ADDICTIONS NURSING IN Holland and Europe. Education now and in the future
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1 ADDICTIONS NURSING IN Holland and Europe Education now and in the future
2 Disclosure IntNSA Holland: August
3 ASAM American Society of Addiction Medicine: Definition of Addiction Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. IntNSA Holland: August
4 And.. Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. IntNSA Holland: August
5 The Netherlands: 17,2 inhabitants 1,2 million alcohol addicts 1,8 daily users of benzodiazepines 32,000 heroin addicts: 14,000 know by MMT 70,000 cannabis users with severe psychiatric problems 4,6 % of the partygoers is using GHB: 1,200 has become addicted and about 600 are in treatment 551,500 nicotine problem users (20 of more cigarettes daily) IntNSA Holland: August
6 The Netherlands: 17,2 inhabitants 4,6 % van all bereavements is alcohol related 8,000-10,000 Korsakov patients 30% of the patient population of a average GP practice is suffering from any form of addiction IntNSA Holland: August
7 And 10% of our workforce has a form of addiction 480 miljoen of addiction care is spent each year; 40-50% of violent crimes is alcohol and/or drugs related; 85% of all violence in the entertainment circuits is alcohol related. IntNSA Holland: August
8 New Developments Eating disorders Growing number of painkiller users: due to prescribing Oxycodon etc. Our youth: addiction to social media Shopping addicts: oniomania Sex addiction Game addiction IntNSA Holland: August
9 Addictions Nursing in the Netherlands 14 specialized institutions for addiction treatment, DD perspective in specialized clinics Estimated numbers of nurses working in addictions treatment: 2,000 3,000 Workplaces: out patient clinics (medication: methadone and heroin), GP practices, forensic institutes, detox clinics, long-lasting low threshold care facilities, street prostitutes projects, needle exchange projects, user rooms for alcohol and/or drugs, etc. IntNSA Holland: August
10 The future of Addictions Drug and Alcohol Nursing: does the title covering the load? IntNSA Holland: August
11 Stories out of daily practice Untreated ADHD/ADD and cannabis, or alcohol, or speed addiction Untreated ASD and anabolic steroids addiction PTSD and buying addiction (oniomanie) and or alcohol addiction ASD and nicotine addiction Axiety disorder and benzodiazepine addiction Depression / low self esteem and sex addiction Diabetes and eating disorder and/or nicotine addiction ADHD, circadian sleeping disorder and eating disorder IntNSA Holland: August
12 Dutch Addictions Nursing Curriculum Nursing Standards of Care in Addictions Based on: stages of Benner Canmed roles and competencies Competency Profile Addictions Nursing for undergraduate, bachelor, post bachelor, and MANP IntNSA Holland: August
13 IntNSA Holland: August
14 Addictions Handbook for care, guidance and prevention Bachelor level IntNSA Holland: August
15 Addictions Care in Daily Practice Undergraduate level IntNSA Holland: August
16 Education in addictions nursing: Minor Addictions in bachelor courses for nurses and social workers Addictions training for nurses in their role as practice assistant mental health care in general practitioners offices MANP Mental Health Care: three years course also in addictions nursing IntNSA Holland: August
17 Addictions nurse: Beginner/advanced beginner Bachelor in nursing: learning and working with help of internal training Out patient methadone maintenance clinics (handing out medication, monitoring the effects) Detox clinics: sociotherapist for group sessions, individual nursing care for patients in detox HAT: handing out heroine, supervise the use in user rooms, provide individual nursing care Ambulant living guidance: member of a multidisciplinary team, out patient care at home settings IntNSA Holland: August
18 Addictions nurse: Competent/proficient Bachelor level and two years working experience with internal training First responsible nurse, as a case manager responsible for a patient caseload ACT teams Triage and indication statement Crisis care interventions Psycho-education E-health coaching In depth nursing diagnose IntNSA Holland: August
19 Addictions nurse: Expert MANP education with special training in addictions Role: being in clinical lead and responsible for the entire treatment a side the psychiatrist, addictions physician, and psychologist Tasks and responsibilities: prescribing medication (independently): psychiatric and addictions related doing medical and nursing assessments making psychiatric and nursing diagnoses doing referrals CBT, EMDR, etc. IntNSA Holland: August
20 Further specialization Elderly people Mentally retarded people Youngsters/Adolescents Acute care Chronic long-lasting care Prevention IntNSA Holland: August
21 Dreams and Future From out the Dutch perspective: searching for collaboration in education, practice, and research Starting point: European Core Curriculum Addictions Nursing: two expert levels IntNSA Holland: August
22 Dreams and Future CARN Europe: starting in Holland, UK, and Ireland Minor Addiction for undergraduate and Bachelor education Post-Bachelor Master IntNSA Holland: August
23 Questions? Contact: Chris Loth: or IntNSA Holland: August
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