Nursing Management Substance Use

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