Tuesday 30 December 2014

How Do I Recognize a Drug Impaired Co-Worker?

  • Drug abusers often exhibit similar aberrant behavior. Certain signs and symptoms may indicate a drug addiction problem in a health care professional. Have you observed some of the following signs?
  • Work absenteeism – absences without notification and an excessive number of sick days used;
  • Frequent disappearances from the work site, having long unexplained absences, making improbable excuses and taking frequent or long trips to the bathroom or to the stockroom where drugs are kept;
  • Excessive amounts of time spent near a drug supply. They volunteer for overtime and are at work when not scheduled to be there;
  • Unreliability in keeping appointments and meeting deadlines;
  • Work performance which alternates between periods of high and low productivity and may suffer from mistakes made due to inattention, poor judgment and bad decisions;
  • Confusion, memory loss, and difficulty concentrating or recalling details and instructions. Ordinary tasks require greater effort and consume more time;
  • Interpersonal relations with colleagues, staff and patients suffer. Rarely admits errors or accepts blame for errors or oversights;
  • Heavy "wastage" of drugs;
  • Sloppy recordkeeping, suspect ledger entries and drug shortages;
  • Inappropriate prescriptions for large narcotic doses;
  • Insistence on personal administration of injected narcotics to patients;
  • Progressive deterioration in personal appearance and hygiene;
  • Uncharacteristic deterioration of handwriting and charting;
  • Wearing long sleeves when inappropriate;
  • Personality change - mood swings, anxiety, depression, lack of impulse control, suicidal thoughts or gestures;
  • Patient and staff complaints about health care provider’s changing attitude/behavior;
  • Increasing personal and professional isolation.

Drug Addiction and Abuse

Drug Addiction and Abuse

Drug Addiction and substance abuse is a chronic, relapsing disease wherein the drug user compulsively spends time looking for and using an illegal drug. This form of addiction is characterized by neurochemical and molecular changes in the brain. Some of the common drugs used by drug addicts are heroin, cocaine, lysergic acid diethylamide (LSD), mandrax, barbiturates and a variety of opiates. Estimates indicate that there are around three million drug addicts in India.
Traditionally in India, drug addicts are usually the responsibility of the family or the social group to which they belong. In most cases, drug addicts are treated through general health services, on a voluntary basis. Now, State level hospitals also offer rehabilitation facilities for indoor treatment to hard-core addicts through their psychiatry departments. Besides State run treatment centres, there is a network of de-addiction centres run by voluntary organizations. Also, community based treatment programmes are operated in different regions of the country.
The main thrust of these programmes is to strengthen the ties of addicts to their family and community and get the community to cooperate in the rehabilitation process. The de-addiction centres run by non-governmental organizations employ various systems of medicine such as allopathy, homeopathy, ayurveda, naturopathy and yoga coupled with a range of psychotherapies to cure addicts.

Thursday 18 December 2014

The Problem of Youth Addiction and How You Can Help

They live in the shadows. Maybe you’ve seen them. They follow each other to dark corners, hands full of poison. Used needles and stained prescription bottles litter these corners. In tight huddles, they look at each other–bloodshot eyes–they inhale the poison.
the youth of India (plagued by addiction)
Some jab their arms with thin needles to empty syringes filled with cocktails of toxins. Others sit on black dirt with their heads against brick walls stitched with beads of concrete. They look anxious and almost content, breathing heavily with their eyes wide and turned upward.

A sixteen year old boy says, “save some for me”–his hands look many years older than sixteen. He wants his share.

Youth Drug use in India, on the Rise

Illicit drugs have poisoned the shadows of India for a long time. And those huddled in the shadows are increasingly young. In our country an overwhelming majority of those addicted to illicit drugs like opium, heroin and cheaper synthetic substances fall between 15 and 35 years old. With many of this population unemployed and frustrated, drugs are a perfect form of escapism.
Unfortunately, the addict population doesn’t stop at 15. School boys in Punjab have a reputation for eating small black balls of opium paste, or sipping mixtures of green tea and drugs before class. In fact, in the border state of Punjab more than half of all rural households are home to at least one drug addict; and more than 70 percent of the state’s youth population use drugs regularly.
Numbers like these give reason for concern, and seem to indicate the future of India is at stake. Yet public officials are reluctant to do anything as drugs and alcohol contribute much towards the economy.
But the problem isn’t the numbers, it’s the individuals represented by the numbers–the youngsters.

