If you were to teach new nurses regarding signs to observe for that may indicate drug abuse, what would you tell them?

"If I were to spend time with a new addiction nurse and try to educate him on signs of possible drug abuse, I would tell them that anything that seems 'out of character' for the client would be something to pay attention to. For instance, a client who is normally quiet and has a reserved personality, but who is suddenly easily agitated or aggressive would be an example. Also, if the client seems paranoid when he is normally not remarkably wary of others, these are a few signs to be aware of."

"Some of the easiest signs that I would tell a new addiction nurse to be aware of are when a client seems fearful for no reason or who lacks motivation, especially with regard to things that you used to be of interest to him."

"While each person abusing drugs may display different signs of using, there are some signs that are commonly seen. Some of the most common are unusual mood swings, poor memory, anxiety and hyperactivity. I always encourage new addiction nurses to trust their judgment. Especially as we get to know our patients, it becomes easier to pick up on things that are not the 'norm' for that client. Further, I like to encourage new nurses to report any suspected slip or relapse right away, so that the care team can evaluate the patient and see if there is validity to the concern."