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Module Title |
Context and concepts of care
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Module Code |
NS528
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School |
School of Nursing and Human Sciences
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Online Module Resources
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| Module Co-ordinator | Dr Gerard Moore | Office Number | H214 |
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Level |
5
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Credit Rating |
10
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Pre-requisite |
None
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Co-requisite |
None
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Module Aims
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For students to critically understand the etiology, incidence and trends of substance abuse and dependence at national and international level.
Explore how bio/psycho/social perspectives of addiction can be used to understand the impact of alcohol/drug related difficulties on the individual, their families and society.
Critically review personal and societal attitudes and values regarding psychoactive substances and substance users, highlighting historical, sociological and cultural influences. Critically analyse the provision of health and social care for people with alcohol/drug related difficulties from nursing, multidisciplinary and organisational perspectives and evaluate the potential for positive change in the provision of nursing care.
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Learning Outcomes
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On completion of this module and following a period of personal study, the student will be able to:
Critically analyse bio/ psycho/ social theories of addictive behaviour and illustrate how these perspectives are reflected in service provision.
Critically discuss the patterns of addictive behaviour associated with alcohol, opiates and other substances, and their relation to compulsive behaviour generally.
Critically analyse the effects of excessive use of alcohol and/or drug use on the self, family, social networks and socioeconomic circumstances.
Explore the potential vulnerabilities and required support for nurses working with people who have alcohol/drug related difficulties.
Utilise the concepts of drugs, set and setting as outlined in Zinbergs model of drug use and explore different levels and types of drug use, e.g., polydrug use, self-medication, cross-addiction.
Examine the relevance of diagnosis and classifications systems such as DSM-IV and ICD 10.
Critically appraise pharmacological issues related to both prescribed and illicit drug use.
Develop an understanding of the context in which addiction services have developed in Ireland and examine the epidemiology of substance misuse nationally and internationally.
Examine the range of preventative, treatment, rehabilitation/recovery and liaison services available to people with alcohol/drug related difficulties in Ireland
Critically evaluate the role of statutory agencies, the voluntary and community sector, and the contemporary health and social policy framework in regard to addiction.
Examine the role of the criminal justice system in drug and alcohol treatment and the relationship between policy, the criminal justice system, and substance misuse.
Analyse the role of the media in generating and sustaining societal attitudes and values regarding people with alcohol/drug related difficulties, with particular regard to normalisation of drug and alcohol use among young people in Western society.
Explore the relation between attitude / value systems, political decision making and the provision of health services for people who have alcohol / drug related difficulties.
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Indicative Time Allowances
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Hours
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Lectures |
30
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Tutorials |
10
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Laboratories |
0
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Seminars |
10
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Independent Learning Time |
100
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Total |
150
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Placements |
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Assignments |
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NOTE
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Assume that a 10 credit module load represents approximately 150 hours' work, which includes all teaching, in-course assignments, laboratory work or other specialised training and an estimated private learning time associated with the module.
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Indicative Syllabus
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Patterns of substance use, behavioural and attitude change, the prognosis for addiction and relapse.
Physical and psychological abuse and dependence.
Biological, sociological and psychological theories of addiction, such as the addictive substance hypothesis and trans-theoretical models.
Approaches to care, such as abstinence, detoxification, maintenance, and harm minimisation.
Treatment models adopted in Ireland and elsewhere.
Biological effects and actions of psychoactive substances, e.g., alcohol, anxiolytics, cocaine, cannabis, MDMA, amphetamines, opiates, and solvents.
Relevant pharmacological issues, e.g., overdose, tolerance, toxicity, drug interactions, detoxification, antagonist/agonist drugs. Classification issues and categorisation systems in conceptualising `mental disorders'.
Treatment modalities, such as self-help groups, residential therapeutic communities, psychotherapy, and alternative treatments.
Stressors and lifespan issues in the context of care, e.g., coping, poverty, bereavement, body image, cognitive impairment, interpersonal relationships.
Ethical issues and dilemmas in caring for persons with alcohol/drug related difficulties, such as informed consent, confidentiality, advocacy, pregnancy, dual diagnosis, suicide.