The Dangers of Starting Young

Studies demonstrate that the younger you start using drugs or alcohol, the greater your chances of becoming addicted.
For example, if a 13 year old boy starts using alcohol regularly he has a 43 percent chance of becoming a severe addict some day. But if that same boy had waited until his 21st birthday, his chances of becoming an addict would have dropped to 10 percent.
Every footballer or cricket player that makes it into the professional leagues has played nearly his entire life. Using drugs and drinking alcohol is similar–the longer you do it, the more it becomes a part of your who you are.

Some Science Behind Youth Drug Addiction

Studies indicate that young people are four times more likely to become addicts. Everything from physical development, to the maturing of the mind occur during our early years–and the younger the mind the more likely dependence to a substance like alcohol or opium will develop early on.
As you grow up, your brain determines which biochemicals it needs to stay healthy. The most important of these chemicals, called neurotransmitters, play a major role in everyday functions like eating, sleeping and overall mood.
When drugs are introduced to a developing mind, the brain may mistake the substances as important neurotransmitters. The brain then programs itself to depend on these substances to perform certain functions, causing the individual to crave drugs.

Steps to Take if You Suspect Addiction

Maybe you’ve found yourself huddled in a dark corner seeking escape with drugs. Or perhaps you fear a loved one is falling prey to the malevolent fingers of addiction. Either way, you’re not sure what to do.
To be honest, it doesn’t get easier from here. But there is hope.
If you’re a parent, and you suspect a problem, the first thing you need to do is address the issue. Tell your child you love him or her, and that you want to help. Don’t go into the conversation as confused as your child. Have a plan.
Consider the treatment options available nearby. Perhaps you can contact a local counselor, or de-addiction centre that admits young people. Here is a comprehensive list of  de-addiction centres treating youth addiction.
Maybe you’re a concerned friend or peer, the best thing you can do for your friend is tell an adult, preferably the parent, or counselor you trust. This will help you navigate your friend into a good recovery situation.

Regardless of your public position or perspective, you can absolutely do something to help curb addiction in India. Be an advocate for a de-addiction centre. Volunteer to help provide food or shelter for struggling addicts. Encourage struggling addicts you know to seek help.

Clearly there is a massive wave of addicts trying to stay afloat down the unforgiving waters of addiction. India can only recover one person at a time. What are you doing to help? Do you know of an NGO that is doing great work to help our addicted youth? Please let us know in the comments. 

Monday 15 December 2014

Alcoholism and De-Addiction?

Alcohol has plenty of romantic associations. The gold-and-scarlet glow of liquor
advertisements, the fizz of the champagne opened by a victorious sportsman, the
toast at a party or the thrill teenagers feel over a secret beer bash – they all make
for the feel-good image of alcohol.
Many people drink socially, or occasionally, and are able to stop after a few drinks. It
does not interfere with any other aspect of their life. But for some others who drink,
things go awry.
We do not know for sure why some people are more susceptible to alcohol abuse
than others. An alcoholic is not just the man in tatters, knocked flat on the road after
a binge. Alcoholism is an age no bar, economic status/ social status no bar disease.
An alcoholic is one, whose drinking causes continuing problems in any area
of his life (such as family relationships, job, financial status or health) and
who continues to drink in spite of these problems because he has developed
a physical and psychological dependence on alcohol.
Once the djinn in the bottle gets you, you are trapped. And how!
“If a person has cancer all are sorry for him…But not so with alcoholic illness, for
with it there goes annihilation of all things worthwhile in life…It brings
misunderstanding, fierce resentment, financial insecurity, disgusted friends and
employers, warped lives of blameless children, sad wives and parents…”
- Alcoholics Anonymous
This section aims to inform people who may be having problems with alcohol, or
know people who have problems with it. We would like you to know that alcoholism
is a disease that needs multi-pronged therapy
• The Highs And Lows of Alcohol
• Physical Damage caused by Alcohol
Alcoholism: a Disease, but Treatable
• Phases of the Disease
• Dry Drunk
• Abstinence and Physical Problems
• What Exactly is a Relapse
• A Toast to Teens
• Avoiding Relapse
• Controlling Anger
• Relaxation Techniques
• Rebuilding Relationships
• Getting Help
• Quiz
o Trends and Treatment
o Contributors to Effective Treatment
Source
TT Ranganathan Clinical Research Foundation

Tuesday 2 December 2014

Narcotics Anonymous Center In Lucknow

The 12 Steps of Narcotics Anonymous

  1. We admitted that we were powerless over our addiction, that our lives had become unmanageable.
  2. We came to believe that a Power greater than ourselves could restore us to sanity.
  3. We made a decision to turn our will and our lives over to the care of God as we understood Him.
  4. We made a searching and fearless moral inventory of ourselves.
  5. We admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
  6. We were entirely ready to have God remove all these defects of character.
  7. We humbly asked Him to remove our shortcomings.
  8. We made a list of all persons we had harmed, and became willing to make amends to them all.
  9. We made direct amends to such people wherever possible, except when to do so would injure them or others.
  10. We continued to take personal inventory, and when we were wrong promptly admitted it.
  11. We sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  12. Having had a spiritual awakening as a result of these steps, we tried to carry this message to addicts, and to practice these principles in all our affairs.

