ATENEO DE DAVAO UNIVERSITY COLLEGE OF NURSING Jacinto Street, Davao City

A Reading on Substance Abuse and Nursing Patient Interaction

In Partial Fulfillment of Requirements in Related Learning Experience: NCM 104

Submitted to: Mrs. Nancy Bargumento, RN, MN

by: Brion, Leovie Marie BSN 3C GROUP 1

February 21, 2011

READING

Helping Kids Navigate Their Teenage Years

When Parents Need Help First Parents can do much to help their teenage sons or daughters through a variety of difficult situations. Depression, violence, substance abuse, and bullying are all serious issues that parents and teens can work together to help resolve. Sometimes, however, parents need to confront their own problems before they can help their teenager. Children who live in violent households, or homes where one of the caretakers uses drugs or abuses alcohol, often sustain severe emotional trauma that can last a lifetime. Even if a parent's violent behavior or substance abuse occurred when a child was small, the child may still suffer repercussions during his or her adolescent years. Domestic violence and parental alcohol or other drug abuse adversely affects children. Research shows that approximately 90% of children who live in homes where there is intimate partner violence see or hear the abuse. Further, children who are exposed to family violence are much more likely to become violent than are children from nonviolent families. Studies also show that if a parent uses alcohol or drugs, his or her children are more likely to drink or use drugs. Below are examples of situations where children have been affected by current, or even prior, parental behavior. If these situations sound familiar and if you need some help deciding what to do, consider seeking the advice of a local mental health professional. Parental Alcohol or Substance Abuse I was called to school by my daughter's principal. Apparently, when her math teacher corrected her in class, Deirdre threw a book at him and stormed out of the classroom. Deirdre's explanation was that "no one else cares, so why should I?" Today was a wake-up call. I have to admit it: My wife has a serious problem with alcohol. I'm not home much. I'm always avoiding the chaos. I know this is serious. What can I do now? It sounds as though you recognize that your wife's alcohol abuse is affecting Deirdre. This is the first step. Parents with serious alcohol and other drug problems are often overly absorbed in their own needs and problems. They may not pre-pare meals, or be present at them. They may not carry their share of the household responsibilities. They may not properly supervise their children s homework and other aspects of their lives. Often their moods dominate the family. Their anger leaves other family members fearful and anxious. Roles may be confused and children end up taking care of the parents. Communication is often muddled.

Teens in such families feel isolated and alone, with no one to talk to. Their hurt and angry feelings may lead to depression, their own abuse of drugs, or may even erupt in violent behavior, as in your situation with your daughter. Children also sometimes seek attention and/or act out their feelings by shoplifting or committing other crimes. So what can you do? First, children should not feel alone and abandoned, nor should they be caretakers for their parents. Deirdre needs a parent who will take responsibility and act as a parent should. Make it clear that you are assuming this responsibility and let her know that you love her. She also should know that you are aware that her mother has a problem, and that it is affecting the whole family. Take time to talk with Deirdre about what happened in school and about how she is feeling about things at home. Finally, you should encourage your wife to get help immediately. If a family member with an alcohol or substance abuse problem is unwilling to seek help . . . Is there any way to get him or her into treatment? This can be a challenging situation. A person with an alcohol or substance abuse problem cannot be forced to get help except under certain circumstances, such as when a violent incident results in police being called, or when it is a medical emergency. This doesn't mean, however, that you have to wait for a crisis to make an impact. Based on clinical experience, many alcohol and substance abuse treatment specialists recommend the following steps to help a person with an alcohol or substance abuse problem accept treatment: Stop all "rescue missions" Family members often try to protect a person with an alcohol or substance abuse problem from the consequences of his or her behavior by making excuses and by getting him or her out of difficult situations caused by the alcohol or other drug abuse. It is important to stop all such rescue attempts immediately, so that the person with the problem will fully experience the harmful effects of his or her drinking or drug use-and thereby become more motivated to stop. Time your intervention Plan to talk with the person shortly after an incident related to the alcohol or other drug abuse has occurred-for example, a serious family argument in which drinking or drug use played a part. Also choose a time when he or she is straight and sober, when both of you are in a calm frame of mind, and when you can speak privately. Be specific Tell the family member that you are concerned about his or her drinking or drug use, and want to be supportive in getting help. Back up your concern with examples of the ways in which his or her drinking or drug use has caused problems for you or your teenagers, including the most recent incident. If the family member is not responsive, let him or her know that you may have to take strong action to protect your children and yourself. Do not make any ultimatums you are not prepared to carry out.

