Module Title |
Therapeutic interventions
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Module Code |
NS529
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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 |
Level |
5
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Credit Rating |
5
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Pre-requisite |
None
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Co-requisite |
None
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Module Aims
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This module offers a theoretical underpinning to the socio/political climate and spectrum of interventions used in nursing people with alcohol/drug related difficulties. The aims are:
For students to critically analyse perspectives based on bio / psycho / social models of addictive behaviour, and to apply them to the treatment of substance abuse and dependence.
To profile individuals who present with addictive behaviour and / or related health issues, and to analyse the role of nursing in responding to these difficulties.
Critically appraise strategies for assessment, intervention and evaluation that are applicable to nursing a person with an addiction or related health issue(s).
To critically examine the epidemiology, etiology, course and treatment of diseases related to the use of drugs / alcohol, with an emphasis on examining psychosocial dimensions to disease.
For students to critically evaluate the socio/political climate in relation to substance use.
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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:
Analyse and synthesise bio / psycho / social perspectives of addiction.
Critically discuss interventions arising from bio / psycho / social perspectives, and make informed decisions regarding the appropriateness of interventions for particular clients.
Relate perspectives of addiction to nursing practice.
Critically analyse nursing assessments and interventions for people with alcohol/drug related difficulties and how their use can be integrated with other interventions.
Critically review management strategies employed in nursing people with various alcohol/drug related difficulties. Examine the requisite nursing knowledge and skills for nursing people with alcohol/drug related difficulties in the existing range of service provision in Ireland and elsewhere
Evaluate the relationship between those intra-, interpersonal and social factors related to addictive behaviour, and consider the relationship between these factors and health outcomes. Integrate pharmacological and pharmocokinetic perspectives with psychosocial and nursing interventions.
Discuss Hepatitis B/C, HIV/AIDS, TB, and sexually transmitted infections, and examine interventions and infection control strategies.
Make appropriate judgements and decisions regarding physical complications that may arise from addictive behaviour, e.g., hepatitis and liver disease, withdrawal seizures, HIV disease, deep venous thrombosis and delerium tremens.
Critically review psychological difficulties associated with alcohol / drug related difficulties, e.g., stress and coping, anxiety and depression, social identity and self esteem, and suicidal behaviour.
Learning Outcomes: On completion of this module and following a period of personal study, the student will be able to:Analyse and synthesise bio / psycho / social perspectives of addiction.Critically discuss interventions arising from bio / psycho / social perspectives, and make informed decisions regarding the appropriateness of interventions for particular clients.Relate perspectives of addiction to nursing practice.Critically analyse nursing assessments and interventions for people with alcohol/drug related difficulties and how their use can be integrated with other interventions.Critically review management strategies employed in nursing people with various alcohol/drug related difficulties. Examine the requisite nursing knowledge and skills for nursing people with alcohol/drug related difficulties in the existing range of service provision in Ireland and elsewhereEvaluate the relationship between those intra-, interpersonal and social factors related to addictive behaviour, and consider the relationship between these factors and health outcomes. Integrate pharmacological and pharmocokinetic perspectives with psychosocial and nursing interventions.Discuss Hepatitis B/C, HIV/AIDS, TB, and sexually transmitted infections, and examine interventions and infection control strategies.Make appropriate judgements and decisions regarding physical complications that may arise from addictive behaviour, e.g., hepatitis and liver disease, withdrawal seizures, HIV disease, deep venous thrombosis and delerium tremens. Critically review psychological difficulties associated with alcohol / drug related difficulties, e.g., stress and coping, anxiety and depression, social identity and self esteem, and suicidal behaviour.
Explore how the needs of clients with dual diagnosis may best be addressed within the health service generally and through the use of nursing interventions.
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Indicative Time Allowances
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Hours
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Lectures |
24
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Tutorials |
4
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Laboratories |
0
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Seminars |
10
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Independent Learning Time |
37
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Total |
75
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Placements |
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Assignments |
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NOTE
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Assume that a 5 credit module load represents approximately 75 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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Theory, research and applications related to key bio / psycho / social interventions.
Models of health and social services provision in the context of treating people with alcohol/drug related difficulties.
Health promotion in prevention, harm minimization and motivation among people with alcohol/drug related difficulties.
Applying therapeutic interventions in primary, secondary and tertiary care and in different care settings.
Care options from abstinence to substance maintenance.
The role of nursing in a multidisciplinary addictions treatment team.
