Substance Use and Misuse Nature, Context and Clinical Interventions

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ISBN: 9780632048847 | 0632048840
Cover: Paperback
Copyright: 10/15/1998

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Substance Use and Misuse is a comprehensive and practical text that covers the core elements of substance use and misuse in both acute and community settings. The text reflects those areas in which health-care professionals are assuming greater responsibility for those people misusing psychoactive substances. It adopts a skills-orientated approach, providing a framework of good clinical practice and is written by a group of clinicians and academics. This book is an invaluable tool for undergraduate and postgraduate students, educators and clinical practitioners in all branches of nursing, midwifery and health visiting. It is also relevant to others in the healing professions as well as generic and specialist health-care professionals.* emphasis placed on prevention * an up-to-date, practical and comprehensive text for students and practitioners in health care * adopts a skills-orientated approach, supported by the latest research and case vignettes * written by experts in clinical practice, management, education and research

Contributors

xiii

(2)

Foreword

(4)

Preface

xix

(2)

Acknowledgements

xxi

Part 1 Understanding Substance Use and Misuse

(80)

1 Introduction

(10)

G. Hussein Rassool

Historical overview

(5)

The drug scenes of yesterday and today

(1)

Conclusions

(1)

References

(2)

2 Concepts and Models

(14)

G. Hussein Rassool

Introduction

(1)

Drug misuse

(1)

Substance use and abuse

(1)

Problem drug user

(1)

Addictive behaviour

(1)

Drug dependence

(2)

The dependence syndrome

(1)

Routes of drug administration

(1)

The drug experience

(1)

Patterns of substance misuse

(1)

Why do people take drugs?

(1)

An overview of models of substance misuse

(3)

Conclusions

(1)

References

(4)

3 Tobacco Smoking

(11)

G. Hussein Rassool

Julie Winnington

Introduction

(1)

The Health of the Nation and smoking

(2)

Nicotine addiction

(1)

Harmful constituents of tobacco smoke

(1)

Medical and psychological effects of smoking

(3)

Health gains and benefits of smoking cessation

(1)

Smoking cessation

(2)

Conclusions

(1)

References

(3)

4 An Overview of Psychoactive Drugs

(16)

G. Hussein Rassool

Introduction

(1)

Opiates

(2)

Cannabis

(1)

Stimulants

(2)

Hypnosedatives

(1)

LSD and other hallucinogens

(1)

Ecstasy

(2)

Anabolic steroids

(1)

Amyl and butyl nitrite

(1)

Volatile substances

(1)

Over-the-counter drugs

(1)

Other drugs on the UK drug scene

(1)

References

(2)

5 Alcohol and Alcohol Related Problems

(14)

Julie Winnington

G. Hussein Rassool

Introduction

(1)

Concepts of alcohol dependence and problem drinking

(2)

Pattern and extent of use

(1)

Use of health services

(1)

Chemical nature and production of alcohol

(1)

Metabolism of alcohol

(1)

General effects of alcohol

(2)

Alcohol dependence and withdrawal

(2)

Sensible and controlled drinking

(1)

How much is moderate?

(1)

Conclusions

(1)

References

(3)

6 It's Everybody's Business: The Responses of Health Care Professionals

(15)

G. Hussein Rassool

Introduction

(1)

Rationale for working with substance misusers

(1)

Attitudes towards substance mususers

(2)

Health care professionals' roles

(1)

Generic interventions with substance misusers

(5)

Conclusions

(1)

References

(5)

Part 2 Prevention, Recognition and Intervention

(42)

7 Prevention and Health Education

(13)

G. Hussein Rassool

Introduction

(1)

Nursing and health education

(1)

Health education and prevention

(3)

General interventions

(1)

Community approach

(1)

Rational use of psychoactive substances

(1)

Health promoting institutions

(2)

Health promotion: substance misuse and the work place

(1)

Personal health education of nurses

(1)

Conclusion

(1)

