Substance abuse nursing assessment and support Flashcards
(28 cards)
What is an intervention?
An intervention is a discussion initiative by a professional, which can be based on a concern or as part of a general health and well-being assessment.
Why are interventions held?
To identify risks of substance use to prevent and reduce as well as to discuss the client’s substance use and find a motivation to change, find support and services for the client.
When do you ask about drug use to a patient?
During general health checks, for example at the occupational health check.
- At least, if: - The patient’s symptom may be due to excessive substance abuse
Come up with questions about how as a nurse you could ask about substance abuse? Open questions (Avoimia kysymyksiä) about substance abuse?
What are some of the methods for intervening in substance abuse?
Mini- intervention.
1. Ask the client
2. Identify risk or problems
3. Motivate client to change
4. Follow the progress
What are defenses in mental health nursing?
What are some characteristics of mental health defences of a client?
- Are used unconsciously
—> has been developed over time to protect feelings related to consequences of alcohol and drug use.
Defences can make nurse-client interaction challenging. Behind the defences lies a great deal of difficult feelings. Defences help to avoid these feelings.
- Can prevent a client to see any negative consequences.
- Feelings can be severe emotional pain.
- Can get stronger over time when alcohol and drug abuse is increasing.
What are common defenses related to substance abuse?
Defenses include denial, rationalization, minimization, blaming, intellectualizing, justification and explaining.
What is denial in the context of substance abuse?
Denial can develop in childhood e.g if a parent is abusing alcohol, a person in denial believes their own statements and may not recognize the impact of their substance or alcohol abuse.
What is rationalization?
Rationalization involves providing rational explanations for irrational behavior, such as saying ‘I drank because my partner left me’. It can be connected to denial.
What does minimization refer to?
Minimization refers to downplaying the frequency and amount of substance or alcohol use.
What is blaming in substance abuse?
Blaming involves attributing the consequences of addiction to others.
What is intellectualizing?
Intellectualizing involves providing rational explanations for drug and alcohol abuse, separating oneself from the experiences caused by the inability to control abuse.
What does justification mean in the context of substance abuse?
Justification refers to explaining one’s behavior by attributing it to someone else’s behavior.
What is Motivational Interviewing (MI)?
MI is an evidence-based, person-centered counseling style aimed at behavior change.
What are the core tasks of Motivational Interviewing?
Core tasks include developing rapport with patient and patient’s health issues, enhancing client motivation to change, and working with client resistance to empower people to change.
What are the core elements of Motivational Interviewing?
Core elements include partnership, compassion, evocation, open questions, reflections, summarizing, attending to the language of change, exchange of information and acceptance.
What does ‘evocation’ mean in Motivational Interviewing?
Evocation refers to helping clients recognize their own resources (within themselves) and skills needed for change.
What is the role of open questions in Motivational Interviewing?
Open questions facilitate dialogue and exploration of the client’s thoughts and feelings.
What is the significance of acceptance in Motivational Interviewing?
- a nonjudgmental interaction.
- seeks to understand the person’s perspectives and experiences.
- expresses empathy, highlights strengths.
What is the significance of exchange of information in Motivational Interviewing?
respects that both the clinician and client
have expertise. Sharing information is considered a two way street
and needs to be responsive to what the client is saying.
What is the significance of reflections in Motivational Interviewing?
Reflections involve careful listening, understanding and repeating what the client has said to show understanding.
What is the significance of evoking in Motivational Interviewing?
In this process the clinician gently explores and helps the person to build their own “why” of change through eliciting the client’s ideas and motivations.
Ambivalence is normalized, explored without judgement and, as a result, may be
resolved. This process requires skillful attention to the person’s talk about change
