However, the term “substance abuse” is now avoided by professionals because it does not accurately account for the neurobiological knowledge we now have about addictive disorders. Substance abuse, an older diagnostic term, referred to unsafe substance use (e.g., drunk or drugged driving), use that caused legal problems, or use that continued despite failure to meet work and family responsibilities. Substance misuse is also associated with intimate partner violence, child abuse, and neglect. Substance use during pregnancy can cause complications for the baby such as fetal alcohol spectrum disorders (FASDs) or neonatal abstinence syndrome (NAS). Misuse can be of low severity and temporary, but it can increase the risk for serious and costly consequences such as motor vehicle crashes overdose death suicide various types of cancer heart, liver, and pancreatic diseases HIV/AIDS and unintended pregnancies. Substance misuse is defined as the use of alcohol or drugs in a manner, situation, amount, or frequency that could cause harm to the user or to those around them. Finally, the nursing process is applied to a hospitalized client receiving treatment for alcohol withdrawal.
The neurobiology of substance use disorders and risk factors are explored, and then evidence-based treatment and prevention interventions are discussed based on the Surgeon General’s Report on Alcohol, Drugs, and Health. It begins by reviewing signs of intoxication of various psychoactive substances and treatment for overdose and withdrawal symptoms. This chapter will provide an overview of many topics related to substance use. According to the 2020 National Survey on Drug Use and Health (NSDUH), 40.3 million people in the United States aged 12 or older (14.5 percent) have a substance use disorder (SUD). Ĭhronic substance use disorders significantly impact individuals, families, communities, and our society. The Centers for Disease Control and Prevention (CDC) National Center for Health Statistics estimates 107,622 drug overdose deaths and 52,000 alcohol-induced deaths occurred in the United States in 2021.
Misuse of alcohol, drugs, and prescribed medications is estimated to cost the United States more than $400 billion in health care expenses, law enforcement and criminal justice costs (due to drug-related crimes), lost workplace productivity, and losses from motor vehicle crashes. Provide patient education to clients and their family members
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