Substance Use Disorders

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

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.

A broad range of medical and psychological therapies is currently available for people who struggle with substance addictions. The scientific community is working on evaluation of various treatments to determine which strategies offer the best chances of successful outcome. People who need treatment for alcoholism and drug use are very diverse group. Addiction is a disorder that requires an individual case approach; therefore, different ways to

Behavioral Healthcare professionals are likely to encounter individuals with substance use disorders (SUDs). These are highly prevalent and often co-occur with Mental Health Disorders. SUDs affect vital areas of life, such as physical, emotional, and behavioral functioning. Recovery from addiction is a long a road with highs and lows, however having a strong support system makes facing these challenges manageable. Addiction support groups gives the person a safe place to discuss these challenges while maintaining sobriety. They offer invaluable education, guidance, and the encouragement the patient needs to succeed in living a healthier lifestyle.

There has been an expectation of society that substance abuse treatment should eliminate alcohol and illicit drug use while improving individual health and social functioning as to reduce the public safety threat. The Affordable Care Act of 2010 also known as Obama Care was created with intentions of expanding the availability of health insurance. In 2011 the President’s National Drug Control Strategy requested investments in screening, intervention and referral to treatment, and expanded the Access to Recovery voucher program. These initiatives are a start towards total care for alcohol and substance abuse patients, however from our study we have found that treatment may be best when considered as a long term possibly life resource for these individuals to become successfully sober and healthy.

Substance abuse, or substance use disorder (SUD), is recognized by the medical community as continual overindulgence of an addictive substance such as drugs and alcohol. The extent of a person’s involvement in the disorder is measured by the amounts normally consumed and the length of time between periods of consumption. Substance abuse does

He is the best nurse on the floor. Everyone admires him – patients, fellow nurses, doctors, administration. He works extra shifts in the emergency department, sometimes as often as six shifts per week despite chronic back pain. What about the seasoned staff nurse? You notice a change in her. She is moody, appears dazed, and is making mistakes frequently. She is late and unkempt, and is not as social as she once was. While one may be quick to assume substance use from the second nurse, in reality, the first nurse is just as likely to be working while impaired. Substance use disorders can – and do – have a very serious impact on the nursing community. Determining, labeling, and reporting a substance use problem is not always easy. This is why, when entering the nursing workforce, it is important to have a working knowledge and understanding of substance use. This includes familiarity with risk factors and signs of substance use, as well as knowing how to seek help for oneself or a colleague. With an awareness of the implications of substance use on nursing, new nurses may be better equipped to take action against this ever-present occupational hazard (NCSBN, 2011).

In conclusion, the variables that exist within the issue of elderly substance abuse and misuse are multifaceted. Although many medications both prescribed and illicit have the potential to lead to addiction, some are more prevalently abused than others. Per a study done by

Substance use may be viewed as recreational to some, however to others, it is the beginning of the road to an addiction. According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders: DSM-V (2013), a diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use, and pharmacological criteria. Substance use disorders occur when recurring drug use, including alcohol, causes clinically and functionally significant damage, such as health problems, disability, and failure to meet major responsibilities at work, school, or home. These criteria are nearly identical to that of addiction, which is a reason they are used interchangeably. In the last decade, substance use, particularly illicit drug use, has been increasing ("DrugFacts: Nationwide trends | National Institute on Drug Abuse", 2014). Is this due to the high stress society in which we live, or an individual’s predisposition to addiction? In all likelihood it is a combination of both, as well as emotion regulation, a process which allows for the evaluation, monitoring, and modifying of emotional reactions to accomplish goals. This paper will address the possible role of emotion regulation on substance use disorders and the research behind it.

The article, Substance use outcomes following treatment: Findings from the Australian Patient Pathway Study, was aimed at examining how outcomes of treatments were influences by continuous specialist Alcohol and Other Drug treatment programs. Furthermore, researchers explored participant’s engagement with community services (such as residential rehabilitation) and mutual aid of programs to determine differences in clients that have a primary alcohol problem versus those presenting with a primary drug issue. Researchers found that 52% participants demonstrated reliable reduction of use of drug and some abstinence from their primary drug of concern. Analysis revealed that in order to reach treatment success, there has to be continuity of specialist Alcohol and Other Drug treatment program.

Substance use disorders (SUDs) have a significant and pressing impact on public health. It impairs a person physically and mentally, thus results in significant morbidity and economical burden.[i] Among the substance use disorder, Cannabis use disorders (CUDs) are the most common entity in adolescent population of USA.[ii] These are present in 3.6% of adolescents and 5.9% of young adults, compared with only 0.7% of adults over the age of 25[iii]. CUDs are increasingly prevalent and daily cannabis use among adolescents is rapidly increasing, which can lead to increased rates of CUDs, especially among young adults[iv]. The CUDs frequently lead individuals to seek treatment. In the year 2012, approximately 305,000 individuals got treatment for

The World Health Organization defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” [1]. Measurements on clinical data, morbidity and mortality are not capable of expressing all those dimensions on health. Health-related quality of life (HRQOL) measures, though, are multi-dimensional and take a person’s subjective perspective of their well-being through different health domains including, but not limited to, physical, mental and social functioning.

Drug and alcohol addiction is a very serious and widespread problem in America, and across the globe. Drug addiction is a constant craving, seeking, and using of a substance, despite the negative consequences it may have on the addict or those around them. When drug use becomes more frequent, it is considered drug abuse. Once an individual’s drug abuse is can no longer be controlled, and they are using the drug to get through everyday life, it beomes an addiction. A person on drugs has an altered way of thinking, behaving, and perceiving. There are treatment facilities all over the world dedicated to help those suffering with drug addictions. All

The World Health Organization defines quality of life as a person’s perceptions of their position in life in the setting of the culture and value systems in which they live in relation to their goals, expectations, standards and concerns (Krageloh et al., 2011). The WHOQOL-100 was developed by the World Health Organization composed of many different doctors and other healthcare providers in order to develop an assessment that could be used internationally and cross-culturally to measure a person’s overall quality of life and well-being, instead of a specific disease. This assessment led to the development of the WHOQOL-BREF, which is an abbreviated version of the WHOQOL-100 because the WHOQOL-100 is too lengthy for practical use; WHOQOL-BREF includes instructions for administering and scoring the assessment. The purpose of this assessment is to provide quality assessments in healthcare, focus attention on all aspects of health, and produce interventions that increase focus on a patient’s well-being (Harper, 1996). There were three main stages to the development of the WHOQOL assessment. The first stage of development consisted of the establishment of a definition of quality of life and how the assessment would be used internationally. The second stage of development explored the quality of life cross-culturally among different fields to establish relevance to the quality of life assessment. The third stage of

WHO defines Quality of Life as individuals’ perception of their position in life in the context of the culture in which they live and in relation to their goals and expectations. It is a broad ranging concept affected in a complex way by the person 's physical health, psychological state, level of independence, social relationships, personal beliefs and their relationship to the features of their environment. The six domains of quality of life, and the twenty-four facets covered within each domain are shown below. Four items are included for each facet, as well as four general items covering subjective overall QOL and health, producing a total of 100 items in the assessment. All items are rated on a five point scale (1-5) (WHOQOL, 1997).