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Addictive Behaviors

Chapter 12 Overview

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Common Drugs of Abuse

2Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

NicotineEffects of Use and Complications

3Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing and Collaborative Care:

Tobacco UsePrevention of Tobacco UseTobacco Cessation

4Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing and Collaborative Care:

Tobacco Use

5

Fig. 12-1. Clinical practice guidelines: treating tobacco use and dependence.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing and Collaborative Care:

Tobacco Use

6

Table 12-5. Clinical Practice Guidelines: Treating Tobacco Use and Dependence.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing and Collaborative Care:

Tobacco Use

7

Table 12-7. Tobacco Cessation Interventions for Hospitalized Patients.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

AlcoholEffects of Use and Complications

8

Fig. 12-2. Alcohol is often used to cope with the stresses of life.

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Alcohol

9

Table 12-8. Blood Alcohol Concentration (BAC) and Related Effects.

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Nursing and Collaborative Care:

Alcohol DependencyAlcohol IntoxicationAlcohol Withdrawal Syndrome

10Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing and Collaborative Care:

Alcohol Dependency

11

Table 12-10. Clinical Manifestations of Alcohol Withdrawal and Suggested Drug Treatment.

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Other Drugs of Abuse

12Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Stimulants

13Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing and Collaborative Care:

Stimulant AbuseOverdoseWithdrawal

14Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

DepressantsSedative-Hypnotics Opioids

15Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Depressants

16

Fig. 12-3. Injecting or “mainlining” heroin.

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Nursing and Collaborative Care:

Depressant AbuseOverdose

Sedative-hypnotics Opioids

WithdrawalSedative-hypnotics Opioids

17Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cannabis

18Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing ManagementNursing Assessment

19

Table 12-13. Symptoms and Behaviors That May Suggest Dependence on Substances.

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Nursing ManagementNursing DiagnosesPlanning

20Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing ManagementNursing Implementation

Health promotion

21Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing ManagementNursing Implementation, continuedAcute intervention Perioperative care Pain management

22Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing ManagementNursing Implementation

Acute intervention, continued Motivational interviewing

23

Table 12-17. Key Aspects of Successful Motivational Interviewing.

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Nursing ManagementNursing Implementation, continuedAmbulatory and home care

24Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Gerontologic Considerations

25Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

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