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SUBSTANCE-RELATED DISORDER

Irfan Fauzi (J210134002)


Palupi Eka Rachmawati (J210134004)
Miss Atikah Saree (J210134006)
Mahya Muhimmatul Ifaadah (J210134008)
Ferika Putri Ramadhani (J210134011)
The substance related disorders are composed of
two groups
1. The substance use disorders
Substance abuse
Substance dependence
2. The substance induced disorders
Intoxication
Withdrawal
Delirium
Dementia
Amnesia
Psychosis
mood disorder
anxiety disorder
sexual dysfunction
sleep disorders
SUBSTANCE USE DISORDER
1. Substance Abuse
The DSM-IV-TR (APA, 2000) identifies substance
abuse as a maladaptive pattern of substance use
manifested by recurrent and significant adverse
consequences related to repeated use of the substance.
Substance abuse has also been referred to as any use of
substances that poses significant hazards to health.
DSM-IV-TR CRITERIA FOR SUBSTANCE ABUSE

1. Recurrent substance use resulting in a failure


to fulfill major role obligations at work, school,
or home
2. Recurrent substance use in situations in
which it is physically
3. Recurrent substance related legal problems
4. Continued substance use despite having
persistent or recurrent social or interpersonal
problems caused or exacerbated by the effects
of the substance
2. Substance dependence
1. Physical dependence
Physical dependence on a substance is
evidenced by a cluster of cognitive, behavioral,
and physiological symptoms indicating that
the individual continues use of the substance
despite significant substance-related problems
(APA, 2000)
2. Psychological dependence
It happen when there is an overwhelming
desire to repeat the use of a particular drug to
produce pleasure or avoid discomfort
DSM-IV-TR CRITERIA FOR SUBSTANCE
DEPENDENCE

1. Evidence of tolerance
2. Evidence of withdrawal
3. The substance is often taken in larger amounts or over
a longer period than was intended
4. There is a persistent desire or unsuccessful efforts to
cut down or control substance use.
5. A great deal of time is spent in activities necessary to
obtain the
6. Important social, occupation, or recreational activities
are given up or reduced because of substance use
7. The substance use is continued despite knowledge of
having a persistent or recurrent physical or
psychological problem that is likely to have been
caused or exacerbated by the substance
SUBSTANCE-INDUCED DISORDERS
1. Substance Intoxication
Substance intoxication is defined as the
development of a reversible substance-specific
syndrome caused by the recent ingestion of (or
exposure to) a substance (APA, 2000)
DSM-IV-TR CRITERIA FOR SUBSTANCE INTOXICATION

1. The development of a reversible substance-


specific syndrome caused by recent ingestion of
(or exposure to) a substance.
2. Clinically significant maladaptive behavior or
psychological changes that are due to the effect
of the substance on the
3. The symptoms are not due to a general medical
condition and are not better accounted for by an-
other mental disorder.
2. Substance Withdrawal
Substance withdrawal is the development of
a substance specific maladaptive behavioral
change, with physiological and cognitive
concomitants, that is due to the cessation of, or
reduction in, heavy and prolonged substance use
(APA, 2000). Withdrawal is usually, but not
always, associated with substance dependence.
DSM-IV-TR CRITERIA FOR SUBSTANCE WITHDRAWAL

1. The development of a substance-specific


syndrome caused by the cessation of (or
reduction in) heavy and prolonged substance
use
2. The substance-specific syndrome causes
clinically significant distress or impairment in
social, occupational, or other important areas of
functioning.
3. The symptoms are not caused by a general
medical condition and are not better accounted
for by an other mental disorder.
ETIOLOGICAL IMPLICATION
Biological Factors
Genetics
Biochemical

Psychological Factors
Developmental Influences
Personality Factors

Sociocultural Factors
Social learning
Conditioning
Cultural and Ethnic Influences
NURSING PROCESS
Assessment
1. History
2. General Appearance and Motor Behavior
3. Mood and Affect
4. Thought Process and Content
5. Self-Concept
6. Roles and Relationships
7. Physiologic Considerations
Nursing Diagnostic
1. Imbalanced Nutrition: Less Than Body
Requirements
2. Risk for Infection
3. Risk for Injury
4. Diarrhea
5. Excess Fluid Volume
6. Activity Intolerance
7. Self-Care Deficits
Intervention
1. Providing Health Teaching for Client and
Family
2. Addressing Family Issues
3. Promoting Coping Skills
Evaluation
The effectiveness of substance abuse
treatment is based heavily on the clients
abstinence from substances. In addition,
successful treatment should result in more stable
role performance, improved interpersonal
relationships, and increased satisfaction with
quality of life.
THANK YOU ^_^