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1. Evidence of tolerance
2. Evidence of withdrawal
3. The substance is often taken in larger amounts or over
a longer period than was intended
4. There is a persistent desire or unsuccessful efforts to
cut down or control substance use.
5. A great deal of time is spent in activities necessary to
obtain the
6. Important social, occupation, or recreational activities
are given up or reduced because of substance use
7. The substance use is continued despite knowledge of
having a persistent or recurrent physical or
psychological problem that is likely to have been
caused or exacerbated by the substance
SUBSTANCE-INDUCED DISORDERS
1. Substance Intoxication
Substance intoxication is defined as the
development of a reversible substance-specific
syndrome caused by the recent ingestion of (or
exposure to) a substance (APA, 2000)
DSM-IV-TR CRITERIA FOR SUBSTANCE INTOXICATION
Psychological Factors
Developmental Influences
Personality Factors
Sociocultural Factors
Social learning
Conditioning
Cultural and Ethnic Influences
NURSING PROCESS
Assessment
1. History
2. General Appearance and Motor Behavior
3. Mood and Affect
4. Thought Process and Content
5. Self-Concept
6. Roles and Relationships
7. Physiologic Considerations
Nursing Diagnostic
1. Imbalanced Nutrition: Less Than Body
Requirements
2. Risk for Infection
3. Risk for Injury
4. Diarrhea
5. Excess Fluid Volume
6. Activity Intolerance
7. Self-Care Deficits
Intervention
1. Providing Health Teaching for Client and
Family
2. Addressing Family Issues
3. Promoting Coping Skills
Evaluation
The effectiveness of substance abuse
treatment is based heavily on the clients
abstinence from substances. In addition,
successful treatment should result in more stable
role performance, improved interpersonal
relationships, and increased satisfaction with
quality of life.
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