References

(3)

8 Screening and Generic Assessment

(10)

G. Hussein Rassool

Introduction

(1)

Context and setting for screening substance use history

(1)

Screening for high risk behaviour

(1)

Screening methods for alcohol and drugs

(2)

Nursing assessment

100

(1)

Assessment and history taking

100

(2)

Assessment of current prescribed medication of psychoactive drugs

102

(1)

Conclusions

102

(2)

References

104

(2)

9 An Overview of Intervention Strategies

106

(10)

G. Hussein Rassool

Bridget Kilpatrick

Introduction

106

(1)

Principles of clinical intervention

107

(1)

Intervention strategies

107

(6)

Conclusions

113

(1)

References

114

(2)

10 Service Provision for Substance Misusers

116

(9)

G. Hussein Rassool

Introduction

116

(1)

Non specialist services

117

(1)

Specialist services

118

(3)

Conclusions

121

(1)

References

121

(4)

Part 3 Generic Responses: Different Contexts and Settings

125

(66)

11 Drug Use, Pregnancy and Care of the New-Born

125

(11)

Faye Macrory

Introduction

125

(1)

Women, drug use and pregnancy

126

(1)

Antenatal care

127

(3)

Intrapartum care

130

(1)

Postpartum care

131

(1)

Discharge

132

(1)

Social services and child protection issues

132

(1)

Case vignette

133

(1)

Conclusions

134

(1)

References

134

(2)

12 Health Visiting and Substance Misuse

136

(9)

Julie Gafoor

Introduction

136

(1)

Nature of problems in parents who are substance misusers

137

(1)

Summary of problems

138

(1)

Role of the health visitor in substance use and misuse

138

(1)

Health visiting interventions

138

(3)

Case vignette

141

(1)

Conclusions

142

(1)

References

143

(2)

13 Practice Nurse: Recognition and Early Interventions

145

(14)

Claire Cowan

Introduction

145

(1)

General practice versus specialist services

146

(1)

Why the practice nurse?

147

(1)

Patient presentation

147

(1)

Assessment

148

(2)

Planning care and interventions

150

(1)

Raising health awareness

151

(1)

Health education and provision of information

151

(1)

Effecting changes of behaviour

152

(1)

Support

152

(1)

Clinical management

152

(1)

Shared care

153

(1)

Evaluation

153

(1)

Case vignette 1

154

(1)

Case vignette 2

155

(1)

Conclusions

156

(1)

References

157

(2)

14 School Nursing and Substance Misuse

159

(9)

Pat Jackson

Judy McRae

Introduction

159

(1)

Nature and extent of substance use and misuse

159

(1)

School health service

160

(1)

The National Curriculum

160

(1)

Role of the school nurse

161

(1)

School nurse interventions

162

(1)

Health education

163

(1)

School policies

164

(1)

Smoking policies

164

(1)

Drug policies: alcohol and illicit substances

165

(1)

Case vignettes

165

(1)

Conclusions

166

(1)

References

166

(2)

15 Substance Misuse in the Accident & Emergency Department

168

(8)

Fiona Jeffcock

Introduction

168

(1)

Perception of health care professionals

168

(1)

Dealing with an emergency

169

(1)

Presenting at the A&E department

169

(1)

Types of patients

170

(2)

Nursing care

172

(1)

Case vignette 1

173

(1)

Case vignette 2

174

(1)

Conclusions

174

(1)

References

175

(1)

16 HIV, Hepatitis and Substance Misuse

176

(15)

Helen Pritchitt

Andy Mason

Introduction

176

(1)

Nature and extent of HIV infection

176

(1)

HIV disease

177

(4)

Hepatitis

181

(3)

Care of drug users in an acute general ward

184

(1)

Health education

184

(1)

Palliative/terminal care

185

(1)

Case vignette

185

(1)

Conclusions

186

(1)

References

187

(4)

Part 4 Addiction Nursing: Specialist Responses

191

(80)

17 Alcohol: Community Detoxification and Clinical Care

191

(9)

Mike Gafoor

G. Hussein Rassool

Introduction

191

(1)

What is detoxification?

