from Review Flashcards
How would you treat a patient with chronic pain and substance use disorder
- Treat at the same time
- We don’t need to cut back on opioids, might need to increase the opioids
- Empathy and compassion
What would be the formal process of nurses with SUD returning back to work
- Graduated back to work return plan
- 3-4 hour return, increasing hours gradually back to full time
Why do patients with OUD not respond to pain control medications?
- Tolerance
- Dose of opioids will need to be much higher
- Person is addicted to opioids already
- Need to still control pain
What is TIP and how would you implement it into your clinical work?
- Provide client with choice whenever we can
- Assume every client coming thru the door has had history of trauma
- Make sure clinical spaces are safe and nothing is in office area that may trigger client
- Validation of experiences and history
- Therapeutic alliance
- Non-triggering language (pronouns , preferred name etc.)
T or F: Women with SUD are usually introduced to drugs by their partner
TRUE
How would you approach an adolescent in residential facility who has relapsed back to drug use?
- Educate without lecturing – MI
- Discuss what happened, why they relapsed, what their triggers were, how to avoid relapses in the future
What is the current evidence-based treatment for patients with concurrent disorders
- Treat both at the same time
- Seeing clients on a long-term basis –
- Continue psychotropic medication – clinicians are careful with benzos & stimulants (because of the addiction – increase dependence) 2nd and 3rd generation anti-psychotics to manage anxiety
What are some triggers for relapse
- Emotional states – depression and anxiety
- Stress
- Peers, family who are using
- Lapse = short-term relapse
- Focus on CBT & monitor mood states and triggers
What is a supervised consumption site?
- Safe supervised environment where patients can use drugs safely
- Drug testing provided
- Clean needles
- Asked to stay after they’ve used
- Monitored by nurses, HCW, social workers
How would RPN provide TIP to clients from LGBTQ+ community?
- Educate yourself on the LGBTQ+ community
- Reduce stigma within self (self-awareness)
- This community has the highest rate of drug use
o Usually around the time they have recently come out to cope with anxiety etc - Preferred name / pronouns
Why are nurses at a higher risk of substance abuse?
- Accessibility to drugs
- Knowledge about nurse pharmacology
- Vicarious trauma
How would RPN work effectively with a pregnant client with active drug use
- Assess varibales (holistic assessment) of the woman
- What shes using, how shes using the drugs, how long shes been using
- Providing empathy, compassion, being non-judgmental
What are some of the benefits of group therapy for SUD
- Cheaper
- Social connections
- Accountability
- Someone to relate to / not feeling alone
- Sense of support system
- Learning from one another
- Rules and regulations
- Some clients do not respond to group therapy
o Disruptive
o Anxiety – they wont benefit from being in a group
What is involved in family therapy for SUD
- Looks at the entire family
- Assess communication patterns between family members
- Psychoeducation – teach effects of drug use/misuse
- Provide the family with resources
- Family counselling – teaching families about mental illness, drugs
What is managed alcohol program? (MAP program)
- Harm reduction approach for clients unable to abstain from alcohol
- Having one drink a day
- Prescribed by a physician e.g. 1.5 oz vodka TID
