Substance Abuse Disorder ( Samhsa )

Nursing is a career that is governed by a set of ethical principles. The duties of a nurse consist of care and support and its important that nurses are aware of their professional ethics. These principles are put into place to uphold and maintain moral values in healthcare. The American Nurses Association (ANA) code of ethics for nurses consists of nine provisions, outlined in the Code of Ethics for nurses with Interpretive Statements. These provisions are constructed to blueprint the role and responsibilities of a nurse. The chosen provisions being discussed will refer to the three main principles of patient autonomy, patient confidentiality, and patient rights.

According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows

An underlining principle that forms all nursing practice is respect for the inherent dignity, worth, unique attributes, and human rights of all individuals. (Jimenez-Lopez, Roales-Nieto, Seco, Preciado, 2016) Nurses are to always treat all patients with dignity. For example, closing doors before you start providing patient care. It’s also essential as a nurse to respect patients regardless of their background, race, culture, value system, or spiritual belief. (Jimenez-Lopez, et al., 2016)

Provisions 1 and 2 from the ANA Code of ethics influence my practice. Provision 1 states “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” (Code of Ethics for

The American Nurses Association (ANA) has the Code of Ethics which holds Nurses to the codes or provisions of these documents. I summarized Provision 1 of the ANA 's Code of Ethics. I give a scenario where this provision is broken by the nursing staff and consequences of doing so. Provision 1: Provision 1 reads as follows “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems” (American Nurses Association 2001). Provision 1 is divided into five subdivisions. Provision 1.1 is titled “Respect for human dignity"(ANA 2001). The nurse always needs to place value on their patient as a unique individual. Provision 1.2 is titled “Relationships to patients” (ANA 2001). As a nurse you need to leave all prejudice, personal beliefs, and convictions out of the care of your patient. The patient’s self-worth and value is not defined by their religious choice, culture, lifestyle, hygiene, financial status, sex, and race. The nurse needs to form or follow an individual treatment plan that fits your patient’s personal preferences, religious beliefs, and requests. Provision 1.3 reads as follows “The nature of health problems” (ANA 2001). A nurse is not to judge or look down upon a patient by their "The disease, disability, or functional status “(ANA 2001).The nurse needs

A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).

Abuse and SUD can be separated by categories. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), define substance use disorders that are mild, moderate, or severe. It is within these levels that certain criteria’s are meet Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home (“Substance use disorder”, 2015). Other determining factors that define substance use disorder in the DSM-5 manual is the impaired control, social impairment,

As a student nurse, I ascertain that the main principle in nursing is the care of my patients, to treat them as individuals and respect their dignity. I feel that it is fundamental to provide a high standard of practice and care at all times. To be open, honest and to work with integrity. The four main principles of the code that I will be working to are outlined by the Nursing and Midwifery Council (NMC) (Guidance on professional conduct for students of Nursing and Midwifery, 2012).

The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own

The first three provisions relate to the nurse’s responsibility to treat everyone with dignity and respect regardless of that individual’s background, ethnicity, or the

Individuals with substance use disorders (SUDs) are difficult to treat due to the high prevalence of relapse, with an average of 50% relapsing within the first year (Bowen et al., 2014). Research has shown that current relapse prevention therapy is ineffective and other techniques are needed for effective treatment. To decrease the incidence of relapse, Bowen et al. (2014) set out to assess the effectiveness of mindfulness-based relapse prevention (MBRP) compared with standard relapse prevention (RP) and treatment as usual (TAU) in a randomized clinical trial during a 12-month follow-up period. Bowen et al. (2014) hypothesized that MBRP would significantly decrease the risk of relapse and participants would stay sober longer compared with RP and TAU. The study included 286 participants between the ages of 18 and 70, which were selected from a SUD treatment facility and randomly assigned to into the MBRP, RP, or TAU group. The MBRP group included eight weekly 2-hour group sessions with two therapists. The RP intervention, followed the same format, but instead utilized cognitive behavioral therapy. The TAU program was formatted around Alcoholics Anonymous (AA) 12-step program and included 1.5-hour groups 1 to 2 times per week. All participants were assessed at baseline, 3 months, 6 months, and 12 months after the interventions. The study found that MBRP and RP significantly lowered the risk of relapsing and decreased the days of substance use compared with the TAU.

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

For any professional working in the substance abuse treatment field, they will very likely come across situations and be presented with dilemmas relating to personal beliefs, judgments, and values. Drug or substance use and abuse have been a controversial and heated topic around the world for centuries. Drug abuse, in a way, is a facet of human culture that has been present for a great deal of human history in general. Every culture handles the issue of drug abuse differently. The history of how a society views persons with addictions is intermeshed with emotion, misperceptions, and prejudice that directly affects the care of drug abusers. This is a kind of awareness that drug users and those who provide drug treatment or rehabilitation should have. They may be susceptible to treating patients different because of their own personal views or because of the culturally normative views of that particular society. Just like teenagers may be automatically considered dangerous or irresponsible, it is fairly normative in a health care setting for a patient to be perceived negatively just because that person is a known drug user. Because of the highly charged emotional nature of the substance abuse treatment field, providers should possess the tools to explore ethical dilemmas objectively. By doing so, and by examining their own reactions to the situation, providers can proceed with the most ethical course of action. Ethical practice is

The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.

Firstly we will look at ethics in nursing regarding dignity and respect, treating a person as an individual when in hospital can be an important part of any patients healing process, and to make sure these patients