Patient name was M.A. He was suffering from drug addiction for the last 10 years. His birth was normal. Milestone of development achieved at the appropriate time. His schooling also started at the appropriate time and he was an average student in school. She was belonged to the upper class and higher socioeconomic status. Her family environment was unsatisfactory because his father had divorced his mother and after their divorce he lived with his father. But his father and stepmother had not paid attention to him. And due to peer pressure he starts taking heroin (sniffed) and her relationship with the family was also not satisfactory. He was married. The social training skills, group therapy and relaxation therapy was
D-Met with the patient as the Women's Group was cancelled due to low attendance. This writer addressed with the patient about her AWOL status, at which the patient started to get emotional as she is struggling with transportation, borrowing her mother's car, her husband is still having issues getting into the Hartford Dispensary-tested postiive for methadone, and too much stressors in her life, which is causing the patient to not eat. This writer validated the patient's feelings, provided support, and made suggestions. The patient admits to relapsing yesterday by purchasing 10 bags of heroin, but using 6 and gave her husband 4 bags-use of method was IV. The patient feels guility of using, but her stress factors are overbearing her recovery process and the patient struggles with coping. She then says, " When I come to the Women's Group, I feel good....I was hoping there was going to be group today....I don't know." This writer provided empowerment and encouragement to the patient to focus on her recovery process and proceeded to discuss risk factors of what she will lose.
Problem # 5 Illicit opiate use Goal(s): to be free from illicit drugs. Status: Active Objectives/Progress: Pt. has struggled with continued use of illicit drugs (marijuana, opiates and amphetamines) and his last quarter UDS reflect a pattern of heavy substance use. Pt. was encouraged to work with the medical staff to achieve a stable dosing level. Pt. is regularly taking his medication as prescribed by AMS Doctor and he stated his current prescribed methadone 90 mg is working "well". During the last quarter, Pt. made progress on developing a therapeutic relationship with his new AMS counselor for the upcoming quarter. Also, Counselor focused therapy session on establishing rapport and building trust with him. Pt. is currently in the contemplation stage of change because he more open to receiving information about his negative habits and willing to use educational interventions which he agreed with this assessment. Pt. was reinforced for any statement that reflected acceptance of his chemical dependence and acknowledgment of the negative consequences that opiates has had on his life. During the upcoming quarter, Counselor will assist Pt. to discuss and weigh the pros and cons of continuing his addictive
This writer met with the patient to address her non-compliance with treatment, referring to her attendance to the cocaine group and her AWOLs. This writer explained to the patient about the purpose of the clinical intervention as the patient continues to test positive for cocaine, opiates, and fentanyl. The patient appeared to be surprised to learn about the fentanyl results in her UA's and believes that her "dope" could have been laced. The patient is aware of her non-compliance and made excuses by reporting that she tends to oversleep as she often times cannot hear her alarm from her cellphone. In addition, when the patient AWOL from the clinic, she tends to relapse and her most recent was relapse was on 5/29/2017-3 bags of heroin by inhalation.
Rosa Cunningham (full name is Rosa Lee) is a 53 year old African American female client of average height, slight build, and is appropriately groomed. She has 8 children, 2 of them being female and 6 males, all adults. Rosa is a widow and reached this status after being separated from her deceased husband for many years. Rosa is currently hospitalized for pneumonia, and has been hospitalized several times in her life for diferent illnesses. Rosa’s medical history as self-reported is HIV and seizures. Rosa is a heroin addict and has been this way for several years. Rosa is involved with the local methadone clinic and receives 55mg of methadone daily. Even by receiving this daily dose of methadone, Rosa continues to use heroin. Rosa has several legal and health issues that are present also, despite which she continues to use heroin. Rosa has a lengthy criminal history to include arrests for prostitution, larceny, and selling drugs. The reason for today’s assessment is a referral made by the social worker at the hospital in which Rosa is a patient at and discharge planning is to be made for aftercare.
