Substance Abuse Principles In Nursing Care

Brenda Combs is a strong, determined women who has experienced the roughest parts of life and who has made a positive impact on people around her. When Combs developed a partying habit, she also got into the dangerous habit of taking drugs. Combs eventually became a cocaine addicted who would fall in and out of bad relationships. Then, one day when she got her shoes stolen from her, Combs decided to turn her life around and gain her dignity back. The first challenge she faced while changing her life around was to try and stay strong in rehab as it was “the hardest she had ever known” (paragraph 18). Combs determination eventually led her to a bachelor’s degree from the University of Phoenix and a job at the StarShine charter school.

The use of heroin, cocaine, and other illicit drugs has become a public health concern especially during pregnancy. Maternal substance abuse has become an issue during the crack epidemic in the 1980’s; however, there is an alarm rate of infants born addicted to heroin. More than 3.7% women have indicated the uses some form of illicit drugs during their pregnancy, as well as 1.9 % reports binge drinking (Bhuvaneswar el at., 2008; Grant el at., 2009). With this in mind, more than 375,000 infants are born to maternal substance abusers each year costing over $100,000 in medical expenses covered by the state (Reitman, 2002).

Substance abuse during pregnancy can have a negative force on the health and wellness of not only the fetus, but that of the mother. The harmful effects of medications, alcohol and illegal drugs on an unborn child can be devastating and can have significant consequences to its use. Sometimes the effects can be faced and treated, and other times the outcome is a lifelong challenge. During the prenatal period, it is important that new mothers are informed of the different types of abuse, how they may affect the fetus, and the adverse conditions their child may be faced with before and after birth.

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,

Others, including myself, maintain that imprisoning these women is not the answer and also not very effective in the long term.

Through the years, substance misuse in the United States has turned into an industrious issue influencing numerous people. In 2008, it was assessed that 17.8 million Americans beyond 18 years old where substance subordinate. Women who use medications during pregnancy can have an enduring impact on fetal. Medications can have an impact of maternal and child wellbeing, yet there are a lot of different variables, which influence it, poor social environment, nourishment, cleanliness, and sexual abuse. Regenerative interruption connected with heroin utilization has been shown in both and women and even low dosages of opiates can impede ordinary ovarian capacity and ovulation. The harm that goes hand in hand with substance utilization comes either straightforwardly from the impact of the medication itself or from issues identified with development and/or unexpected labor. The entanglements of jumbling components clamorous way of life, poor nourishment, liquor utilization and cigarette smoking influence the appraisal of the impacts of cocaine in pregnancy. In obstetric practice, 100% of pregnant women utilizing cocaine or heroin are cigarette smokers. Cigarette smoking is presumably the most well known manifestation of substance utilizes and is noteworthy corresponding considering ladies who use unlawful medications. Babies whose moms smoked in pregnancy have a tendency to have lower conception weights and diminished length, cranial and thoracic

The data showed that between 2009 and 2010, 16.2 percent of women between the ages of 15-17 years old, 7.4 percent of women between the ages of 18-25 years old, and 1.9 percent of women between the ages of 26-44 years old had used illicit drugs while pregnant. The data also showed substance abuse during pregnancy among different ethnic and racial groups. African Americans had the highest percentage in 2010 at 10.7 percent. The next highest was the White population at 9.1 percent. Hispanics or Latino’s percentage was 8.1 percent and the Asian population had the lowest percentage at 3.5 percent (“Results from”, 2011).

After reading about various topics regarding drug addiction, it wasn’t easy to narrow down this topic. Drug addiction and pregnancy was the topic found to be most interesting. Estimates based on court documents, news accounts, and data collected by attorneys representing pregnant women indicate that at least 200 women in more than thirty states have been arrested and criminally charged for their alleged drug use or other actions during pregnancy (Moore, 2010). Should pregnant women struggling with drug addiction be criminally prosecuted? This is a

Problematic substance use in pregnancy is prevalent among the Canadian population. The statistics are well documented in the literature. According to a Health Quality Ontario report from 2012, about one in 100 pregnant women giving birth in Ontario hospitals shows substance use. The rate of substance abuse among pregnant women has increased since 2009 by about ten percent. Dow et al. (2012) identify that the management of substance use is particularly problematic in Northern Ontario. Many First Nations communities are in a state of emergency regarding abuse of prescription narcotics (Dow et al., 2012, p. 489).

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

“Since 1985 about 250 Women in 30 states have been criminally prosecuted in relation to drug abuse while pregnant.” (Coles, par 16) Since there isn’t a law in place for a woman being convicted for drinking or smoking while pregnant, they dig a little deeper and get more technical. Charges for unlawful child neglect, delivering drugs to a minor, homicide by child abuse and even manslaughter have been given to mothers who abuse drugs or alcohol while pregnant. Some even believe in terminating the woman’s parental rights. Whether or not the child shows signs before birth, they have started to test newborns for drugs and prosecute from there. (NAPW, par 33-35)

would not be able to live a normal life for the rest of its life. The

Many women, including teens, abuse drugs while they are pregnant. This rate is especially high to those who are homeless, underprivileged, or live in a broken home. In order for drug abusers to even have a chance at beating their addiction they have to have support whether it’s family, friends, or boyfriend/spouse. They must also let the abuser now all the consequences to themselves and the unborn child. There are many consequences when using drugs during pregnancy such as miscarriage, health risks to baby, and health risks to the mother. And learning disabilities and brain damage to the fetus.

In order to understand the impact of substance abuse on the ethical aspect of nursing, there must first be an understanding of nursing ethics. According to Black (2014), human dignity and respect for the person are the foundations of the six principles of nursing ethics, which include respect for autonomy, beneficence, non-maleficence, justice, fidelity, and veracity. As we think about substance abuse in the field of nursing, it is clear that this problem interferes with most of the principles of nursing ethics. The National Institute on Drug Abuse defines substance abuse or addiction as “a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences to self and/or others.” They continue

There are several alternatives that can be used to deliver high-quality prevention-oriented primary care. The first example that comes to the forefront is strengthening the role of primary care providers. This task can be accomplish by imposing the quality and safety of primary care service, and strengthening the performance of the whole healthcare system