Addiction is a compulsive need to habitually use a mind altering substance. Addiction can target anyone, even someone who works in the healthcare field, who trained to aid patients with medication. When a healthcare professional is addicted to a substance, it should be immediately reported for the safety of that nurse 's clients. Just because a nurse has an addiction does not mean that their career is over because there are many programs that can help them fight the addiction and regain their title as nurse. It is our moral obligation as a nurse to protect the addicted nurse and her clients by confronting them and reporting their behaviors. Addiction can be hard to spot in people, especially when the addict has learned to hide their addiction. Even in those who know how to hide it there are some signs to look for that an addict will unknowingly show. Some signs to look for are “smell of alcohol on breath or frequent use of strong mouthwash or mints; impaired coordination, sleepiness, shakiness, and/or slurred speech; bloodshot eyes; mood swings and memory loss; neglect of personal appearance; excessive use of sick leave, tardiness, or absent after a weekend off, holiday, or payday; frequently ‘forgetting’ to have another nurse witness wasting of a controlled substance;”(Sommer, 2013). Educating nurses and nurse manager of these signs to look for is the first step in decreasing the amount of accidents caused by impaired nurses. A nurse is obligated to protect patients and
Addiction is a chronic brain disease that often results in some sort of relapse. Addiction is characterized by inability to control drug use which results in problems with one’s behaviors and interpersonal relationships. This disease causes compulsive behaviors such as the need to use drugs despite the many harmful consequences that affect the addicted individual and those around him or her. Although for most people, the initial decision to use drugs is a one time lapse in judgement, the brain is easily affected by these drugs if the person decides to use these drugs multiple times. The changes that occur to the brain over time will cause the addicted person’s ability to resist the intense impulses of drugs to be altered causing the addict to often give into the temptation of these drugs. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Drug addiction is an issue that many people deal with whether they are the addict or the addict is their loved one; but with a good source of support anyone can over come the challenges and consequences of addiction.
Psychology is a developing science which studies the mental functions, processes, and behaviors of an individual. In the science of psychology, many debates arise; nature vs. nurture is one of the most popular ones. These psychological debates are followed by research, backing up either nature or nurture or both. Nature suggest heredity impacts human psychological development; nurture suggests the environment impacts our psychological development. Addiction plays a large role in nature vs. nurture. Addiction is defined as a person being attached to a certain activity or item; an addict is one who has a dependency on particular substances or activity. There are many debates on whether addiction is caused by genes or the environment. Many researchers believe if they had the answer of addiction being a genetic condition or an environmental factor, they would be able to resolve the problem of addicts, or so they believe.
Jackie was one of the growing numbers of nurses who are impaired because of addiction. Sullivan (1994) cited that “nurses who abuse substances not only place themselves at risk for physical, emotional, and professional harm, but also create hazards for the institutions in which they work as well as the public” (p. 20). To deal with the issue posed by an impaired nurse, “nursing leaders must consider legal, regulatory, ethical, humanistic, and practical considerations in
Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse,
According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.
Dopamine is defined as a neurochemical that supports fine motor activity, blood pressure, focus inspiration, intuition, and joy, among other functions (“Dopamine”). The brain interprets all items of pleasure in the same manner. Whether someone has sexual intercourse, eats a delicious meal, or smokes marijuana, the brain releases dopamine in the same fashion. Drugs ranging from nicotine to heroin all produce the same signals in the nucleus accumbens, which is a group of nerve cells that sits below the cerebral cortex (“Understanding Addiction: How Addiction Hijacks the Brain”). In “Violence in Movies, Music, and Media,” by Jeanne Nagle, dopamine is compared to a shot of a heavy-duty amphetamine (38). The entertainment an individual finds in shooting another person on a TV screen is the same as one who watches a violent movie that interests them as well. As dopamine is released, the brain naturally wants more as it is very addictive by nature (“Understanding Addiction: How Addiction Hijacks the Brain”). Rosner for example, the man addicted to videogames, could sit down and be vegetative for 18 hours at a time playing his favorite game. The dopamine released while playing was enough to almost shut down his prefrontal regions in his brain that affect judgement and concern – leading him to play more and more violent games (Linden). People who begin as mildly curious or interested in the world of violence, zombies, and vampires can quickly become an addicted expert on the subject
Hospital nursing professionals are faced with many stressful situations in the workplace and at home. Some nurses try to cope with stress by turning to alcohol. In my professional opinion, alcohol should never be used as a coping mechanism. Eventually one or two alcoholics drinks a week turn into daily excessive and uncontrollable use. Impairment at work leads to an inability to critically think and make safe decisions. Alcohol impairment slows reaction time and alters judgement (CDC, 2016). These symptoms lead to a dangerous environment for the patient, other staff members and anyone having contact with the intoxicated nurse (CDC, 2016).
