The Chemically Impaired Nurse, Treatment Modalities
The chemically impaired nurse will leave many clues as to their involvement with alcohol or other illicit drugs. There will be complaints from patients, discrepancies with documentation, etc. What is the State Boards response to impaired nurses?
may deny, suspend, or revoke a license based on a report of chemical abuse by a nurse
diversionary laws allow impaired nurses to avoid disciplinary action by agreeing to seek treatment
AA uses a 12 step program to guide participants to sobriety and maintaining sobriety.
T or F: after completing the 12 step program, one can safely return to drinking on occasion and within reason.
F
total abstinence is promoted as the only cure, the person can never safely return to any kind of drinking
Psychopharmacology for substance intoxication and substance withdrawal:
What meds assist in the treatment of stimulant addiction
minor tranquilizers, major tranquilizers, anticonvulsants, antidepressants
Predisposing Factors to Gambling Disorder:
Psychosocial influences:
loss of a parent before age 15, inapproproiate parental discipline, exposure to gambling activities as an adolescent, family emphasis on material and financial symbols, lack of family emphasis on saving, planning, and budgeting
What is codependency?
imbalanced relationship where one person enables another person's self-destructive behavior such as addiction, physical/mental abuse, and/or poor mental health
There are some medications that help with alcohol addiction. Name a few...
Disulfiram, naltrexone, nalmefene, SSRIs, acamprosate
Psychopharmacology for substance intoxication and substance withdrawal:
What meds assist in the treatment of hallucinogen and cannabinol addiction
benzodiazepines, antipsychotics
Treatment modalities for gambling addiction:
Non-pharmacological:
behavior therapy, cognitive behavior therapy, motivational interviewing, 12-step program, gamblers anonymous
care taking
perfectionism
denial
poor communication
Psychopharmacology for substance intoxication and substance withdrawal:
What meds assist in the treatment of alcohol addiction
benzodiazepines
anticonvulsants
multivitamin
thiamine
Gambling disorder is the persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress. As the need to gamble increases, the individual may use...
any means required to obtain more money to continue the addiction
Treatment modalities for gambling addiction:
Pharmacological:
psychopharmacology, SSRIs, clomipramine, lithium, carbamazepine, naltrexone
Treating codependent personality with the four stages of the recovery process. What are the four stages?
survival, reidentification, core issues, reintegration
Psychopharmacology for substance intoxication and substance withdrawal:
What meds assist in the treatment of opioid addiction
narcotic antagonists (naloxone, naltrexone, nalmefene), methadone, buprenorphine, clonidine
Gambling addiction usually starts in adolescence and usually runs chronic but waxes and wanes periodically. The disorder starts to affect what part of the individual life?
interpersonal relationships, social, academic, and/or occupational functioning.
Alcoholics Anonymous (AA) is a major self-help organization for the treatment of alcoholism. AA is based on the concepts of...
peer support, acceptance, understanding from others who have experienced the same problem
Psychopharmacology for substance intoxication and substance withdrawal:
What meds assist in the treatment of depressant addiction
phenobarbital, long-acting benzodiazepines
Predisposing Factors to Gambling Disorder:
Biological influences:
genetic (family members), physiological (abnormalities in neurotransmitters)