Discussion: Vulnerable Aggregates: Women
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Vulnerable Aggregates: Women
Alcohol use and abuse affects women much differently than men.
Women absorb and metabolize alcohol differently.
Body composition differences and production of less gastric alcohol dehydrogenase
Metabolize alcohol at a different rate
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
37Vulnerable Aggregates: Women (Cont.)
Increased risk stems from economic, social, and cultural factors.
Marginalization of certain groups
History of child abuse
Physical and medical problems related to reproductive systems
Use during pregnancy has long-term developmental consequences for the newborn
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
38Vulnerable Aggregates: Ethnocultural Considerations
African Americans, Hispanics, and Native Americans—increased risk for substance abuse.
Economically disenfranchised groups
Discrimination and racism
Socioeconomic, political, and historical realities
Myths and stereotypes
Social support—positive effect on treatment/outcome
Environmental cues and conditioned reinforcement
Treatment poses special challenges.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
39Vulnerable Aggregates: Other Aggregates
Substance abuse is most common psychopathological problem in the general population.
Dual-diagnosis individuals
Psychiatric disorder + substance abuse disorder
Risk for multiple vulnerabilities in one individual
Impact of substance abuse on STDs
Substance abuse among health care professionals
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
40Nursing Interventions in the Community
Understand own experiences and prejudices.
Routinely assess substance use patterns when performing client histories.
Be alert to environmental cues in the home that indicate substance abuse.
Increase the individual’s and family’s awareness of the problem.
Involve the social network in getting the client into treatment.
Develop a caring nursing relationship.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
41Other Traditional Nursing Roles and Interventions
Health teaching regarding addictive illness and addictive effects of different substances
Advocating that EBP treatment works in special populations through problem-solving courts (drug courts), specialized adolescent treatment, and other community case management programs.
Providing direct care for abuse- and dependence-related medical problems
Educating clients and families about problems related to substance abuse
Collaborating with other disciplines to ensure continuity of care
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
42Other Traditional Nursing Roles and Interventions (Cont.)
Coordinating health care services for the client to prevent prescription drug abuse and avoid fragmentation of care
Providing consultation to nonmedical professionals and lay personnel
Facilitating care through appropriate referrals and follow-up
Knowing how to use community resources for working with substance abuse, mental health, and other issues
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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