Addictive / compulsive behaviours not related to psychoactive substances, such as compulsive gambling, eating disorders and high risk sexual behaviour.
Criminal justice and drug use, e.g., alternatives to imprisonment, decriminalisation.
Prevention, rehabilitation and liaison services
Statutory, voluntary and community sector responses to the use of drugs and alcohol, e.g., community action groups, social policy initiatives.
The development and maintenance of values and societal attitudes. Construction and deconstruction of media and social representations of substance use, e.g., stereotyping, attributions, normality / deviance, and use of language.
User accounts of drug / alcohol use and addiction.
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| Assessment | | Continuous Assessment | 60% | Examination Weight | 40% |
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Indicative Reading List
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Essential:
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders IV. Washington: APA.
Bean, P. (2001). Drugs and crime. Devon: Willan Publishing.
Chapman, G., & Sonnenberg, F. (2000). Decision making in health care. Cambridge: Cambridge University Press. Goldstein, A. (2001). Addiction: From biology to drug policy. Oxford: Oxford University Press.
Grilly, D.M. (1998). Drugs and human behaviour. Boston: Allyn & Bacon.
Jaffe, J.H., Knapp, C.M., & Curaulo, D.A. (1997). Opiates: Clinical aspects in substance abuse. Philadelphia: Lippincott Williams & Wilkins.
Kandel, D. (2002). Stages and pathway of drug involvement. Cambridge: Cambridge University Press.
Lowinson, J., Ruiz, P., Millman, R.B., & Langrod, J. (1995). Substance abuse: A comprehensive textbook. Philadelphia: Lippincott Williams & Willkins.
Marlatt, G.A., & Vandenbos, G.R. (1997). Addictive behaviours: Readings on etiology, prevention and treatment. Washington: America Psychological Association.
Oran, R., OBrien, M., Dillon, L., & Farrell, E. (2000). Overview of drug issues in Ireland. Dublin: Health Research Board.
Rassool, G.H. (1998). Substance use and misuse. Oxford: Blackwell.Shapiro, H. (1996). Drug abuse briefing: A guide to the effects of drugs and to the social and legal facts about their non-medical use in Britain. London: ISDD.
Sussman, S., Ames, S.L., & Sutton, S. (2001). The social psychology of drug abuse. Buckingham: Open University Press.
World Health Organisation (1992). The tenth revision of the International Classification of Disease (ICD 10). Geneva: WHO.
Supplementary:
David, E., Smith, M.D., Richard, B., Seymour, M.A. (2001). Clinicans guide to substance abuse. New York: McGraw-Hill.
Department of Health (1991). National Alcohol Policy. Stationery Office. Department of Tourism, Sport and Recreation (2001). Building on Experience: National Drug Strategy 2001-2008. Dublin: Stationery Office. Ghodse, A.H. (1995). Drugs and addictive behaviour. Oxford: Blackwell.
Glantz, M., & Pickens, R. (1992). Vulnerabilities to drug abuse. Washington: American Psychological Association.
Hill, M., & Ham, C. (1997). The policy process in the modern state. London: Prentice Hall.
Inciardi, J. (1993). Drug treatment and criminal justice. London: Sage.
Nakken, C. (1996). The addictive personality: Understanding the addictive process and compulsive behaviour. Center City, MN: Hazelden.Preston, A. (1996). The methadone briefing. London: ISDD.
Preston, A., & Malinowski, A. (1997). The detox handbook: A users guide to getting off opiates. Dorset: Island Press.
Shewan, D., Davies, J. (2000). Drug use and prisons: An international perspective. Reading: Harwood Academic Publishers.
Strain, E.C., & Stitzer, M.C. (1999). Methadone treatment for opioid dependence. Baltimore, MD: John Hopkins University Press.
Thombs, D.L. (1994). Introduction to addictive behaviour. London: Guilford Press.
Tyler, A. (1986). Street drugs: The facts explained, the myths exploded. London: Hodder and Stoughton.
Zinberg, N. E. (1984). Drug, set, and setting: The basis for controlled intoxicant use. New Haven: Yale University Press.
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Programme or List of Programmes
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| GNSAD | GD Nursing,Addictions/Substance-Related |
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