Biological effects, action and interactions of medication used in the treatment of addiction and associated health problems, e.g., methadone, naltrexone, lofexidine, buprenorhine, librium, antabuse, antidepressants, triple therapy, riboflavin, interferon, anti-TB medication and anti-convulsant therapy.
Physical syndromes related to addictive behaviours, such as withdrawal, intoxication, delerium tremens, and overdose.
Crises and acute health concerns with people who have alcohol / drug related difficultiesLiaison and service / professional collaboration in prevention, treatment and recovery or maintenance and continuing careWorking with families / carers and the consequences of alcohol / drug related difficultiesEvidence-based practices and skills training regarding skills such as venepuncture, assessment, treatment and management of tissue viability, and vaccination regimes.
Best practice regarding health and safety practices, including infection control.
Epidemiology, etiology, symptomology, course, and treatment of infectious diseases such as HIV/AIDS, hepatitis B/C, sexually transmitted diseases, and TB.
Epidemiology, etiology, symptomology, course, and treatment of diseases/conditions associated with excessive and persistent consumption of alcohol, e.g., liver disease, gastric ulcers/cancer, organic disorders, oesophageal varices.
Relevant nursing models and intervention strategies
Behaviours, social interactions, identity and lifestyle issues among people who take alcohol / drug in excess over a prolonged period of time.
The respective role of community, voluntary, self-help and statutory agencies in addressing addictive behaviour and other alcohol / drug related difficulties.
Health promotion application to people with alcohol / drug related difficulties.
Dual diagnosis - assessment, service provision and treatment dynamics.
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Assessment | Continuous Assessment | 50% | Examination Weight | 50% |
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Indicative Reading List
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Essential:
Corrigan, D. (1994). Facts about drug abuse in Ireland. Dublin: The Health Promotion Unit.
Donnellan, C. (2000). Confronting eating disorders. Cambridge: Independence Educational Publishers.
Goodman, A. (1998). Sexual addiction: An integrated approach. Madison, CT: International Universities Press.Gossop, M. (2000). Living with drugs. London: Ashgate.
Kirton, C.A., Talotta, D., & Zwolski, K. (1999). HIV/AIDS nursing handbook. St Louis: Mosby.
Ladouceur, R. (2002). Understanding and treating the pathological gambler. New York: Wiley.
Nolan, M., Grant, G., & Keady, J. (1996). Understanding family care: A multidimensional model of caring and coping. Buckingham: Open University.
Poynard, T. (2001). Hepatitis B & C, management and treatment. London: Routledge.
Rassool, G.H., & Gafoor, M. (1997). Addiction nursing. Cheltenham: Nelson Thornes.
Rawlings, B., & Yates, R. (2001). Therapeutic communities for the treatment of drug users. London: Jessica Kingsley.
Robertson, R. (1998). Management of drug users in the community. London: Arnold.
Steadman, T. (1998). Sexually transmitted infections: Nursing care and management. Cheltenham: Nelson Thornes.
Sue, D., Sue, D.W., & Sue, S. (2001). Understanding abnormal behaviour. Boston: Houghton Mifflin.
Supplementary:
Durlacher, J. (2000). Agenda Heroin. London: Carlton Books.
Freeman, E. (2001). Substance abuse intervention, prevention, rehabilitation, and systems change strategies. New York: Columbia University Press.
Heather, N., and Robertson, I. (1998). Problem drinking. Oxford: Oxford Medical Publications.
Jarvis, J.T. (1995). Treatment approaches for alcohol and drug dependence. New York: Wiley.
Joseph, M. (2000). Agenda Ecstasy. London: Carlton Books.
Keating, S. (2001). Vaccination guidelines for patients attending ERHA Drug Treatment Clinics: A guide for doctors and nurses working in the HIV and addiction service. Dublin: Eastern Regional Health Authority.
Lindstrom, L. (1992). Managing alcoholism: Matching clients to treatment. Oxford: Oxford Medical Publications.
Platt, J. (2000). Cocaine addiction. Harvard: Harvard University Press.
Seivewright, N. (1999). Community treatment of drug misuse: More than methadone. Cambridge: Cambridge University Press.
Smith (2001). Amphetamines. London: Harcourt Publishers.
Sullivan, E.J. (1995). Nursing care of clients with substance abuse. St Louis: Mosby.
Tagliamonte, A., & Maremmani, I. (1995). Drug addiction and related clinical problems. New York: Springer-Verlag.
Ward, J., Mattick, R.P., & Hall, W. (1998). Methadone maintenance treatment and other opioid replacement therapies. Amsterdam: Harwood Academic.
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Programme or List of Programmes
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GNSAD | GD Nursing,Addictions/Substance-Related |
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