High-Risk Family Assessment Health Promotion
Drug and Alcohol Abuse Substance abuse can occur with legal drugs like alcohol, tobacco and prescription medications, illegal drugs that are purchased on the street, or prescription drugs used for reasons other than health. Alcohol is the most frequently used legal drug, and cocaine, heroin, and marijuana are the most commonly used illegal drugs. Each drug has precise effects on body systems. Some drugs can lead to acute and chronic problems; some even can cause death. Nurses are among the few health care professionals who assess and care for substance abusers. As such, they should be equipped to distinguish the symptoms of substance abuse and put into practice measures to support and help these people (Bailes, 1998). Substance abuse involving drugs, alcohol, or both is linked with a variety of negative social conditions, including family disturbances, monetary problems, lost output, and failure in school, domestic violence, child abuse, and crime. Furthermore, both social attitudes and legal answers to the use of alcohol and illicit drugs make substance abuse one of the most multifaceted public health issues. "Estimates of the total overall costs of substance abuse in the United States, including lost productivity and health- and crime-related costs, exceed $600 billion annually" (Substance Abuse, 2012).
Assessment of the Family Type Substance abuse refers to a set of related conditions linked with the consumption of
There is no doubt that there is a prevalence of substance abuse throughout several age groups. To a certain extent, a society is faced with the reality of controlling substance abuse. Or allow it run rampant throughout the community. Often times, we hear and read about the level of substance abuse among teen, young adults and mid-aged
“Substance use disorders” or “substance-related disorders” are intended synonymously and are used interchangeably when referring to the broad category of addiction to psychoactive substances. Additionally, the word “drug” should be considered in the context in which it appears and can refer to alcohol specifically and/or other psychoactive substances such as cocaine or heroin etc. Again, this is because of the large overlap within the broader category of substance use and the high prevalence of polysubstance use. For the sake of clarity, “drug” as used in North America to generally refer to any illicit or controlled substance has been avoided. Instead, “medication” will be used to denote a prescribed substance used to treat physical symptoms. However, many legally prescribed medications (such as morphine) can and are abused and have addictive quality, making them just as devastating as “street drugs” or alcohol (Compton & Volkow, 2006).
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,
The health of a family is a vital part of how that family interacts with one another and how each individual of the family will function in society, later teaching their children about a healthy lifestyle or lack thereof. The family health assessment helps to identify risk factors and potential dysfunction (Edelman, 2014) I interviewed a single parent family home about their health and how they perceive it. This family is an all-male family, an athletic seventeen year old boy getting ready for his senior year, a twenty year old young man, and a hardworking, dedicated, overweight father.
Health care professional, patients, families, and policy makers all struggle to understand how health is affected by behavior, economic and social structure and provided the knowledge to improve the health status of individuals and populations. Our health is affected by behaviors, economics, and social structure. Many behaviors and lifestyle patterns affect our health, such as: exposure to violence, vehicular accidents, alcohol, drugs, and infectious agents (Williams/Torrens). According to our textbook (Williams/Torrens), alcohol, tobacco and illicit drug use creates several of problems that affect our health and society.
Substance abuse is a very widely known public epidemic in today's society. Many people are unfortunately plagued by this issue. According to Emedicinehealth.com (2012), “People abuse substances such as alcohol, tobacco, and other drugs for varied and complicated reasons, but it is clear that our society pays a significant cost,” (para. 1). People that are affected by substance abuse includes a very different range of people. Many that abuse the substances end up having health-related problems which in turn increases the need for health care. Other people that are affected by substance abuse are the family members and friends of the abusers because they have to deal with the person abusing the substances. Things that can be abused are
Drugs and alcohol is a major social issue (J. David Hawkins, Richard F. Catalano, and Janet Y. Miller, 1992). It is not something that can be solved by the law (Lee P. Brown, 2008). Throughout history, many attempts have been made to try and legalize and control alcohol and drug addiction but has failed.
Although homeless families are decreasing slightly in the United States, it is still a high-risk area. A large proportion of these families are made up of single mothers with at least one child. The
A comprehensive family assessment provides a foundation to promote family health (Edelman & Mandle, 2011). 1987 Marjorie Gordon purposed 11 functional health patterns to use for guidance in order to facilitate nurses to have a frame work for the family assessment in. Gordon’s 11 functional health patterns help organizes basic family assessment information. This standardized format will guide nurses to complete the family assessment using system approaches, which will identify a patient’s
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 family consists of a group of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles. (Edelman, Kudzma, & Mandle, 2014, p. 150)
Substance abuse is the harmful or dangerous use of any psychoactive substances including drugs, alcohol and even tobacco. The term ‘Substance Abuse’, as understood today was first used in 1987’s DSM-IIIR, before that social & cultural factors were not considered. Even with that change, many Americans still today consider drug and alcohol abuse to be moral weakness or character defect.
Using Gordon’s functional health patterns to assess a family will guide the nurse in developing a comprehensive nursing assessment that is holistic in nature. Gordon’s functional health patterns are founded on 11 principles that are incorporated within the nursing practice. These 11 principles serve as a framework for a thorough nursing assessment in which to build a holistic and individual family care plan (Grand Canyon University, 2011). The author has developed family-focused questions for each of the 11 principles and utilized these questions as a tool to assess her own family. This paper will summarize the family assessment that was performed by the author and discuss two wellness nursing diagnoses that
In and around most large cities in America, the rising substance abuse epidemic has brought about a renewed interested in determining the root cause of substance abuse, the effects of substance abuse on individuals and societies, and the substance abuse treatment modalities that achieve the best outcomes. In reviewing the current research on substance abuse there seems to be no one clear cause of substance abuse disorders, although there is strong evidence that a number of life circumstances may predispose an individual to a substance abuse disorder, as well as a number of protective factors that may reduce an individual’s risk of developing a substance abuse disorder. One important risk factor that is commonly associated with substance
Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at