summary+sheet+2600_substance+use

SUBSTANCE USE DISORDER What is substance use disorder? Addiction can be described very broadly by using the 4 C’s:  Craving  Loss of Control of amount or frequency of use  Compulsion to use  Use despite Consequences Neurological Effects  Repeated and prolonged exposure to substances overtime  Dopamine Important neurotransmitter that plays a role in addiction  Activation of the reward pathway reinforces behaviour  Affects voluntary control over the use of substances 1 in 5 Canadians aged 15 or older experience a substance use disorder in their life Nursing Interventions  Withdrawal Management/Pharmacotherapy  CBT  Family-Based Therapy  Health Promotion and Education  Relapse Prevention  Motivational Interviewing Nursing Assessments  CRAFFT 2.1 o Screening tool for adolescents  “CAGE” – Cut, Annoyed, Guilty, Eye-opener o Screening tool for general population + older adults Other Assessment Considerations Affected Populations  Homeless  Indigenous  LGBTQ2S+  Veterans  Athletes Risk Factors  Genetic factors  Environmental factors  Age  Mental illness  Substance use history  Life experiences