D-The patient reports he is not stable at his current dose to the point he want to taper off. He expressed the need to want to get off on methadone. This writer listened to the patient vent about issues in his personal life and problematic issues with his transportation to ensure he dose daily. This writer then proceeded to discuss with the patient as to why he had entered treatment, his aspiration for his recovery process, and addressing alternatives to his barriers. The patient then reports he hasn't used any illicit drugs for three days, at which this writer commended the patient. When asked about what strategies to used to refrain from illicit drugs, he reports keeping himself busy and continue to care for his parents. The patient was
Drug and chemical abuse affect many families and that particular family that lives through a loved one who is an addict and the priority is to get help for the individual. In any intervention that involves drug addicts, a family's disposition is very important. Full recovery of any drug addict involves the restoration of the person's life as well as ensuring that those who are around the addict have the best ability when it comes to helping with abstinence which is a long-term goal. Abusers are often in denial or even believe that they are totally in control of their use of drugs
Additionally, management of money and life skills should be addressed in conjunction with fair drug abuse, as issues gradually erupt the addicted female begins to address their issues and gradually prepares for them systematically as she begins to transition to independence he in her communal environment the critical component of treatment includes the psychosocial evaluation, treatment planning, individual and group counseling, psychoeducation and interactive group therapy. If all of these are used in conjunction with cognitive behavioral and other therapeutic approaches to treatment inclusive of 12-step concepts. Reference If these board concepts are addressed thoroughly in treatment the chemically addicted female can develop a solid foundation in which to learn to address and cold with her many issues. Not only has the responsibility been placed on the treatment environment, communal environment, but also much of the responsibility has been placed on the individual. This becomes essentially a valuable tool then the addicted woman can learn to set responsibility for herself give back to her community while building skills and self-esteem that help her gradually improve her own life. Reference
There is not one treatment intervention that will solve all issues. Therefore, we have to be able to evaluate each situation uniquely. Treatment intervention can involve the use of prescription drugs in order to limit the outcomes of any condition. Good interventions include good monitoring procedures, follow-ups, and support. One treatment that works for an individual may not necessarily work for the next person. The purpose of the intervention is to break a negative cycle that has become destructive to an individual. Most of the individuals that undergo an intervention will begin with a slight condition of denial. The chemical dependency on any type of drug can be detrimental to an individual and his or her family. The situation in case one, dealing with the 18 year old high school student, would be an appropriate person to implement into a treatment intervention because he will need the additional support and medical support in order to overcome his addiction.
Problem #5 Illicit opiate use Goal(s): To become drug free Status: Active Objectives/Progress: Pt. has not done well in achieving his goal of maintaining abstinence from all illicit substance use over the last quarter as evidenced by his positive UDS. Patient’s last urine screen results indicate that opiates have been used. Pt. reported that he was able to be clean from more than 30 days but he used drugs while walking through his neighborhood. Counselor expressed concern and disappointment about his recent relapse on heroin. During last month session, Pt. recognized the danger of the situation and how he will avoid the acquaintance that offered him drug. Pt. has failed to move to Phase 1 of the AMS of DE TX program due to his four positive UDS since entering the program on 7/6/16.Counselor will meet with Pt. to examine pt.'s motivation to stay clean, how to deal with triggers in order to achieve continued abstinence, to help him recover from his recent relapse and reenter the change process.
Mr. HR just went through a major surgery after a car accident. His friend, also the driver, died in the accident. More assessment and screening are needed due to Mr. HR might feel shocked, traumatized, depressed and might also feel guilty for his friend’s death. These factors contribute the chance of relapse. Therefore, the relapse prevention is a very important issue of substance abuse that the NP should discuss with Mr. HR and his girlfriend.
Drug treatment is a very unique experience for every user. Some people need group sessions; others need one on one time with a professional and others need specialized treatment plans. For this module we read about two very unique ways of treatment one being the Needle Exchange program and the other a gender specific treatment for women and their children.
Drug addiction is one of the many problems that is prevalent world-wide. An even bigger uphill battle that comes with drug addiction is the ethics behind rehabilitation and treatment. Heroin is one of the most controversial illicit drugs in regards to its use and its treatment. Treatments such as methadone maintenance, LAAM(Levomethadyl acetate) and naltrexone have definitely raised questions in terms of their effectiveness in combatting heroin/opiate addiction. This essay will be a comparative on the different treatments and how naltrexone is the most effective treatment that can help individuals overcome heroin addiction.
The Specialization chosen is addiction counseling. This paper will cover the key aspects of addiction counseling which include biological, psychological and physical aspects. As well as medical and social aspects of addiction and counseling. Addiction counseling must adhere to strict ethical codes, and the counselors need to have an understanding of addiction, and have knowledge in the various types of treatment programs. Other key aspects that are important in this specialization are the application to practice, and most important professional readiness. Addiction counseling differs from other specializations because it requires long-term care and treatment, and requires more than one form of treatment within individuals. Treating
Depression in late life is very common, particularly in older adults who are moving in to a different phase of their lives. They may experience a loss of a job, death of a spouse, empty nest, or a move that has taken them away from their social network. Geriatric depression is expensive for everyone involved, from the seniors who suffer not only mentally but physically from its effects to the increased use of health services such as emergency room visits. Suicide is also a consequence of depression in seniors. Sometimes depression is not diagnosed properly because its physical symptoms can mimic other illnesses. Many women, ages 55 and up, experience feelings of loneliness, isolation and do not know what to do now that they are in this new stage in their life; not working etc. Is the women’s group effective in helping members overcome feelings of depression and isolation?
Drug and alcohol addiction is a very serious and widespread problem in America, and across the globe. Drug addiction is a constant craving, seeking, and using of a substance, despite the negative consequences it may have on the addict or those around them. When drug use becomes more frequent, it is considered drug abuse. Once an individual’s drug abuse is can no longer be controlled, and they are using the drug to get through everyday life, it beomes an addiction. A person on drugs has an altered way of thinking, behaving, and perceiving. There are treatment facilities all over the world dedicated to help those suffering with drug addictions. All