Tag: Substance abuse

Substance abuse, abuse/neglect, cyberbullying

Posted on | by Brian Leakey

Students may choose from one of the topics provided below. Once you’ve identified the topic, write a narrative of the topic and create a PowerPoint presentation.

The narrative should be no more than 1 page summarizing the key points of your topic of interest and your major findings.

The PowerPoint presentation should be supported by resources and provide more detailed information about your topic.

  1. Select a trend or issue in juvenile justice identified in course materials or in your course textbook. Use data sources to explain the issue and its continuing importance in juvenile justice. Discuss the impact and outcomes of the selected topic. As required, provide a written narrative and PowerPoint presentation highlighting your topic and information. Example topics may include gangs, substance abuse, abuse/neglect, cyberbullying, etc.

Substance abuse

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The paper needs to be 10 pages length in APA format with implementation of the 5 keys point below.

Apply culturally competent health strategies and emphatic caring to the care of individuals, families, groups and communities
Build relationships with community members and leaders of community groups and organizations to achieve mutually set health goals
Educate individuals, families, groups and communities from a variety of cultural backgrounds about health promotion, health protection and disease prevention
Assess health/ illness beliefs, values, attitudes and practices of individuals, families, groups, communities and populations
Promote achievement of safe and quality outcomes of care for diverse populations
Citations must be in the last 5 years.

 

Substance Abuse

Posted on | by Brian Leakey

You have just been assigned a “client” who was just released on parole after serving two years of a two-to-five-year sentence for aggravated assault, a conviction that stems from repeatedly striking her boyfriend with a baseball bat.

Name: Theresa Johnson

Age: 27

Criminal History (past crimes) – Prostitution, Distribution of a controlled substance, Possession of narcotics, Possession of Drug Paraphernalia, Public Drunkenness, Simple Assault, Aggravated Assault, Petty Theft, and Check Fraud all starting from age 11.

Family History – Stepfather arrested for sexually assaulting Theresa when she was a child, starting at age 10. Mother was unable to control her, so Theresa was in and out of foster homes along with a number of psychiatric facilities and detention facilities since age 12.

Substance Abuse – Primarily Heroin and Alcohol dependence since adolescence.

Treatment History – 4 unsuccessful court-ordered Inpatient treatment programs. (Removed from one facility for inappropriate sexual advances toward a male counselor; Removed from another facility for smuggling Oxycontin into the facility; Removed from a 3rd facility for a “hot urine” for alcohol, meth, and Xanax, and lastly, the most recent removal was for leaving the facility without permission.

Psychological History –Diagnosed with Antisocial Personality Disorder and Post-Traumatic Stress Disorder (PTSD) stemming from years of physical and sexual abuse perpetrated by her stepfather starting at age 10 until the father’s arrest when she was 12.

What conditions would you “require” while she is on parole, and why? Be extremely specific and detailed when responding. You have several “issues” to contend with, so think outside the box by applying your critical thinking / problem solving skills when determining the conditions of parole.

Substance abuse

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A 45-year-old married man presents to his primary care physician with a chief complaint of fatigue lasting for the past 12 months. He states that he goes to sleep easily enough but then wakes up repeatedly throughout the night. He has had this problem since he was injured on the job 12 months ago. On further questioning, he reports low mood, especially regarding not being able to do his job. He states that his alcohol consumption is 6 to 12 beers a day, as well as several ounces of hard liquor to “take the edge off the pain.” He discloses that it takes more alcohol than it used to in order to “get me relaxed.” The patient claims he has experienced several blackouts caused by drinking during the past 2 months and admits that he often has a drink first thing in the morning to keep him from feeling shaky. Despite receiving several reprimands at work for tardiness and poor performance in addition to his wife threatening to leave him, he has been unable to stop drinking. The doctor convinces the patient to admit himself into a local psychiatric hospital for detoxification and rehabilitation for his alcohol dependence.
On his mental status examination during admission to the psychiatric hospital, the patient is alert and oriented to person, place, and time. He appears rather haggard, but his hygiene is good. His speech is of normal rate and tone, and he is cooperative. His mood is noted to be depressed, and his affect is congruent, although full range. Otherwise, no abnormalities are noted.
1. On admission, the hospital protocol is to screen the patient for potential alcohol abuse and/or dependence. List two (2) screening techniques for alcohol abuse/dependence.
2. During the first 24 – 36 hours of withdrawal from the alcohol, what symptoms do you expect to see? List two (2) symptoms.
3. Aside from death, what two (2) withdrawal complications should the nurse be most concerned about?
4. The patient was started on the detoxification protocol, a symptom-based dosing Valium (diazepam) schedule. Explain the reasoning behind using Valium (diazepam) as a medication to detox the patient.
5. The provider also ordered a daily dose of thiamine (100 mg PO qday X 5 days). What is the most likely reason for the patient being thiamine deficiency? List one (1) severe consequences of thiamine deficiency.
o (Most likely reason):
o (Severe consequence):
6. Upon discharge, the patient consents to take disulfiram (Antabuse) to help abstain from using alcohol. The nurse knows he/she needs to educate the patient about this mediation. What is the most important teaching point that needs to be emphasized to the patient?