presentation tx modalities

Question 1

Indigenous Community and SUD

Answer 1

SMART recovery

Question 2

Nurses and SUD

Answer 2

community-based outpatient treatment

Question 3

Trauma and SUD

Answer 3

group counseling

Question 4

Pregnancy and SUD

Answer 4

Women for Sobriety, Feminist approaches

Question 5

LGBTQ+ community and SUD

Answer 5

behavioral approaches, CBT/DBT

Question 6

Prescription drug abuse

Answer 6

narrative therapy

Question 7

Children and Adolescent SUD

Answer 7

Family counseling

Question 8

Older Adult and SUD

Answer 8

self-help groups, AA, Managed alcohol programs

Question 9

Acute and Chronic Pain and SUD

Answer 9

self-help groups, CBT Counseling

Question 10

What are some barriers to pregnant women seeking treatment

Answer 10

Fear of losing their child

Fear of judgement for putting their child at risk

Question 11

What are some barriers for nurses seeking treatment

Answer 11

Treatment being offered under their employer thus potentiating discovery / shame

Question 12

barriers for older populations getting tx for SUD

Answer 12

SUDs in older populations manifest differently and there are few tools with which to diagnose them

Question 13

Risk factors for SUD in children and adolescents

Answer 13

Higher risk of mood and psychotic disorders

Potential for increased risk due to danger of usage to be done by people fearful of seeking help should it go wrong

More susceptible to addiction later on

Question 14

What are some complications of SUD in an older adult?

Answer 14

Death usually. Reduced liver function / degradation of enzymes can cause reduced tolerance

Question 15

Describe SUD assessment in an older adult.

Answer 15

Often do not receive timely diagnosis of substance use disorders

Important for nurses to not ignore symptoms (delirium, memory loss, falling etc)
Symptoms are not normal simply due to age

Question 16

Nurses and prevalence of SuDs

Answer 16

Ease of access to drugs

High stress job

Burnout

Will return to work via a graduated return

Question 17

What is motivational interviewing? Describe components of MI.

Answer 17

MI is a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion

Question 18

What are some barriers to women seeking SUD treatment?

Answer 18

Child care
High stigma for women as they are seen as societies caretakers
Price (Isn’t this a barrier for everyone?)
Transportation
Stigma

Question 19

What are some medical complications for women who abuse alcohol and drugs?

Answer 19

Women have faster onset of comorbid medical conditions
Decreased amount of alcohol dehyodregenase
Higher concentration of alcohol acetylaldehyde
Cardiovascular damage
Brain damage

Question 20

Evidence based treatment for concurrent disorders

Answer 20

Integrated approach. Treat both substance use AND mental disorder

Question 21

Trans-theoretical model of change

Answer 21

pre-contemplation - Patient does not see their use as a problem
contemplation - Patient sees their use as a problem, but does not know what to do about it
preparation - Patient has a plan of action on stopping their usage
action - Patient is implementing that plan to stop usage
maintenance - Patient is maintaining their non-usage
Lapse - Patient is craving substance
Relapse - Patient has used substance again