I would explain to my client what can occur while on benzo’s for a long period of time. I would explain to her that for their best interest that we need to start slowly taking them off the pill. I would explain to my client that after a certain period of time benzo’s are not always effective. Take anxiety, for example, symptoms may seem to worsen before their medication is due. An individual may feel that they have to take two instead of one just to get by. I would also explain to my client that I do not want to take them off the medication right away, however, ween them off the medication. When an individual stops taking benzo’s suddenly they may feel some discomfort. This discomfort may seem like the original problem returning, but is actually due to your body getting used to not having the drug any longer. …show more content…
Together, we can then change the plan if the reduction is too fast or too slow. Suggest changing to a different type of benzo. Some patients find changing to a long-acting benzodiazepine beneficial. Also going over coping skills with my client such as recognizing withdraw symptoms, avoiding life stressors and making sure that you have someone like family to talk to besides myself. I feel educating my client and knowing how they feel about it is very important. This is a decision that we have to make together. If my client does not feel comfortable with this decision, then we will discuss why and what we need to do to get to this
Including a nursing perspective to the program is important when dealing with withdrawals. They have certain medications at the Oshki Manidoo center to help with withdrawals as well. The patients can be prescribed to certain medications after being examined by a nurse. For the second question Angela said she hasn’t ever felt like giving up even though the job can be straining. It’s hard for her to see people go through relapses after graduating, but it does happen. The most important thing she has learned is balance. Furthermore, Balancing your work life from your home life is
A treatment for Zoloft addiction is that your doctor will begin to prescribe smaller doses over and long period of time to get the user to become used to taking less. This process will continue until the patient is no longer reliant on Zoloft. Zoloft is a great drug to use for patients with depression. Patients must make sure to take the correct dosage and listen to their doctor to insure they do not get certain side effects. Zoloft is a drug that is
Under the care of licensed doctors and nurses, you will be monitored as you encounter typical withdrawal symptoms. If you experience difficulty sleeping or encounter pain issues, they will prescribed the right medications to help keep you comfortable. If your addiction is considered extreme, there's a good chance they will put you on a tapering program through the use of medications like Suboxone or Methadone. This weaning process allows your mind and body to adjust to the withdrawal of harmful substances over a longer and safer period of time.
Xanax is a benzodiazepine that is most often used to treat anxiety. The effects of benzodiazepines mainly come from their ability to alter the movement of the inhibitory transmitter known as GABAa. GABA is triggered to release when it then can bind to the GABAa receptor. The binding of the two causes the ion channel to open and chloride ions are sent across the cell membrane. This causes the inhibitory factor by depolarizing the membrane (Griffin et al., 2013).
No matter which methodology a physician may deem necessary, the objective is the same. Get the patient safely through withdrawals so they can move on to a treatment program to deal with the core issues behind the addiction.
The first thing that I learned from this conversation was that the Harm Reduction program may not work in all clinical settings. Rusty Foster and Luis Lopez both commented that Harm Reduction may not be accepted in all settings, because it depends on the client’s assessment. For example, if a client is in a position where he/she needs medical attention, then Harm Reduction may not be the best intervention at the moment. The Harm Reduction program should be used if the client is willing to reduce their current addiction. I believe that case managers should not force their
One of the initial processes of treatment includes that of medical detoxification. Detoxification, is defined at the period of time a client is withdrawing from AOD (141). This detox is necessary in regards to drugs, such as CNS depressants, because of their dangerous withdrawal symptoms (21). Careful medical supervision in regards to withdrawals as well as medications that may be used in treating symptoms related to these effects. This process
If an individual expresses that they want to discontinue their medication and becomes non-compliant with their medication then it is my role to identify the risk they are currently posing and update their risk assessment; inform their CMHT and let the citizen know of the consequences to them not taking their medication and reiterate that it is their choice, as long as they have all the information to make a decision (wise or unwise). It is important to emphasise that not all individuals understand information the same way, therefore I have found that the use of internet, booklets, music, audio recordings, talking group therapy and pictures can be applied to explain a situation to a resident if they are unsure of particular consequences to their health.
