Nursing Management Substance Use

Nursing Assessment
- Screening, Brief Intervention, and Referral to Treatment (SBIRT)
  - Screening for problems using standardized screening tools
  - Brief intervention or teaching about consequences of use and abuse
  - Referral for further treatment
- Determine when substance last used
- Assess for withdrawal
- Notify HCP of polysubstance use
- Mental health disorders
- Blood work
Nursing Diagnosis
- Acute confusion related to toxicity or withdrawal
- Disturbed sensory perception related to toxicity or withdrawal
- Risk for injury related to altered mental status
- Ineffective health maintenance related to substance use
Planning
- Overall goals
  - Normal physiologic functioning
  - Acknowledge a problem exists
  - Explain the negative effects of use
  - Abstain from substance use
  - Cooperate with treatment

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