[Download Now] Substance Abuse Among Medical Patients: A Hidden Truth – JeanAnne Johnson Talbert

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• Pharmacology of abused substances
• Effective screening of medical patients for substance use disorders
• Assessment and treatment of withdrawal symptoms
• Emergency interventions
• Medical complications of substance use disorders

6 patients are cared for by a med/surg nurse. Statistics show that 2 patients have an underlying substance use disorder. Are you prepared to deal with withdrawal symptoms? Do you know how to assess them?

A patient is reporting a lot of pain after his knee surgery. You have given him 20mg of Dilaudid and this seems impossible. You think to yourself, He should be apneic with that much Dilaudid! How much opiate analgesia can you give this patient?

A patient is in the hospital. She reported that she was bitten by a spider and it continued to get worse. She is being treated with antibiotics. As you look at her, you can see that her veins are black. Later in your shift, she starts sweating profusely and starts yelling that her skin is crawling and her joints are hurting. What is going on with her?

With the pervasive problems our society has with substance abuse, it is imperative that healthcare professionals have skill to meet the physical and psychological needs of those trusted to our care. During this one-day event, JeanAnne Johnson Talbert will draw from her vast expertise. You are. It is guaranteed. To leave with new ideas and insights to tackle the Hidden Truth behind the complex medical patients you see.

OUTLINE

What does a hidden substance use disorder look like?

• In pregnant patients
• In general medical patients
• In surgical patients

Why is this important? So challenging?

• Biostatistics
• Actual relevance in practice
• Morbidity and mortality – complications of substance use disorders

What do these substances do in the body?

• Pharmacokinetics and pharmacodynamics principles
• Reinforcement
• Tolerance and cross-tolerance
• Physical dependence
• Conditioning
• Sensitization
• Pregnancy-related complications

What Substances are we talking about?

• Alcohol
• Sedative/Hypnotics
• Opioids
• Stimulants
• Dissociatives
• Inhalants
• Cannabinoids
• Anabolic steroids
• Club drugs
• Nicotine

Drugs and terminology on the street.

• Interpreting patient language
• What drugs are they talking about?

You think that substance abuse is not a choice?

• Neurobiology and anatomy of the normal brain
• Substance abuse as a brain disease
• Genetic and environmental influences

Mental Illness and Substance Abuse are dual diagnoses.

• Co-occurring illnesses
• Traits and theories surrounding the two

Screening and assessment techniques are used.

• Effective questionnaires to screen for substance use
• Techniques to promote open and honest communication from the patient
• Working with the pregnant patient who uses substances
• Assessing your own biases – and how to not let them interfere with your work

The patient has an underlying substance use disorder.

• Anticipation/prevention of withdrawal symptoms
• Withdrawal protocols
• Medications to treat withdrawal symptoms
• Emergency treatments
• Treatment of the newborn following exposure to substances
• Safety for patients/family/staff
• Effective pain management
• Motivational interviewing – Assessing how to refer the patient following discharge from the hospital

OBJECTIVES

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Recognize the terminology used to refer to street drugs today.
4. Explain the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

JeanAnne Johnson Talbert reviewed Substance Abuse Among Medical Patients: A Hidden Truth. JeanAnne Johnson Talbert is the author of Substance Abuse Among Medical Patients: A Hidden Truth. JeanAnne Johnson Talbert has a discount on Substance Abuse Among Medical Patients: A Hidden Truth.