Client has no know history of previous treatments. Client desires treatment due to unhappiness with current life style. Client states that his longest abstinence from alcohol is 4 days, nicotine an hour, and marijuana and cocaine 1-2 years over the last 5 years. Client recognizes several triggers for drinking episodes (social anxiety, loneliness, fear, feelings of inadequacy, and guilt). Client is not experiencing any cravings for chemicals at this time (currently using nicotine). Client states he has current problems with family resentments and anger, self-esteem, and anxiety that are unresolved. At this time, potential for relapse is moderate to severe. Client a limited support network and no relapse prevention plan.
There must be special attention toward the patient's addiction history before these agents are prescribed. An understanding of the toxicity and side effects of benzodiazepines, abuse patterns and alternative anxiolytic and hypnotic agents may help clinicians to be safe from issues of medico legal case.
The principle of treatment therapy is to helping the patients to reduce problematic drinking, deterring relapse back to heavy drinking and achieving and maintaining abstinence from alcohol (Edmunds, 2014). An oral naltrexone (ReVia) or injectable Vivitrol, Acamprosate and Disulfiram are used for the treatment of alcohol abuse (Edmunds, 2014). Disulfiram are used more often if unpleasant physical symptoms when alcohol is ingested but is reported to be more expensive and have reported to have adverse reaction to the patients (Edmunds, 2014). Benzodiazepines such as Lorazepam and Diazepam are also widely used for treatment of alcohol withdrawal. With the side effects and overdosing of benzodiazepines remains controversial in treating alcohol withdrawal and is always in need to monitor the patient for abuse (SAMHSA, 2013). Additionally, social detoxification and lifestyle management would benefit the whole treatment process such as referring the patient to social support groups and encouraging the family to support the patient during the treatment
Duration of therapy Letting the patient know about when to discontinue medication is important in order to avoid the adverse effects that can arise due to long term use of certain medications. An example of this is the use of glucocorticoids, glucocorticoid are found in many common items we use in our daily lives such as cosmetics and other products. The long term use of glucocorticoids can lead to severe liver problems which can even cost ones life. Therefore it is important to counsel patients on the right time to discontinue their medication. What to avoid when taking medications
Residential treatment (RT), which is currently recommended, actually places the substance abuser in a facility where care staff and experts who oversee their treatment monitor them. For Levi, this is a combination of medication, psychotherapy, physical activities, social activities, and counseling. The target is to support, guide, and monitor the client in completing this treatment plan, wherein the target is for the client to be rid of said addiction through the course of the plan. The continuum of care for addictive and compulsive behavior will be an important element in the plan. Additionally, the plan will take consideration of the particulars of the client to fit the plan to the client 's needs, situation, and personality. Wenzel, Brown and Beck (2009) suggest that "in the first session of counseling with suicidal patients, the following strategies should be used: (1) discuss structure and process of treatment, (2) emphasize compliance by the
The first phase of treatment is taking away the problem substance/activity a little at a time. There are both physical and psychological effects that happen when that person stops taking the substance, they include different obvious signs of having nausea and vomiting, the chills or start sweating, they can have muscle aches and start cramping, no sleeping for long periods of time, changes in the persons heart rate, and sometimes a fever will appear. The emotional effects will include developing depression, anxiety, irritability, and crazy mood swings. These withdrawal symptoms usually can last three to five days or even longer. They are very rarely life-threatening, having medical supervision is usually provided in treatment programs, and medications may be given to help with the discomfort of not having the substance. Behavioral therapy and counseling are important elements of treatment. Cognitive behavior treatment is often used to help patients identify, avoid, and cope with situations in which they are most likely to abuse drugs. The technique of motivational interviewing is often employed to remind people of their values, as a way of avoiding use. Family therapy may also be offered to help the patient maintain a supportive surrounding and help improve a family to function properly. Rehab programs and support groups are often needed to help patients regain necessary jobs and
Therefore, therapist can recommend to the client (Ahmed) to complete the detoxification program at first. As stated previously, detoxification alone does not address the psychological, social, and behavioral problems associated with addiction and therefore does not typically produce lasting behavioral changes necessary for recovery (Principles of Drug Addiction Treatment: A Research-Based Guide, 2009).