Be ready to help Gather information in advance about local treatment options. If the person is willing to seek help, call immediately for an appointment with a treatment program counselor. Offer to go with the family member on the first visit to a treatment program and/or Alcoholics Anonymous or Narcotics Anonymous meeting. (Consult your telephone directory for local phone numbers.) Call on a friend If the family member still refuses to get help, ask a friend to talk with him or her, using the steps described above. A friend who is recovering from an alcohol or other drug problem may be particularly persuasive, but any caring, nonjudgmental friend may be able to make a difference. The intervention of more than one person, more than one time, is often necessary to persuade a person with a drug problem to seek help. Find strength in numbers With the help of a professional therapist, some families join with other relatives and friends to confront a person with an alcohol or substance abuse problem as a group. While this approach may be effective, it should only be attempted under the guidance of a therapist who is experienced in this kind of group intervention. Get support Whether or not the family member with an alcohol or other drug problem seeks help, you may benefit from the encouragement and support of other people in your situation. Seeking the help of a mental health professional can provide the kind of help, insight and support that will allow for long-lasting positive change for you and, in turn, the well-being of your whole family.

SUMMARY

Depression, violence, substance abuse, and bullying are all serious issues that parents and teens can work together to help resolve. Sometimes, however, parents need to confront their own problems before they can help their teenager. Even if a parent's violent behavior or substance abuse occurred when a child was small, the child may still suffer repercussions during his or her adolescent years. Further, children who are exposed to family violence are much more likely to become violent than are children from nonviolent families. Studies also show that if a parent uses alcohol or drugs, his or her children are more likely to drink or use drugs. It sounds as though you recognize that your wife's alcohol abuse is affecting Deirdre. Parents with serious alcohol and other drug problems are often overly absorbed in their own needs and problems. If a family member with an alcohol or substance abuse problem is unwilling to seek help . . . Is there any way to get him or her into treatment? Based on clinical experience, many alcohol and substance abuse treatment specialists recommend the following steps to help a person with an alcohol or substance abuse problem accept treatment. Plan to talk with the person shortly after an incident related to the alcohol or other drug abuse has occurred-for example, a serious family argument in which drinking or drug use played a part. With the help of a professional therapist, some families join with other relatives and friends to confront a person with an alcohol or substance abuse problem as a group. Whether or not the family member with an alcohol or other drug problem seeks help, you may benefit from the encouragement and support of other people in your situation.

REFLECTION
Anyway, no drug, not even alcohol, causes the fundamental ills of society. If we're looking for the source of our troubles, we shouldn't test people for drugs, we should test them for stupidity, ignorance, greed and love of power. ~P.J. O'Rourke Teenage substance abuse is one of the major problems that affect academic performances, causes health problems and is responsible for the death of teenage drivers and sometime their passengers and riots. Many teens abuse substances because they think it is cool, go with the floor or may be due to peer pressure but do not understand the danger of substance abuse. It has been verified that the past family experiences and how they mold a child contributes great impact to a child as they grow old. One factor could be the scenarios or behaviors by the parents that are visible to their children such as drinking excessive alcohol, making use of illegal drugs and sometimes parents would offer this to their siblings. Just like when saying words that can be repeatedly heard by children, these words can be acquired by the children, it is the same with substance abuse. Some individual would abuse substances for they liked the effects brought to them. Emotionally unstable individual is at high risk of such substance abuse, some would use this substances just to escape from reality, forget the problems and rather feel the pleasure given by that certain substance but unaware of the negative side effects of such. Education is an extremely important part of the treatment of teen age substance abuse. Teens rarely understand the dangers of drinking alcohol and other substances abuse. They need to be educated about the health risks they face when they drink or abuse any substances. Because teens tend to feel they are invincible, they sometimes do not feel these risks apply to them. Sometimes speaking with another teen that has experienced serious health problems related to substance abuse can help. The best way to prevent such substance abuse is that it should start at the very beginning where during the molding phase of a child those substances should be absent and family should be stable.

