Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle...
Transcript of Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle...
![Page 1: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/1.jpg)
Non-Pharmacological Approaches to
Managing Substance Use Withdrawal
Bari K Platter, MS, RN, PMHCNS-BC
Clinical Nurse Specialist
![Page 2: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/2.jpg)
Alcohol
• Tremors
• Anxiety
• Nausea
• Vomiting
• Headache
• An increased heart
rate
• Sweating
• Irritability
• Confusion
• Insomnia
• Nightmares
• High blood pressure
Substance Use Withdrawal Symptoms
Opiates
• Watery eyes
• Runny nose
• Yawning
• Sweating
• Hot and cold flashes
• Dilated pupils
• Chills or gooseflesh
• Loss of appetite
• Restlessness
• Agitation
• Anxiety
• Tremors
• Abdominal
• Cramps
• Nausea
• Vomiting
• Fever
• Muscle aches and
pains
• Increased blood
pressure and/or
heart rate
• Insomnia or other
sleep problems
![Page 3: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/3.jpg)
Benzodiazepines
• Flu-like symptoms
• Shaking
• Excessive sweating
• Insomnia
• Severe anxiety or
panic attacks
• Depression or
anxiety
• Stomach pain and
cramping
• Vision problems
• Headaches
• Heightened
sensitivity to lights,
smells and sounds
• Unsteadiness or
dizziness
• Depersonalization
and derealization
Substance Use Withdrawal Symptoms
Cocaine
• Agitation and
restlessness
• Depressed mood
• Fatigue
• Generalized malaise
• Increased appetite
• Slowing of activity
• Vivid and unpleasant
dreams
![Page 4: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/4.jpg)
Meth
• Hopelessness
• Mood changes
• Muscle weakness
• Decreased appetite
• Fatigue
• Lack of motivation
• Anxiety
• Insomnia despite
exhaustion
• Headache from
dehydration
• Muscle pain, especially
in the jaw from
clenching
Substance Use Withdrawal Symptoms
Marijuana
• Anxiety
• Depression
• Mood changes
• Irritability
• Stomach pains
• Loss of appetite
• Nausea
• Insomnia
![Page 5: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/5.jpg)
• Insomnia
• Anxiety
• Mood changes
• Irritability
• Restlessness
• Agitation
• Depression
Common Symptoms Addressed
with Holistic Approaches
![Page 6: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/6.jpg)
• Mindfulness practice
• Distress Tolerance skills
• Aromatherapy
• Auricular acupuncture
Ways to Holistically Manage Withdrawal
![Page 7: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/7.jpg)
• Integration of two evidence-based models of care
• Includes Mindfulness, Distress Tolerance, Interpersonal
Effectiveness and Emotion Regulation
• Worksheets can be used to support nurses in teaching
concepts that address withdrawal symptoms
Platter & Cabral, 2012
Integrating Dialectical Behavior Therapy
with the Twelve Steps Curriculum
![Page 8: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/8.jpg)
Mindful Breathing
![Page 9: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/9.jpg)
Body Scan
![Page 10: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/10.jpg)
Seeking Guidance
![Page 11: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/11.jpg)
• Lavender sachet
• Polished stones
• Hard candy
• Stress ball
• Word search,
crossword and
sudoku puzzles
Self-Soothing Kit
![Page 12: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/12.jpg)
• Evidence-based research has noted success in using
aromatherapy
• Can be used safely in withdrawal
• Lavender- anxiety, agitation, restlessness, insomnia
• Sandalwood-insomnia, obsessive thinking, grief
• Mandarin- stress, insomnia, mental fatigue, overactivity,
nervous tension, restlessness
• Marjoram- anxiety, insomnia, nervous tension, agitation,
grief, obsessive thinking
Cho, et al, 2013
Aromatherapy
![Page 13: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/13.jpg)
6 parts Lavender essential
oil
2 parts Marjoram essential
oil
1 part Mandarin essential oil
• Apply droplets to a small vial that
contains carrier oil
• Instruct patient to dab the solution
on pulse points on wrist and neck
up to 2 times/day
• Wash hands after application
Deep Relaxation Blend
![Page 14: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/14.jpg)
10 drops Lavender
essential oil in a
small spray
container, add water
to fill
Lavender Spray
![Page 15: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/15.jpg)
• Can be integrated with other
interventions
• Is barrier free- no lengthy
assessments
• Regular treatments
• Communal setting
• Cross-trained health
providers offer the therapy
• Evidenced-based model of
care
National Auricular Detoxification Association
(NADA) Protocol
Stuyt & Voyles, 2016
![Page 16: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/16.jpg)
• Medications used to address SUD withdrawal have
large side effect profiles
• Medications reinforce neuro-pathways formed in active
addiction
• Many non-pharmacological approaches are evidence-
based
• Patients are increasingly interested in holistic
approaches to care
• Nurses are in a great position to support holistic
approaches
Summary
![Page 17: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/17.jpg)
![Page 18: Non-Pharmacological Approaches to Managing …...Meth • Hopelessness • Mood changes • Muscle weakness • Decreased appetite • Fatigue • Lack of motivation • Anxiety •](https://reader030.fdocuments.in/reader030/viewer/2022040405/5e99bb2aee023d655d20db5a/html5/thumbnails/18.jpg)
Bari K Platter, MS, RN, PMHCNS-BC
1693 N. Quentin St
Aurora, CO 80045