DIAGNOSTIC IMPRESSION: Rosa Lee has exhibited signs and symptoms of substance abuse. She has become very skilled in the art of manipulation, a behavior that can often be associated with drug abuse. Her priorities are questionable, at best, regarding finances and her children’s own substance abuse issues. For example:
“She fires back, her words coming out in a steamy vapor from the cold. “I’m trying to feed my family and I don 't have any money. We 're just trying to survive!"
"That 's dead!" I say. "Save that for the judges at Superior Court. You just threw away several hundred dollars buying dope and crack for your children."
-Dash
She has become very tolerant of the pain that eventually comes with abusing drugs over a long period of time.
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According to Clinton and Scalise, stress is, “a state of mental and physical tension or the conditions that induce the tension.” (Clinton & Scalise, 2013) She experiences negative stress due to her everyday life struggles. Obsessive compulsive behavior has been exhibited in the amount of cleaning she initiates in an effort to balance out the stress. There are times in Dash’s account where she breaks down and begins to cry in front of the interviewer because she feels she can no longer handle the stress of her life.
RECOMMENDATIONS: The first step of recommended treatment would most likely be to remove Rosa Lee from her current, harmful environment. According to Doweiko, “Social support systems, including peers influence on the individual’s substance use behaviors. If a woman has a close associate who drinks heavily, for example, she is herself more likely to both drink heavily and associate with those who drink heavily.” (Doweiko, 2012) She even admits that environmental change would be helpful in the recovery process.
"Mr. Dash," Rosa Lee says one day in early October 1990. "Why is it I can 't find a place with no drugs?"
She is standing in her living room, her hands spread in a gesture of frustration and resignation, her voice competing with the sound of an afternoon soap opera on
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She also recognizes that there is little she can do to help herself while continuing to reside in her current environment. The treatment program in which she is enrolled does not remove her from the stressors and triggers in her normal, everyday life. According to Clinton and Scalise, “an inpatient drug rehabilitation center is the most effective means by which a heroin addict can be helped” (Clinton & Scalise, 2013). An inpatient drug rehabilitation center would be an ideal facility in order to provide her with a fresh and clean and healthy environment in which to recover. An inpatient treatment center will allow for all other medical needs to be addressed in addition to the main focus on recovery from substance use disorder. (Doweiko, 2012) During the time spent at a facility such as this, the goal would be for the patient to leave with the knowledge and skills to continue in their recovery even if they must return to their initial harmful environment. Here both psychological and physical needs are
Rosa Lee Cunningham is a 56 year old African American female. She is referred to the facility from Howard University Hospital. She was treated for a condition called osteomyelitis, which resulted from a bacterial infection while using heroin (Dash, 2006). Rosa Lee states that on October 7, 1983, she injected cocaine, which resulted in her being hospitalized at D.C. General Hospital (Dash, 2006). Prior to her hospital visit in 1983, she injected heroin, cocaine, and various substances. After a horrible breakup with her girlfriend, she used heroin for the first time (Dash, 2006). She stated that she uses speed ball of cocaine, heroin mixed injection as well as Prelundin, occasionally (Dash, 2006).
“My crimey here think the way to go is more drugs. But I know better. I think making money is okay, but not making it just by dealing. You gotta go legit, at least for a minute. You gotta go state fresh, all the way live, if you wanna do anything worthwhile out here. Everybody thinks they can make crazy dollars, but they confused. It aint like that. I’ve seen co-caine bust many a head – they get fucked up and be clocking out after they find out they cannot find the key to understanding that mystery skied. But you know what? But-but0but you know what? They don’t have a clue. Word.” (Williams, 1989)
Dimed by Barbara Ehrenreich and Drug Abuse, Opposing Viewpoints by Tamara L. Roleff. For example, Barbara Ehrenreich gives us an appropriate quote when she states that, "if you want to stack Cheerios boxes or vacuum hotel rooms in chemically fascist America, you have to be willing to squat down and pee in front of a health worker,"
Throughout “Chasing the Scream” many intriguing stories are told from individuals involved in the drug war, those on the outside of the drug war, and stories about those who got abused by the drug war. Addiction has many social causes that address drug use and the different effects that it has on different people. In our previous history we would see a tremendous amount of individuals able to work and live satisfying lives after consuming a drug. After the Harrison Act, drugs were abolished all at once, but it lead to human desperation so instead of improving our society, we are often the reason to the problem. We constantly look at addicts as the bad guys when other individuals are often the reasons and influences to someone’s decision in
Rose Helen Wade Lee was born on January 11, 1947 to Jerona Mae Rogers and Ely Wade in Washington D.C. She had five (5) brother and (1) sister, Lonnie Ware Rogers (deceased), Harold Brown Rogers, David Lewis Wade Sr., Charles Wayne Wade Sr., Clara Andronedia XXXXXXXX, Alonzo Nicholas Wade(deceased). She has four (4) beautiful children Harold Rogers Wade, Lonnie Rogers Wade, Howard William Lee, Jr and Amaris J Lee, and then there was one (1) that adopted her Darian Dewayne Berry. She was married Howard W. Lee, Sr. (deceased) for 35 years. She had four (4) wonderful grand children Jessica Marie Wade, Coardero A. Rankens (deceased), Kevon Donte` Lee, and Julius Dante` Wade, and two (2) great grand kids Andre` Marquis Burton, and Kennedi Amber Wade to live her legacy on.
