Substance Abuse History Summary

Decent Essays
There are several principles to follow when administering controlled substances to patients with a substance abuse history. O’Brien (2014) recommends to first make certain that one doctor is solely responsible for prescribing all pain medications. Next, the nurse needs to obtain a written consent that identifies the treatment plan, explains the expectations of the healthcare team and the patient, and summarizes the repercussions of excessive drug-use. It is also important to identify the patient’s family or support system to increase compliance. Moreover, only one pharmacy must be used making the pharmacist included in the healthcare team. The type of drug and administration route must be decided next. The oral route is the ideal choice but

Related Documents

  • Improved Essays

    Autobiography: Chemical substances and how they affect our brains have always fascinated me. Fortunately, I haven’t been curious enough to find out for myself firsthand, despite the struggles I’ve experienced throughout my life. I grew up in an authoritarian household with a neglectful father. My parents had a very codependent marriage, which I later adapted to my own relationships later in life. I’ve always had a lot of anxiety and depression as a child.…

    • 835 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Zohydro Case Study

    • 500 Words
    • 2 Pages

    Zohydro is an opioid analgesic hydrocodone that no contains acetaminophen is a 12-h extended-release formulation. Its approval was against the FDA’s expert panel recommendation. Opioids have been widely used as treatment for non-cancer chronic pain. However, it may be some misunderstanding in the efficacy and safety of this drugs because of their potential misuse, abuse and addiction.…

    • 500 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Passageways Case Summary

    • 234 Words
    • 1 Pages

    The founders of PassageWays, grounded in recovery and mindful of the principles of 12 step programs, are determined to offer medically assisted treatment to those individuals suffering from substance addictions. Through the efforts of physicians practicing in the field of addiction medicine reviewing statistical information and research, it was apparent that treatment for addiction would be benefitted by the additional component of medical intervention during the withdrawal cycle. In this period of time the client would have the opportunity to recognize the benefit of thinking differently as their physical craving subsides. PassageWays has developed a format for treatment of those who are addicted to various prescription and non-prescription drugs. This treatment program begins with an analysis of each client’s history of use, educational background, age, and other pertinent factors.…

    • 234 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    However, in the staff meeting I learned some of the nurses will put the methadone in a pill box for the patient to take on his or her own. This brings up a concern whether or not the patient can take them and use them in a negative matter. It just so happens a patient was taking the methadone out of the pill box and using them prior to the scheduled time. In the staff meeting, the practical for this was to increase the method dose.…

    • 428 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    The pharmacist’s role in the step towards dismantling the capitalistic market of opiates is to help their patients understand the dangers of painkillers being prescribed to them. The addictive and destructive natural of painkillers should be well understood by the patient after extensive counseling. The pharmacist also has the right to not dispense the opiate medication if their profession judgement has determined that it will ultimately be disastrous to the patient and the community. This will further limit the supply of opiates and cause damage to the capitalistic…

    • 1292 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    Diagnosis The client, Gwen Cummings, comes to the inpatient substance use treatment facility presenting with apparent symptoms of severe substance use disorder and potentially childhood trauma. According to the criteria from the DSM-5 on Substance Use Disorder, the “substance is often taken in larger amounts or over a longer period than was intended” (American Psychiatric Association, 2013). Gwen shared that she and her boyfriend recently woke up late prior to their attendance at their friend’s wedding, unable to remember the details leading up to the end of the night. This, and other shared accounts from the client indicate that she met the first criteria for substance use disorder.…

    • 2254 Words
    • 10 Pages
    Great Essays
  • Improved Essays

    AUDIT-10 Substance Abuse

    • 698 Words
    • 3 Pages

    Substance abuse is a very concerning area in the United States. Society does not understand why or how other people become addicted to drugs. In reality, drug addiction is a complex disease, and quitting takes more than good intentions or a strong will. Our group decided to do our project on substance abuse because drug use is on the rise in this country. There is approximately one in every 10 Americans over the age of 12 that are addicted to alcohol and drugs; almost equal the entire population of Texas (“Results from the,” 2014).…

    • 698 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Recommended prevention strategies in enforcement involve controlling prescribing practices. It is recommended that Michigan increase the number of practitioners who specialize in addiction prevention and treatment. It is also suggested that pain management practice be defined in legislation and that Michigan practitioners be trained along such guidelines to ensure proper prescribing practices (MI Task Force,…

