The Use Of Alcohol And Substance Abuse Disorder

Alcohol use disorder (AUD) has a major national health impact in the United States, affecting over 17 million people, causing more than 100,000 deaths and costing over $200 billion annually (Bouchery et al., 2011; Grant et al., 2004; Hardwood, 2000). Alcohol use and abuse is currently the third leading risk factor for premature death and composed of nearly 4% of all deaths worldwide (World Health Organizations). Despite a large amount of effort focusing on the development of new medications for AUD, currently there are only 3-FDA approved treatments on the market, all of which have only yielded limited success even when combined with psychosocial support (Harris et al., 2010; Litten e al., 2012). This is evident by the high rates of uncontrolled heavy drinking that continue to persist and the high relapse rate in patients even after long-term inpatient treatment and support (Substance Abuse and Mental Health Services Administration). As such, novel approaches that allow for rapid development of new and effective medication to treat and/or prevent AUD is an important public health goal (Bouchery et al., 2011; Heilig and Egli, 2006; Johnson, 2010; Johnson et al., 2007; Steensland et al., 2007).

(DR) was advised by her biological uncle to write a letter confronting the biological father about his sexual inappropriate behavior.  Her family's response to her accusations was to call her a liar.  Mrs. (DR) recanted her story and  began cutting herself as a coping skill.  At times she envisioned herself jumping out of a window and her blood would be splattered all over the sidewalk. When asked where the father would touch her she stated that he would fondle her breast and put his hands between her legs.  This behavior continued until she was pregnant with her first child.   Mrs. (DR) and her husband moved in with her parents  after being told by the father this is what they must do in order to remain  together. The father placed  limitations on Mr. (FT”s) interacts with  Mrs. (DR’s) baby.  Mr. (FT)  is not the biological father of this baby who is now 17 years old.  Mr. (FT) could not be alone with the infant  or require the child to address him as father, step-father or dad.  After living with her parents for 13

Client meets the diagnosis of severe alcohol use disorder (F10.20). Due to his continuous problems associated with alcohol use, along with lack of sober support system and relapse prevention skills, client can benefit from the alcohol and drug treatment.

Johnny Obrien aged 79 years, presented to the Emergency Department after a fall at the RSL, resulting in a laceration on his left elbow which required 3 stitches. He lives by himself with no family close by, and has a history of hypertension and alcohol addiction. Clinical reasoning is a cyclic process, where cues are collected and their data processed to come to a conclusion of the patient situation so that appropriate interventions can be implemented and evaluated through reflective practices which allows for further learning (Levett-Jones 2013). Applying these clinical reasoning skills in practice is important as it has a positive impact on patient outcomes, resulting in less adverse effects due to the detection of patient deterioration throughout this process to ensure safe and effective care (Levett-Jones 2010).Subjective data is information from the patient’s point of view, including their feelings, perceptions and concerns, whereas objective data is information that is observable or measurable (Delmar Cengage Learning 2015).

The first assessment is the Alcohol Use Disorders Identification Test (AUDIT). The AUDIT’s purpose is to recognize how one’s alcohol consumption is an issue (Ash, 2001). This assessment will help the counselor to find out how detrimental the use of the substance is to the individual (Ash, 2001). The AUDIT has a few strengths that would encourage the counselor to use this assessment. The assessment allows the counselor to examine the possible options for the client and what treatment is the most appropriate (Ash, 2001). This assessment should not be used to diagnose the client (Bischoff, 2001). It has been proven that the assessment is reliable by using

Susan is an 11 year old Latina/ Caucasian female who currently has been referred due many issues inside and outside the home. Susan is a victim of sexual abuse by her father. Susan is being put in adult situations of caring extensively for younger siblings, caring for the mother, and being a partner for the alcoholic father. Susan witnesses a great deal of violent behavior between her parents. The violence leads to the father becoming sexual with Susan. He looks to her for consoling and support. As a result, Susan is experiencing feelings of depression to the extent where she has attempted suicide and she reports that she cuts herself with safety pins when she witnesses her parents fighting. Susan has not learned appropriate interaction cues and due to the violent nature in the household,

As clinicians, there is a duty to provide as clear of a diagnostic assessment as possible, particularly in relation to substance use, in order to provide the best care. In Substance Abuse Counseling: Theory and Practice, the authors state “as with other diseases and disorders, the earlier a therapist diagnoses a substance abuse problem, the better the prognosis for the client.” (Stevens & Smith, 2013) This makes assessment crucial to the diagnostic process. In “Screening, brief intervention, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple heathcare sites,” written by Madras, Compton, Avula, Stegbauer, Stein, & Clark (2009), the reported 2006 NSDUH survey statistics estimated that “22.6 million people harbor a diagnosable alcohol or illicit drug use disorder.” (Madras et.al, 2009) Over the years, researchers have developed