Monday 24 November 2014

Some common Definitions and Terminologies

Some common Definitions and Terminologies

http://www.jeevankiran.org

DEFINITIONS/TERMINOLOGY
1. Abstinence: Non-use of a specific substance. In recovery, non-use of any addictive psychoactive substance. May also denote cessation of addictive behavior, such as gambling, over-eating, etc.

2. Abuse: Harmful use of a specific psychoactive substance. Term also applies to one category of psychoactive substance use disorder. ASAM recommends this term not be used, because of perjorative connotations.

3. Addiction: A disease process characterized by the continued use of a specific psychoactie subsance despite physical, psychological, or social harm.

4. Blackout: Acute antegrade amnesia with no formation of long-term memory, resulting from the ingestion of alcohol or other drugs; i.e. a period of memory loss for which there is no recall of activities.
5. Dependence: (term utilized in three ways)
a. Psychological Dependence-a profound emotional need for the repetitive use of a particular drug or class of drugs.
b. Physical Dependence-a state of altered cellular physiology caused by repetitive use of a drug which may, as a result of acute or gradual withdrawal, precipitate a characteristic abstinence syndrome.
c. one category of psychoactive substance use disorder.

6. Detoxification: a process of withdrawing a person from a specific psychoactive substance in a safe and effective manner.
7. Enabling: Any action by another person or an institution that intentionally or unintentionally has the effect of facilitating the continuation of an individual's addictive process.
8. Impairment: A dysfunctional state resulting from useof psychoactive substances.
9. Intervention: a planned intervention with an individual who may be dependent on one or more psychoactive substances, with the aim of making a full assessment, overcoming denial, interrupting drug-taking behavior, or inducing the individual to initiate treatment. The preferred technique is to present facts regarding psychoactive substance use in a caring, believable and understandable manner.
10. Legalization: Removal of legal restrictions on the cultivation, manufacture, distribution, possession and/or use of a psychoactive substance.
11. Loss of Control: The inability to consistently limit the self-administration of psychoactive substances.
12. Misuse: Any use of a prescription drug that varies from accepted medical practice.
13. Problem Drinking: An informal term describing a pattern of drinking associated with life problems prior to establishing a definitive diagnosis of alcoholism.
14. Recovery: A process of overcoming both physical nd psychological dependence on a psychoactive substance, with a commitment to sobriety.
15. Tolerance: State in which an increased dosage of a psychoactive substance is needed to produce a desired effect.
16. Withdrawal Syndrome: the onset of a predictable constellation of signs and symptoms following the abrupt discontinuation of, or rapid decrease in, dosage of a psychoactive substance.

Tuesday 18 November 2014

Narcotics anynomous cneter in lucknow, Jeevan Kiran best rehabilitation center in lucknow

Narcotics Anonymous Center In Lucknow

Narcotics Anonymous came into being in 1953. Each week, 61,000 meetings are held in 129 countries around the world. Although the organization was founded to deal with narcotic abuse and addiction, it currently makes no distinction between substances and welcomes anyone who is trying to break a dependence on drugs or even alcohol.
Narcotics Anonymous began as an offshoot of the previously formed Alcoholics Anonymous(AA) program. The 12-step recovery program was designed to parallel the one used by Alcoholics Anonymous and meant to be both a pathway to recovery as well as set of expectations and guidelines for members of the organization. In fact, the 12 steps of recovery are now widely recognizable outside of the many addiction programs that now exist.
The 12 steps to recovery are:
  1. We admitted that we were powerless over our addiction; that our lives had become unmanageable
  2. Came to believe that a power greater than ourselves could restore us to sanity
  3. Made a decision to turn our will and our lives over to the care of God as we understood Him
  4. Made a searching and fearless moral inventory of ourselves
  5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs
  6. We’re entirely ready to have God remove all these defects of character
  7. Humbly asked Him to remove our shortcomings
  8. Made a list of all persons we had harmed, and became willing to make amends to them all
  9. Made direct amends to such people wherever possible, except when to do so would injure them or others
  10. Continued to take personal inventory and, when we were wrong, we promptly admitted it
  11. Sought, through prayer and meditation, to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out
  12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs

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