Professional Documents
Culture Documents
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4: Confidentiality
Explain the patients right to privacy & any limits to confidentiality, e.g. if there are child protection issues Patients need to be informed that the purpose of taking a drug & alcohol history is to obtain information that is relevant to their health / not a forensic investigation. Information in most cases, can only be provided to third parties with written permission Exceptions, for example, if the person is homicidal or suicidal; if there are current child protection issues or if a subpoena has been issued for the patients notes
Agitation
Disturbance of coordination, gait Gooseflesh Dilated pupils Leg, stomach cramps
4: Consequences of use
Excessive weight loss, signs of numerous old injuries, e.g. bruising General physical health problems such as septicaemia, HIV, hepatitis B/C, jaundice Mental health illness, treatment, involuntary admissions Psychological distress/needing to do sex work/victim of rape/violence Crime, jail, stealing from family & friends, selling possessions Loss of relationships, employment, housing, savings etc
HIV, Hepatitis B & C Screening, Child Protection & Domestic Violence Issues
Besides the information that has been presented so far that needs to be collected on admission, there is some other important information to assess The next slides cover three of a number important issues that should be part of an assessment Child Protection & Domestic Violence screening are mandatory HIV, Hepatitis B & C screening should also be part of any assessment, especially that hepatitis B is vaccine preventable and the high rate of Hepatitis C in injecting drug users
Pre-test and post-test counselling must be provided as outlined in: NSW Health Policy Directive PD2005_048: Counselling associated with HIV antibody testing guidelines.
For further information, see Nurses & Hepatitis C Australasian Society for HIV Medicine (ASHM) http://www.ashm.org.au/uploads/File/nursessupp.pdf
It is important to note that drug & alcohol issue by a parent does not automatically equate to a child or young person being at risk
For further information, refer to: NSW Health Policy Directive PD2005_299. Protecting children and young people
NSW Health Frontline Procedures for the protection of children and young people. 2000
Ask about frequency of use e.g. how often would you have a drink/use heroin/cannabis? or ask what is a typical day of drug use?
Be affirmative, e.g. It takes a lot of courage to open up and talk about your drug use
Street name
Grog, piss, booze, sauce Speed, goey, whiz, uppers, oxblood, point, crystal, crystal meth, ice, shabu benzos, rowies, moggies, downers, sleepers, tummies, series, pills marijuana, grass, pot, shit, ganja, mull, hash, durry, green, dope, cone
Leaf- Ounce (28 g) $150 Head- Ounce (28 g) $200 Hydroponic- (28 g) $250 Hash/resin- Deal (1g ) $50 1 gram $150$300 1 tablet/capsule $30$70 1 taste/cap (0.10.3 g) $50 Full gram $200$500
Snow, coke E, eccies, XTC, fantasy, GBH, liquid ecstasy, good speed Hammer, H, shit, smack, horse, harry, white, skag, junk
Street name
Special K Acid, blotter, trips, wangers, tabs, dots Adam Ecstasy, Utopia, E, XTC
Angel dust Dr Death Magic mushrooms, gold tops glue, tol, toluene, bute, nitrus, amyls, petrol, super, aerosol paint-chroming
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A second participant continues this process until all scenarios are completed the time allocated is over.
RPA Education Unit CSAHS Powell, Keen & Brown 1994
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7. 8.