Discussion: Vulnerable Aggregates: Women

Discussion: Vulnerable Aggregates: Women

Discussion: Vulnerable Aggregates: Women

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.

43

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