focuses on symptomatic relief for abdominal cramps, diarrhea, nausea/vomiting, and elevated vital signs.
Expect prolonged periods of sleep ("crash") for several days amidst focus on rest, rehydration, and nutrition.
For Caffeine and Nicotine:
Withdrawal symptoms may include headaches and agitation and may require a gradual weaning or even "cold turkey" approach.
Other Detox Considerations
Alcoholics and amphetamine users often present poor nutritional statuses, necessitating vitamin B injections, oral vitamins, and encouragement for meals.
Expect emotional distress indicators such as severe depression and anger as they lose their primary coping methods.
Some Pharmacological Agents for Alcohol (ETOH) Withdrawal
Benzodiazepines:
Chlordiazepoxide (Librium), oxazepam (Serax), and diazepam (Valium) employed in a step-down regimen and as needed for breakthrough withdrawal symptoms.
Additional medications:
Thiamine (vitamin B1), potentially via IM, and other vitamins should be administered.
PRN medications for nausea/vomiting and blood pressure.
Severe symptoms (DTs) will require hospitalization and may necessitate IV medication.
Pharmacological Agents for ETOH Abstinence Maintenance - Post-Withdrawal
Acamprosate (Campral):
Aids in re-regulating neurotransmitters; not metabolized in the liver; renal function must be adequate; may be paired with naltrexone if liver function is good.
Naltrexone (ReVia):
Blocks opioid receptors, reducing alcohol "high" and cravings; also applicable for opioid dependence; liver function tests must be adequate.
Disulfiram (Antabuse):
Acts as aversion therapy by inducing nausea/vomiting; requires adequate liver function before administration.
Pharmacological Agents for Narcotic Abstinence Maintenance
Naltrexone (ReVia):
Similar application as in alcohol dependence.
Buprenorphine-naloxone (Suboxone):
A combined drug in 4:1 ratio used as a sublingual tablet or film; acts as a weak, partial agonist/modulator with an opioid antagonist to deter IV use; contraindicated in severe liver problems, respiratory issues, or acute alcoholism.
Methadone (Dolophine):
A synthetic addictive opioid substitute also used as a pain medication.
Nursing Process: Assessment Guidelines
Primary Considerations:
Patient’s substance use history:
Document number of drugs taken, patterns, and dosages.
Include previous treatment instances.
Evaluate for blackouts, delirium, seizures, and withdrawal symptoms.
Review for comorbid illnesses, including psychiatric conditions.
Assess psychosocial problems affecting functioning.
Initial Assessment Tools
Two Questions Screening:
"In the past year, have you ever drunk or used drugs more than you meant to?"
"Have you felt the need to cut back on drinking or drug use within the past year?"
CAGE-AID Screening Tool:
C: Have you ever felt the need to cut down?
A: Have people annoyed you by criticizing your use?
G: Have you ever felt guilty about your use?
E: Have you ever needed an eye opener in the morning?
Further Initial Assessment Considerations
Neurological Changes:
Assess potential brain injuries.
Urine Toxicology Screen:
Perform blood alcohol level (BAL) tests to determine substance types and amounts.
Psychological Changes:
Monitor for use of defense mechanisms such as denial, projection, and rationalization.
Behavioral Traits:
Characteristic thought patterns include all-or-none thinking and selective attention, alongside behaviors like conflict minimization, avoidance, passivity, and manipulation.
Nursing Process: Problems and Outcomes Identification
Common Nursing Diagnoses:
Imbalanced Nutrition: less than body requirements.
Deficient Fluid Volume.
Disturbed Thought Processes.
Acute or Chronic Confusion.
Hopelessness.
Situational Low Self-Esteem.
Ineffective Coping.
Outcomes Identification Targets
Maintain injury-free status during withdrawal.
Attend treatment programs effectively.
Establish a stable social network of friends.
Demonstrate coping mechanisms independent of substances.
Nursing Problems
Diverse nursing diagnoses encompass:
Safety/Risk for Injury
Thought Processes
Imbalanced Nutritional Needs
Ineffective Coping
Dysfunctional Family Coping
Nursing Process: Planning and Implementation
Care Planning Parameters:
Tailor care based on social status, income, ethnic background, gender, age, substance use history, and current condition.
Goals:
The goal is attaining abstinence from abusive substances.
Implementation Strategy:
Direct implementation towards fostering self-responsibility, coupled with referrals to specific addiction programs available in either inpatient or outpatient settings.
Nursing Communication Guidelines for Patients with Substance Abuse
An accepting, non-judgmental approach is essential for building a therapeutic relationship with patients.
Interventional strategies for resistant addicts may be utilized, including engaging significant others in presenting specific evidence regarding the patient’s substance use.
Health Teaching and Promotion for Substance Abusers
Focus:
key strategies aimed at relapse prevention:
Simplifying programs and encouraging documentation/journaling of progress.
Employing cognitive-behavioral principles to enhance coping skills.
Motivation to join relapse prevention groups.
Encourage personal insight improvements through therapeutic measures.
Treatment Modalities: Psychotherapy and Alternatives
Psychotherapy:
Assists patients in identifying alternative coping mechanisms as replacements for substance reliance.
Self-Help Groups:
Crucial for both the patient and family members, with 12-step programs being identified as particularly effective.
Alcoholics Anonymous (AA): For the patient.
Al-Anon and Alateen: For family members.
Nursing Process: Evaluation
Outcomes Assessment:
Enhanced duration of abstinence from substances.
Reduction of denial among patients.
Achievement of acceptable levels in occupational and social functioning.
Proficiency in employing adaptive coping strategies.
Commitment to attending 12-step support groups.
Substance Abuse by Health Professionals
It is probable that professionals will encounter impaired colleagues during their careers.
Nurses possess easy access to a wide range of medications, heightening the risk of abuse.
Mandatory reporting laws require reporting founded suspicions of nurse impairment, despite personal difficulties in doing so.
Addressing Relapse in Patients with Addictions
People with addictions may require multiple detox treatments, therapy sessions, or ongoing group support—often throughout their lives.
Relapse rates for numerous addictions tend to be quite high, necessitating acceptance of this reality in providing care for those struggling with substance addictions.
Dual Diagnosis Grid
Mental health workers frequently encounter clients presenting with both mental illnesses and substance use/abuse/addiction complications.
Additional Important Concepts:
Delirium Tremens (DTs)
Wernicke-Korsakoff Syndrome
Pupil Assessment: For narcotics vs. amphetamines
Tremor Assessments: Differentiating between fine motor tremors vs. gross motor tremors
Overdose Treatments: Charcoal and gastric lavage methods.
Narcotic (opiate) Antagonist: Narcan (naloxone)
Benzodiazepine Antagonist: Flumazenil
Methadone Utilization: Applications and considerations.
Retrograde and Anterograde Amnesia
Medical THC Use: Marinol applications.