Alcohol Use Disorder, most commonly known as Alcohol Abuse or Alcohol Dependence, is widely known as problem that occurs with individuals who consumes an enormous amount of alcohol on a regular basis often in a single use. The individual is consumed with the thought of drinking most of the time and often feel as though they need it to continue with living their daily lives, even though, they are not really living at all because the enormous amount of alcohol causes a dysfunction for their daily tasks. It inhibits their ability to take care of their family, have social relationships and performing activities at work. It is believed that genetics can play a massive role towards an individual developing an Alcohol Use Disorder.

Janet who is currently in her early 30’s has been married four times, each marriage resulted with a child. Janet describes her life as a chaotic state with a stuggle of continunous drug and alcohol use, and raising children on her own. Janet describes her childhood as problematic, her parents were both involved with alcohol, she was sexual abused by a family member on one or more occasions during her teen years. Janet states that her use of drugs and alcohol began around the time of the sexual abuse from a family member during her early teens.

When referring to quality of life for an individual with substance abuse, also referred to as substance use disorder (SUD), through practice and research, the nurse is able to identify, test, and apply interventions that promote quality of life (QOL). According to Lubkin and Larsen (2013), “Application of research findings to an individual’s quality of life enables nurses in clinical practice to plan and deliver evidence-based care” (p. 183). With the use of evidence base practice, the nursing interventions can be individualized to the preferences and values of the client, which will ensure better adherence to along term commitment plan. Quality of life assessments can be used to evaluate the impact of substance abuse on the client and their

Harry, the client’s mother, reportedly Ms. Client was born full-term and of a normal delivery. She denied she experienced any significant pre or postnatal complications. Further, Ms. Client reportedly achieved major developmental milestones within normal limits. Ms. Harry denied a history of encopresis or separation difficulties. She also denied she used tobacco products, alcohol, or illicit substances during pregnancy. Notably, Ms. Harry stated during the client’s early stages of development, she noticed the client often ran into walls and had trouble processing information at an early age. She further related, the client was tested for her academic functioning and received an Individualized Educational Plan (IEP). According to the mother, she was given special accommodations which required extra help during her classes. Ms. Harry denied a history of Ms. Client receiving speech, physical or occupational therapy at any time. According to Ms. Harry, to her knowledge the client did not experience any sexual or physical abuse. However, the client reported differently. The mother also reported the client has an older brother, age 25, who is currently in college and reportedly doing

One main public health issue that the writer will focus on is alcohol misuse. Alcohol is one of the popular and legally available drugs. Alcohol misuse is using alcohol in such a way that it causes harm to user and to those close to him/her - physically, psychologically and socially. The writer will explore the impact of alcohol on the individual and the community and policy on alcohol, whiles critically evaluating the role of the nurse and the effectiveness of the policy.

The term “alcoholism” describes a drinker who is mentally and physically dependent on alcohol, and who would most likely have withdrawal symptoms upon trying to quit. This dependence prevents most alcoholics from being able to control when they drink and how much they drink. For that reason, alcoholics usually drink to excess despite the consequences. Alcoholism, like any addiction, is a chronic disorder which involves continued use despite negative consequences and requires ongoing treatment and management. This research paper will cover many aspects of alcoholism including the causes and effects of drinking and different treatment approaches.

Everyday around the world alcoholics attempt to quit drinking, with many succumbing to addiction once more. Alcohol can be highly addictive and plaguing the lives of alcohol abusers. When alcoholics do attempt to quit drinking alcohol, they go through various withdrawal symptoms that complicates the road to sobriety. Quitting alcohol is far from a simple process and will require initiative and perseverance. Although many attempt to quit alcohol by simply by going “cold turkey,” there are various steps people can follow to successfully quit drinking alcohol. For those struggling with alcohol abuse, sobriety can revitalize and save the life of the addict.

Alcohol is the number one drug problem among America’s youth. More senior high school students use alcohol than any other psychoactive drug. Family doctors, pediatricians, schoolteachers, and parents know that alcohol is overwhelmingly the drug of choice among today’s youth, although trendier substances such as cocaine are often given more attention in the headlines (Carla Felsted, p. vii). Furthermore, it is widely acknowledged that drinking alcohol is a part of the youth culture in America; it may also be understood as a culturally conditioned and socially controlled behavior.