Quiz 3 Flashcards
How many Criteria are there for SUD? How many do you need over what time to meet a
diagnosis?
11 criteria . You need 2 or more in the last 12 months
What are the 2 different aspects of
tolerance?
use more to get same effect; less effect with
continued use of same amount
What are the two different ways that you can diagnose
that withdrawal is present?
(withdrawal syndrome for substance; same substance or another is taken to relieve withdrawal symptoms
In your reading from Morgan 4 groupings are suggested into which the 11 criteria can be fitted. What are they?
Impaired control
social impairment
Risky Use
Tolerance and Withdrawal
Important as show maladaptive pattern of behaviour
Two criteria (Tolerance and withdrawal)have already been mentioned in the questions above.
What are the other 9 criteria
taken in larger amounts over longer period than intended;
unsuccessful attempts to cut down;
lot of time spent obtaining, using, recovering from substance;
Craving;
Recurrent subst use resulting in failure to fulfil role obligations at work, school or home;
Cont use despite recurrent social/interpersonal probs caused by use of substance;
social, occupational or recreational activities given up;
recurrent use in hazardous situations;
Cont use despite knowledge of having a persistent recurrent physical or psychological problem caused or made worse by the substance
Why is knowing the criteria so important?
Give at least 3 reasons
Can tell what level of difficulty a person may have if any;
have a common tool used by most clinicians;
can use to assess risk,
provides a baseline with which you can discuss issues a whaiora may have,
helps put issues into perspective and can help with realization there is a problem,
not based on clinicians personal judgement but on evidence
What is the information you need to ask if someone is an IV Drug user and why? (there are 7 )
How long has primary use been through IV ?
Is use with clean needles, is there any sharing etc;?
What are their feelings about needle use e.g euphoric, strongly connected, disgusted ?
what drugs are used via IV?
Are there health issues a s a result of IV Use?
what do they mix their drugs with to inject?
how well informed are they of health and Safety and risk issues associated with their use?
You are concerned a whaiora is depressed. What areas of their daily functioning would you want to enquire about and why? (x5)
Sleep disturbance
insomnia or hypersomnia. Can seriously affect mental health,
relationships and daily functioning.
Feelings of guilt, hopelessness, worthlessness as they can lower mood even more and prompt suicidality /self harm thoughts/actions.
Food and exercise regime may signify change from normal patterns
too little, unhealthy etc
Sexuality any changes may be distressing for person or intimate partner and may feed thoughts of worthlessness, etc.
Normal activities eg school, work, childcare, study may have long term consequences or prompt interest of whanau or outside agencies
Do they see any/many people
isolated etc.
How many criteria are there for depression?
9
How many criteria do you need and over what time? Mdd
5 over 2 weeks at least one being one of the first 2 (feels sad, empty, hopeless and/or diminished interest or pleasure nearly every day )
Name 4 of the Criteria for Depression:
e.g insomnia, feelings of worthlessness, diminished ability to think, recurrent thoughts of death
What does OARS stand for and give some examples?
Open Ended Questions(Tell me; Explain what you mean by),
Affirmations(Well done on getting here today,)
Reflections (I’m wondering if what you are describing is like…),
Summaries( so far we have talked about…
Name 3 drugs from Stimulant group:
Amphetamine
methamphetamine
cocaine,
methylphenidate
caffeine, nicotine,
tenuate dospan and other weight loss medications and products. Read Hulse and Cape or Pharmacology Texts
Name 3 drugs from the Opiate group
Heroin, codeine, codeine phosphate, morphine sulphate,
tramadol, methadone, oxycodone or oxycontin, poppies, opium, some cough mixtures.
Read Hulse and Cape or Pharmacology Texts
What drug can you die from during withdrawal?
Alcohol