191

(1)

Rationale for community alcohol detoxification

192

(1)

The alcohol withdrawal syndrome

193

(1)

Assessment of community detoxification

193

(1)

Lay and professional roles

194

(1)

Clinical care and management

195

(1)

The importance of follow-up care

196

(1)

Nursing model for community detoxification

196

(1)

Case vignette

196

(1)

Conclusions

197

(1)

References

198

(2)

18 Benzodiazepines: Clinical Care and Nursing Interventions

200

(8)

Mike Gafoor

Introduction

200

(1)

Nature and extent

201

(1)

Nature of problems

202

(1)

Summary of problems

203

(1)

Clinical care and nursing interventions

203

(2)

Case vignette

205

(1)

Conclusions

206

(1)

References

206

(2)

19 Stimulants: Clinical Care and Nursing Interventions

208

(9)

Mike Flanagan

Introduction

208

(1)

Background and nature of stimulant misuse

208

(1)

Problems and issues

209

(1)

Stimulant withdrawal

210

(1)

Clinical care and therapeutic interventions

211

(3)

Case vignette

214

(1)

Conclusions

215

(1)

References

215

(2)

20 Opiate and Polydrug Use: Clinical Care and Nursing Interventions

217

(8)

Mike Gafoor

Introduction

217

(1)

Nature and extent

217

(1)

Nature of problems

218

(2)

Problems of dependence and withdrawal

220

(1)

Assessment

220

(1)

Medical management

221

(1)

Psycho-social support

222

(1)

Case vignette

223

(1)

Conclusions

223

(1)

References

224

(1)

21 Nicotine Addiction: Health Care Interventions

225

(11)

Carole Mills

Introduction

225

(1)

A smoking cessation service

225

(1)

One to one intervention

226

(2)

Case vignette 1: One to one counselling

228

(1)

Group interventions

229

(2)

Case vignette 2: Group counselling

231

(2)

Smokers' clinics

233

(1)

Conclusions

233

(1)

Acknowledgements

234

(1)

References

234

(2)

22 Working with Diverse Special Populations

236

(13)

G. Hussein Rassool

Bridget Kilpatrick

Introduction

236

(1)

Ethnic minorities

236

(3)

The elderly

239

(2)

Young people

241

(3)

The homeless

244

(2)

References

246

(3)

23 Working with Dual Diagnosis Clients

249

(11)

Mike Gafoor

G. Hussein Rassool

Introduction

249

(1)

What is dual diagnosis?

249

(1)

Nature and extent

250

(1)

Problems and issues for mental health nurses

251

(1)

Working with dual diagnosis patients

252

(1)

Assessment and screening

253

(1)

Shared care

254

(1)

Case vignette

254

(1)

Implications for nursing

255

(2)

Conclusions

257

(1)

References

257

(3)

24 Contemporary Issues in Addiction Nursing

260

(11)

G. Hussein Rassool

Introduction

260

(1)

Concept of addiction nusing

261

(1)

Nursing roles

262

(1)

Nursing diagnosis

262

(2)

Education and training

264

(1)

Clinical supervision

265

(1)

Nursing research

266

(1)

Conclusions

267

(1)

References

267

(4)

Appendices

271

(8)

1 UK Self-Help Groups and Helplines

273

(2)

2 International Organisations: Professional Information and Resources

275

(2)

3 UK Education and Training Resources (Addiction Studies)

277

(2)

Index

279

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Substance Use and Misuse Nature, Context and Clinical Interventions

Summary

Author Biography

Table of Contents

Supplemental Materials

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Rent More, Save More! Use code: BBRENTAL

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Substance Use and Misuse Nature, Context and Clinical Interventions

Summary

Author Biography

Table of Contents

Supplemental Materials

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