Pharmacology of abused substancesEffective screening of medical patients for substance use disordersAssessment and treatment of withdrawal symptomsEmergency interventionsMedical complications of substance use disordersThe typical med/surg nurse cares for 6 patients in a shift. Statistics indicate that 2 of those patients have an underlying substance use disorder. Are you prepared to deal with withdrawal symptoms? Do you know how to assess for them?A patient is recovering from his knee surgery and is reporting 10/10 pain. This seems impossible to you, as you have given him 20mg of IV Dilaudid. You think to yourself, “He should be apneic with that much Dilaudid!” How is this patient requiring so much opiate analgesia – and how much can you really give him?A patient is admitted to the hospital for a leg abscess. She reports that she was bitten by a spider and it continued to get worse. She is receiving IV antibiotics. As you assess her, you notice strange looking vein patterns – almost as if her veins were black beneath the skin. Later in your shift, she begins sweating profusely, has diarrhea and begins yelling that her skin is crawling and her joints hurt tremendously. What is going on with her?With the pervasive problems our society has with substance abuse, it is imperative that healthcare professionals have skill to meet the physical and psychological needs of those trusted to our care. JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP, will draw from her vast expertise during this practice-changing one-day event. You are guaranteed to leave with new ideas and insights to tackle the often “Hidden Truth” behind the complex medical patients you see.OUTLINECase Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?In pregnant patientsIn general medical patientsIn surgical patientsWhy is This Topic so Important? And so Challenging?BiostatisticsActual relevance in practiceMorbidity and mortality – complications of substance use disordersWhat Do These Substances Actually Do Within the Body?Pharmacokinetics and pharmacodynamics principlesReinforcementTolerance and cross-tolerancePhysical dependenceConditioningSensitizationPregnancy-related complicationsWhat Substances Are We Talking About?AlcoholSedative/HypnoticsOpioidsStimulantsDissociativesInhalantsCannabinoidsAnabolic steroidsClub drugsNicotineStreet Drugs and TerminologyInterpreting patient languageWhat drugs are they talking about?Neurobiology of Substance Abuse: You Mean it’s Not a Choice?Neurobiology and anatomy of the normal brainSubstance abuse as a brain diseaseGenetic and environmental influencesMental Illness and Substance Abuse “Dual Diagnosis”Co-occurring illnessesTraits and theories surrounding the twoScreening and Assessment TechniquesEffective questionnaires to screen for substance useTechniques to promote open and honest communication from the patientWorking with the pregnant patient who uses substancesAssessing your own biases – and how to not let them interfere with your workThe Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency TreatmentsAnticipation/prevention of withdrawal symptomsWithdrawal protocolsMedications to treat withdrawal symptomsEmergency treatmentsTreatment of the newborn following exposure to substancesSafety for patients/family/staffEffective pain managementMotivational interviewing – Assessing how to refer the patient following discharge from the hospitalOBJECTIVESEvaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.Recognize the terminology used to refer to street drugs today.Explain the neurobiology of substance abuse.Assess and screen for substance use disorders.Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.Analyze the relationship between various medical complications associated with substance use.Manage your own identified biases when working with patients who have substance use disorders.Tag: Substance Abuse Among Medical Patients: A Hidden Truth – JeanAnne Johnson Talbert Review. Substance Abuse Among Medical Patients: A Hidden Truth – JeanAnne Johnson Talbert download. Substance Abuse Among Medical Patients: A Hidden Truth – JeanAnne Johnson Talbert discount.
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