Substance Use Disorder
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Substance Use Disorder
Substance Use
- Serious problem for society and health care
- Substance use disorders (SUD)
- Involve a variety of substances
- Legal and illegal
- Affects many patients you will encounter in the health care system
- Many implications for health and care
- Nursing management involves recognition of substance use, screening for abuse, and patient education
- Our professional responsibility to address these problems
Criteria for Substance Use Disorders (SUD)
- Impaired Control
- Taking more or for longer than intended
- Failing to quit using despite multiple times of trying to do so
- Spending a great deal of time obtaining, using, or recovering from use
- Craving the substance
- Social Impairment
- Missing school, work, or other responsibilities due to use
- Continuing use despite problems caused or exacerbated by use
- Giving up or reducing important activities because of use
- Risky Use
- Recurrent use in hazardous situations
- Continued use despite problems that are caused or worsened by use
- Pharmacologic Dependence
- Physical tolerance to effects of the substance
- Presence of withdrawal symptoms when not using or using less
Nicotine
- Tobacco use disorder (TUD)
- Most common SUD that you will encounter
- Smoking is the main form of tobacco use in the United States
- Effects of Use
- CNS stimulant
- Releases adrenaline
- Effects last 1-2 hours
- Withdrawal leaves person tired, irritable, anxious, and craving more nicotine
- Cycle of addiction
- Complications
- Smoked tobacco
- Most harmful method of nicotine use
- Injures nearly every organ in the body
- Accounts for 14 million major medical conditions in the United States
- Smokeless tobacco
- Less risk of lung disease
- Associated with
- Periodontal disease
- Cancers of mouth, cheek, tongue, throat, esophagus
- Cardiovascular disease
- Electronic cigarettes
- Harmful effects are still emerging
- Overall impact on health is uncertain
- Not FDA approved
- Not recommended as a smoking cessation aid
- Smoked tobacco
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