Substance Abuse

By: Adam Bennett, Kristin

Miesen, K Lee Barnes, Katelyn
Parris, and Shannon Vandenberg
Background Information
Definition- physical/psychological dependence on any
addictive substance
Causes
Prior abuse of substances
Knowledge deficit
Frequency
Tobacco, Alcohol, Illegal drugs, Prescription
Tobacco
Alcohol
Illegal Drugs
Prescription Drugs

Significance
Very high risk pregnancy and postpartum for baby and
mother

Risk Factors
Current Treatments for Mothers
Pharmacological
o Methadone
o Buprenorphine
o NRT
Non- pharmacological
Psychosocial
Pain Control

Therapeutic Interventions
Weening
Pharmacologic Therapy
Surgery Therapy
Medical Therapy
Assessments
Treatment for Babies
Tennessee NICU

Not Ready
Insurance
Social Stigma
Discouraged
Lack of Knowledge
No Time
No Positives
Barriers to Treatment
Nursing's Role
Education
Provide care
Provide Emotional Support


For Mother:
Risk for injury r/t drug effects

For Baby:
Disorganized infant behavior r/t drug
withdrawal
Nursing Diagnoses
Antepartum Interventions
Examining attitude
Prevention/plan
Providing ongoing care
Identify strengths
Communication
Preventing injury
Effective communication
Provide pain control
Emotional support
Intrapartum Interventions
Watch mother and infant interactions
Provide medication for mother and
newborn
Emotional support

Interventions Postpartum
What Nurses Can Do
- Withdrawal symptoms
- Dysfunctional Family Dynamics
- Abuse
- Neglect
- Low Birth Weight
- Premature Birth
- Deficient Parental Knowledge
- Deficient Resources
Expected Outcomes for Baby
Negative consequences on the child
o disconnection

Family therapy

What really happens?



Expected Outcome for family
McFadden, C. [ABC News]. (2012, July). Drug- dependent infants detox at Tennessee NICU [Video file]. Retrieved from
https://www.youtube.com/watch?feature=player_embedded&v=2eP5EnFSG0c

Mekeever, A, E., Spaeth- Brayton, S., & Sheerin, S. (2014, September). The role of nurses in comprehensive care management
of pregnant women with drug addiction. Nursing for womens health : Evidence- based practice for womens health, obstetric
and neonatal nurses, 18(4), 285-293.

Murray, S. S., & McKinney, E. S. (2014). Foundations of maternal- newborn and womens health nursing (6th ed. pp. 486- 491).
St. Louis, MO: Elsevier.

Treatment improvement protocol (pp 93-2011). (1993). Rockwell, MD: Substance abuse and mental health service
administration, http://www.ncbi.nhi.gov/book/BBL64750/

Wcmhnbc4. (2010, November). Pregnancy & drug use. [Video file]. Retrieved from
https://www.youtube.com/watch?v=vA4GfL-JvFE














References