Many people believe the misconception that an addiction is a moral problem and not a disease. To better understand the reasons why an additicition is in fact a disease; I will identify several types of addictions, and the problems associated with them. I will examine reasons why certain people are more susceptible for developing an addiction. Also, I will determine why many addicts deny their problems and many recovery methods addicts use to fight their illness. Researching these issues, will help aid my claim that addiction is a disease.
It is no secret that the United States is currently experiencing a shortage of nurses . “The U.S. Department of Labor, Bureau of Labor Statistics ( 2009 ) estimated that more than one million new and replacement nurses will be needed by 2018 to meet the increased demands of the health care workforce” (). The stressful conditions under which nurses work, due in part to the nursing shortage, are among the risk factors that contribute to nurses’ abuse of illicit drugs and alcohol. Nurses are unique in that they work in an environment where they not only have access to controlled substances, but also are exposed to critically ill patients, traumatic situations, death and dying, the stress of which can increase the risk of substance abuse. (Epstein, Burns, & Conlon, 2010). Unfortunately, it is the patient that suffers the most.
Over the years, there have been many discussions on whether addiction is a disease or if it is a choice. Addiction has been considered a disease for many years because it shows the same signs as a disease would. Many believe that addiction is a choice and not a disease. Two articles discuss the topic of whether addiction is a disease or a choice and the article that is saying it is a disease is "Addiction Is a Disease and Needs to Be Treated as Such" by David Sack and the other article is stating that it is a choice and this article is titled "Addiction is not a disease- and were treating addicts incorrectly" by Kyle Smith. Article one, "Addiction Is a Disease and Needs to Be Treated as Such" by David Sack is better than article two "Addiction
In first talking about substance use, abuse and addiction as it relates to the Nursing profession it is necessary to understand the aspect of addiction. Drug use is a broad idea that refers to the use of any chemical substance rather legal or illegal. This topic includes prescription drugs, street drugs, herbal supplements, and the like. The term Drug abuse is defined as “the use of a substance or substances in such a way that it leads to measurable personal, interpersonal, or social consequences” (Faupel, C., E., Horowitz, A., M., & Weaver, G., S., 2010, p.20). Drug addiction is then regarded as “a compulsive use of chemicals (drugs or alcohol) and the inability to stop using them despite all the problems caused by their use” (National
A survey has been recorded about the prevalence of chemical dependency in nurses. About 2.6 million registered nurses are employed in the United States (U.S. Department of Health and Human Services, 2010). The American Nurses Association estimates that about 10% of the RN
Alcohol and drug abuse among the nursing profession has been the cause of nurses increasing impairment on the job. Due to the rise in these problems in the nursing population, it has had a negative impact on many aspects of nursing. According to Blais and Hayes (2011), ”There are three victims of the nurse who is impaired: the client, whose care may be compromised by the nurse whose judgement and skills are impaired; the nurse’s colleagues, who must pick up after the impaired worker; and the impaired nurse, whose illness may go undetected and untreated for years” (p. 89). Impaired nurses contribute to absenteeism, the nursing shortage, increased costs to train another nurse to replace them even if it is only temporary, patient safety is compromised, and high turnover rates The nurses, in essence, are unable to provide safe and
The purpose of this interview was to assess the patient 's need for addiction treatment by reviewing patient 's present and previous usage history, emotional and behavioral stability, and potential for relapse, environment, pertinent medical conditions, and willingness or desire for treatment. An interview and medical records gathered this data.
Drug and Alcohol Treatment in America has been based on the Medical Model of Treatment. According to Wikipedia, the medical model of addiction is rooted in the philosophy that addiction is a disease and has biological, neurological, genetic, and environmental sources of origin. Treatment includes potential detox with a 28 day or more stay at a residential treatment facility. The continuum of care can include an additional 28 days at the partial hospitalization level, followed by another 6 weeks of Intensive Outpatient.