On another note, these treatments would be highly successful if she actually participated. If she was truly committed to getting better and she fully participated in the therapy and stopped going to areas in which stimulated her substance abuse problem, she would be fine in life. She may need continual therapy and support, but she would become the successful actress she has so long desired to be; and the community has so long desired for her to be also.
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
This leads to the second school of thought on medically assisted treatment. There has been a great deal of debate about the medication used to treat Opiate addiction, methadone. Many feel that the drug methadone is simply trading one drug in for another, as the addiction to methadone is quick and almost more powerful than an opiate addiction (Nelson, 1994). The withdrawals effects are far more intense with methadone and for this reason it is a lifetime maintenance medication. Some suggest that more rehabilitative programs are needed that would address the social problems the users have to help them recover, instead of the methadone program that is viewed...
At today's visit, she is awake, alert and oriented times 3. She is accompanied by her friend and daughter. She is sitting on her sofa slump over and crying “ I cannot take this pain anymore, I cannot keep going on like this, why wont
The repeated use of drugs often causes both physical and psychological dependence, as mentioned in an article by the Funk & Wagnalls New World Encyclopedia (“Drug Dependence”). In order for an individual to truly be set free from their addiction, seeking treatment is necessary. Rehab centers are a great place with scientifically proven methods to cure those addicted to drugs. It is important to try to end drug use in our country, rather than allowing it to continue longer than it already has. While funding for rehabilitation facilities could become an issue, drug users may continue their addiction without proper treatment, and therefore those arrested for drug use should be sent to a rehabilitation center instead of prison.
An interprofessional competency that was done well was roles/responsibilities; “Use the knowledge of one’s own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served”, specifically, “RR3. Engage diverse healthcare professionals who complement one’s own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs” (American Association of Colleges of Nursing, 2011). Lia’s doctors engaged a multidisciplinary team to work with the Lee’s. The doctors, public health nurses, interpreters, social workers, and Lia’s temporary foster parents worked together with the Lee’s to help them learn how to correctly administer her
Across the United States and throughout the world there is an epidemic of epic proportion involving drug addiction. Here in North Carolina the majority of the Department of Corrections inmate population is known to have substance abuse problems. (Price, 62) Along with this epidemic is the growing problem of prison overcrowding. There is a correlation between the two. Many of today’s correctional facilities house inmates that have committed drug related crimes or crimes that they committed while under the influence. There is a solution that would help society and lessen the overcrowding of the penal system. The solution is to help those that are committing crimes because of an addiction disorder. There is viable evidence that this solution works such as statistics, causes of addiction and its ability to be treated, and studies that have been done with the focus on recidivism of recovering addicts. There is also the matter of the cost effectiveness of treatment versus incarceration. Of course there are opponents that make valid argument against treatment in lieu of incarceration. The argument against includes the fact that relapse can and often does happen to the addicted individual. In many segments of society providing treatment to stigmatized individuals is frowned upon.
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
The patient may be able to sense if you have a negative opinion of them. Also, many patients with addiction may have ineffective coping, personal identity disturbance, and altered family coping along with many others. The patient will need support and access to resources. As nurses we must advocate for our patients, so in these situations we need to be actively doing this. The patient may need information about treatment and groups. During my observation at a rehabilitation facility, I saw firsthand that these patients need support. We need to provide the support and care that they need. (Observation, March 1,
Most addicts do not know how to live life without their drug of choice. The life cycle of a drug rehab program starts by identifying the reasons that caused the person to start using their drug of choice in the first place. In order to learn to live again, the treatment program must answer certain questions