NURSINGP ATIENT I NTERACTION

Name: Ivy Objectives: At the end of four (4) hours duty at Mabunga, I would be able to Identify the strength and weakness of my patient during the group activity Determine my patients reaction and learning about the activity especially in the therapy Know my patients feeling upon doing the activity

DATE F E B R U A R Y

NURSE Hello ivy!? (Smiles)

PATIENT Helo! (Smiles back)

INTERPRETATION It seems the client is happy.

ANALYSIS Happiness is a mental state of well being characterized by positive or pleasant emotions ranging from contentment to intense joy.

Musta man ka ivy? (Smiles)

Ok ra.. (Smiles back)

It seems that the client is Happiness is a mental happy and responses state of well actively. being characterized by positive or pleasant emotions ranging from contentment to intense joy. Responsive readily reacting or replying to people or events or stimuli; showing emotion

16

Unsa man klasing ok na?

Ok, nga nalipay og nalingaw.

It seems the client enjoyed the given

Enjoying is to take pleasure or satisfaction in the possession or

0 1 2

(Smiles)

(Smiles back)

activity.

experience of; to feel or perceive with pleasure; to be delighted with; as, to enjoy the dainties of a feast; to enjoy conversation. Enjoying is to take pleasure or satisfaction in the possession or experience of; to feel or perceive with pleasure; to be delighted with; as, to enjoy the dainties of a feast; to enjoy conversation. Awareness implies knowledge gained through one's own perceptions or by means of information Comparing usually takes the preposition to when it refers to the activity of describing the resemblances between unlike things

Nalipay og Sa atong program nalingaw tungod sa? karon. Lingaw kayo. Enjoy kaayo (Smiles) me. (Smiles back)

It seems the client had fun and enjoyed the given activity.

Unsa may maingon nimo sa atong activity karon Ivy? (Smiles)

Nalipay og pag ayo. Labi na sa pagpalit na og regalo, dili ka kapalit og ing ana nga mga gamit sa gawas, dili kaparihas diri kay bsag play money lang ang ibayad kay naa jud kay madawat. Kaso mahal lang kayo baligya diri sulod. ( Laughs)

It seems the patient is aware of the differences from the outside to the inside world and was able to compare it and laughs since she knows the unrealistic allotted prices of the things being displayed.

Para kang kinsa di ay na to imong gpalit? (Smiles) Unsay naa kang Michael kay siya

Para kang Michael. (Smiles)

It seems the client is chooses the one whom she wants to give her gift.

Choose to pick out, select, or choose from a number of alternatives

Wala lang Buotan man pud kayo na si

It seems that the client answered appropriately

Answers appropriately are to respond that is

man imo gihatagn sa imo regalo?

Michael. Nalooy the reason why she lang ko sa iya, gusto gave her gift to na man gud niya Michael. muuli sa ila. Short, katong heart It seems the client heart og katong bag- chooses the appropriate bag para sa regalo. gift for Michael. (Smiles)

acceptable.

Unsa di ay imong gipalit?

Choose to pick out, select, or choose from a number of alternatives that is suitable for the person. Concerning is something that interests you because it is important or affects you. Translation is the communication of the meaning of a source-language text by means of an equivalent targetlanguage text. Perceive is to achieve understanding of; apprehend.

Unsa may gibati nimo nga nakahatag kag regalo kang Michael?

Nalipay pud. Bisag ginagmang butang, naa an koy mahatag sa iya. Para pud malipay si Michael. Araw ng mga puso. (Giggles) Kasagaran ra man ang magcelebrate ana kay mga mag uyab.

It seems the client is concern with his friend.

Para sa imo unsa ang ibig sabihin sa Valentines Day?

It seems the client just translated Valentines Day to Tagalog language and perceives it differently.

Naa ba kay special someone sa imo life karon? Aside from family or relatives.

Kato lang maestra sa amoang skwelahan sauna, mao ra man gud to ako suod kayo nga amigo, mao ni siya ako perme ingnan sa ako problema. Siya lang jud ang suod nako nga amigo nga pirme nako kauban. Wala man. Mura ra

It seems the client chooses to have one close and matured friend

Maturity is a stage in the development of streams or landscapes at which maximum development has been reached or at which the process of erosion is going on with maximum vigor

Naa ba kay ritual

It seems the client has

No interest is a quality

nga ginabuhat every gud ordinaryo nga Valentines day? adlaw.

no interest in celebrating hearts day but rather perceives this day as an ordinary day.

or feature of something that does not attracts your attention nor makes you want to know more about it.