    • 1261 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Currently in the United States, prescription opioid abuse is at an extremely high epidemic level. Prescription opioid abuse is at a peak due to the fact they are easily obtainable. The abusers themselves can either be prescribed the painkiller, their friends or family members may be prescribed, or they can purchase these medications on the street from dealers who are trying to make a quick buck. A major role of community health nurses today is to prevent the spread of illness and disease. According to the American Nurses Association Scope and Standards of Practice, every nurse has a role in providing healthcare to each individual and community based on their needs.…

    • 1602 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Opioids In Nursing

    • 880 Words
    • 4 Pages

    “The American Nurses Association (ANA) recognizes the central role nurses have in addressing this crisis and has set out to develop resources aimed at prompting a comprehensive approach”. (Association, "Nurse's Role in Addressing Nation's Opioid Crisis "). As nurses, confronting this crisis by using the resources available will increase our education, knowledge, skills and abilities. Resources provided and supported by the ANA include prescriber education and training, deterrent formulations and increasing access to opioid antagonist such as naloxone. “The ANA believes that the current crisis calls for additional support and focus on prescriber education to prepare practitioners to effectively and safely prescribe opioids”.…

    • 880 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Substance Abuse Analysis

    • 483 Words
    • 2 Pages

    1) I would consider myself to have a pretty high level of wellness according to what I read on page 72. According to the text, wellness is state of optimal health and well-being. It is living life to the fullest and striving to achieve one's potential as a person. It also emphasizes individuals' taking responsibility for their health and understanding how the choices they make impact their well-being. I believe the area that I am the strongest are physical because I do maintain a healthy body.…

    • 483 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Opioid Medication Errors

    • 1207 Words
    • 5 Pages

    Throughout a patient's stay the registered nurse is educating the patient, but the problem with opioid medication misuse and abuse comes after the patient is discharged home without either receiving and/or understanding the risks (Costello, M., 2015, p. 516). For the education of opioid medication to be successful the registered nurse must fully understand what they are teaching (Costello, M., 2015, p.…

    • 1207 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Prescription Drug Abuse

    • 1366 Words
    • 6 Pages

    Drug abusers use various methods to avoid detection and obtain prescription painkillers for illegitimate uses. Many rogue physicians facilitate the drug abusers by illegally supplying the drugs. Other physicians do not have adequate training to recognize or address prescription drug abuse. Finally, pharmacists, the suppliers of most prescription painkillers, may be unable to detect potential drug abuse or, in the case of rogue pharmacists may promote it. State PDMPs intended to combat prescription drug abuse have made some limited progress but they do not, and cannot, live up to their potential for the numerous reasons outlined in this Article.…

    • 1366 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Drug Abuse Solutions

    • 1512 Words
    • 7 Pages
    • 4 Works Cited

    (Smith 70). Another solution that has been investigated is creating a pill an abusive resistant formula for these medications, “ensuring the relatively steady release of medicine into the bloodstream instead of the rapid surge preferred by abusers achieves treatment goals while frustrating attempts at getting high” (DuPont 130). Prescription drug abuse is a big concern for not only being tackled at the national level, but also the individual states. At the state level, “strategies to address this complex problem have included: establishing and strengthening prescription drug monitoring programs, regulating pain management facilities, and establishing dosage thresholds above which a consult with a pain specialist is required” (Garcia 4). Many other agencies such as the American Society for Addiction Medicine have…

    • 1512 Words
    • 7 Pages
    • 4 Works Cited
    Great Essays
  • Improved Essays

    Drug and alcohol abuse is one of the most important social issues in this novel. Drug abuse refers to the excessive or addictive use of drugs for nonmedical purposes (“Drug Abuse,” 2015). Drug use can become a social problem when an individual becomes impaired through drug-taking behavior (Busse & Riley, 2008, p. 21). Drug and alcohol abuse lead to many serious consequences. The emotional, physical, social, psychological, and intellectual health of many children and adults are impaired and damaged by drug abuse (“Drug and Alcohol Abuse,” 2014).…

    • 908 Words
    • 4 Pages
    Improved Essays