Counseling Points - September 2007 - (Page 13)

continue to battle cravings. If the COWS score is high (12 or more), it may be best to administer the first 2- to 4-mg dose prior to completing the nursing history, as long as the basic history of allergic reactions and medical/psychiatric conditions does not contraindicate this approach. If adequate withdrawal is not detected, proceed with the medical history questions. • Inquire about use patterns over the past month specifically with regard to long-acting opioids such as methadone, remembering that certain HIV medications will actually increase the net effective methadone dose. • Make the patient comfortable early on, to improve adherence, trust, and rapport. • Explain the need for accuracy about reporting last use to avoid PWD. • The patient who reports no recent use but does not have a score consistent with withdrawal (COWS score 8) requires additional consideration. Assuming Join IntNSA today The International Nurses Society on Addictions (IntNSA) is a professional specialty organization founded in 1975 for nurses committed to the prevention, intervention, treatment, and management of addictive disorders including alcohol and other drug dependencies, nicotine dependencies, eating disorders, dual and multiple diagnosis, and process addictions such as gambling. The goal of IntNSA is to help nurses provide comprehensive, high-quality nursing care for addicted patients and their families. IntNSA has something to offer every nurse, regardless of their area of nursing practice. With the prevalence of addiction-related health consequences, we believe that all nurses must maintain a basic level of knowledge and skills in addictions. • Attend the IntNSA annual educational conference featuring nationally recognized speakers and stateof-the-art workshops • Participate in IntNSA board elections • Apply for IntNSA awards and scholarships • Register to take CARN and CARN-AP certification exams Information and Resources Membership includes: • A subscription to IntNSA TODAY, the association’s quarterly newsletter • Exclusive access to IntNSA’s Members-only section on the web (www.IntNSA.org) • Position papers and brochures on important issues related to addiction nursing • Other special publications and resources Savings • Discounts on the annual conference and regional workshops • Reduced registration rates at other conferences and seminars • Discounts on association products To obtain a membership brochure via mail, please call IntNSA at (614) 221-9989 or e-mail us at intnsa@intnsa.org. You can also visit our website www.intnsa.org for an application. To Become a Member Active membership is open to all registered professional nurses. Graduate or under-graduate student nurses are encouraged to join and vote, but cannot hold an office. Member Benefits • Obtain continuing education contact hours for nursing and substance abuse credits • Network and interact with peers via our membersonly database • Participate in IntNSA committees to further the goals of treatment of substance abuse and co-occurring disorders SEPTEMBER 2007 13 http://www.IntNSA.org http://www.intnsa.org

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Welcome Office-Based Medication-Assisted Treatment of Opioid Dependence Summary Continuing Education Posttest Postest Answer and Program Evaluation Form

Counseling Points - September 2007

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