Health across the Lifespan Practicum - Chamberlain
, NR 547 Week 8
1. Substance use disorder occurs when:: the recurrent use of a substance,
such
as alcohol or drugs, causes clinically significant impairment
-including health problems, disability, or failure to meet responsibilities at
home, work, or school
2. Tolerance: With repeated ingestion of a drug, the drug shows decreased
effect. Increasing doses are required to achieve the effects noted with the
original admin- istration
3. Dependence: State of adaptation produced with repeated administration
of cer- tain drugs so that physical symptoms occur when the drug is
discontinued abruptly.
4. Addiction: A change in behavior caused by biochemical changes in the
,brain after continued substance use characterized by preoccupation with
and repeated use of a substance despite of negative outcomes.
5. Withdrawal: Physiological and psychological reactions that occur when
the use of a substance is stopped abruptly.
6. Intoxication: Condition following the ingestion of a substance resulting
in changes in level of consciousness, cognition, perception, judgment, and
behavior.
7. Bernita is a 64-year-old who has been using heroin for 6 years. She is
currently unemployed and lives with her daughter in the city center. She
does not have health insurance.
prescribe the proper medication:
Methadone
, Buprenorphine
Buprenorphine plus naloxone
(Suboxone) Naltrexone: Methadone
Methadone is a full ¼
re-ceptor agonist with a long half-life, which can
prevent with- drawal symptoms for 24 hours and provide steady control of
cravings throughout the day. It is only administered in methadone
federally regulated opioid treatment programs (OTP). Methadone clinics
incorporate psychosocial interventions and require daily attendance for
the first several months, so this is a good option for a client that has the
flexibility to attend daily meetings. Use of methadone in MAT
for opioid use disorder helps extend client survival. When patients stop
methadone, they have a high likelihood of relapsing, even 10 years after
starting treatment.
8. Antoine is a 34-year-old who has been abusing prescription
oxycodone. He is employed but is on probation at work for increased