Weeks 1 and 2 notes
Weeks 1 and 2 notes Hlth 460
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This 7 page Bundle was uploaded by Joslyn Stucki on Saturday September 12, 2015. The Bundle belongs to Hlth 460 at Brigham Young University taught by Dr. Lindsey in Fall 2015. Since its upload, it has received 89 views. For similar materials see Substance Abuse and Addiction in Health Sciences at Brigham Young University.
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Date Created: 09/12/15
ATOD Alcohol Tobacco and Other Drugs Economics social criminal justice health issues meolical Health 0 Deaths 0 Years of potential life lost YPLL Disability Morbidity Sickness o DALYS Tobacco is getting worse in trends Economic cost Familyindividual Corporationemployer Government 0 Alcohol230 billion 0 Tobacco193 billion 0 Drugshalf a trillion Crime 0 crime to get money 0 crime under the in uence biggie breaking drug usepossessionselling law gang warfare Social 0 family stresscon ict etc Exam 1 Etiology causeswhy people use drugs and epidemiology of ATOD Exam 2 Speci c drugs Exam 3 Reducing the problem De ne 0 Drug anything but food taken into the body that alters structure or function 0 Medicine has a positive intended affect on the body Psychoactive drug anything alters perception mood or consciousness they in uence our nervous system mostly what we will talk about except performance enhancing drugs Pharmacologic action Uppers stimulants caffine Downers depressants alcohol Betweeners mixed effect weed Outers hallucinogens LSDschrooms lnside outers disassociate anesthetics laughing gasPCP Neurons send messages and have a gap between them called a synapse neurochemicals bridge that gap 1 neuron has 1000 synapses to other neurons Neurons can be excitatory or inhibitory o The Big 7 on exam 0 Acetylcholine days Norepinephrine Serotonin Dopan ne GABA Endorphks o Glutamate Cocaine blocks the reuptake of dopamine causing tons to stay vvhereitis Central Nervous System 0 Hindbrain o Midbrain o Forebrahw Limbic System pleasure center 0 The frontal quotnogo section is not fully developed in teens although same size as adult brain 0 4 ways to administer inhale fastest way to get to the brain ingest snort inject 3 ways intervenous intermuscular skin popO absorb multiple oral not swallowed rectal vaginal ocular otic nasal not inhalation transdermal patches The liver breaks down the drugs Drug with half life of 12 hours will have 116 left in the body in 2 00000 00000 Main effects and side effects of drugs not the reason you took it Drug interactions 0 Antagonistics 651 Additive 235 o Synergistic 2317 alcohol and sleeping pills Potentiation 0317 makes second drug super powerful Dose response patterns Usual dose 90 of population works for them 0 Threshold no more desired effects only side effect 0 Lethal dose kills 50 of people then LD50 then up for more etha Effective dose produces desired effect 0 Margin of safety we like wide ones LD1ED99 Potency how much active ingredients in solution 3 alcohol in beer Blood brain barrier how quick something can get to the brain Behaviora tolerance brain gures out how to deal with changes Pharmacokinetic tolerance metabolic changes Pharmacodynamic tolerance pruning receptor sites Reverse tolerance gets high on less Cross tolerance take one drug that makes you tolerant to something you haven t had Objective effects 0 age dose body weight gender ethnicityrace disease tolerance Subjective mindset expectations in uence actual experience and environmental setting relaxed or not Major Social Factors of ATOD FarnHy Peers 0 School lWedka Cultureethnicityreligion Peer Pressure 0 Direct telling you to smoke it 0 Indirect everyone else is doing it more pressuring Risky Shift Adolescents in a group will do things and take risks they normally wouldn t 0 When younger family has way more in uence than peers It then shifts to peers from about 1426 and then back to family Alienation Cliques drive some kids to the druggies who always have room Parenta example 0 Be careful what you do don t do what you don t want them to do 0 Spend more time with your children quality AND quantity Utah is lowest for tobacco and alcohol but highest for painkilling meds Rev Calvin Butts said ATOD in movies does in uence people while Jack Valenti Pres of American Film Asso says no it doesn t Rap then Country are highest for ATOD references Thackery s 4 Points 0 Give The Lord equal time challenged us to not study on Sunday 0 Be on time to class 0 Come prepared class preparation assignments etc Participate Goals are not measurable Process objectives 0 1 year or less 0 The intervention itself 0 Activities lmpact objectives 0 15 years Behaviors we want to change Attitudes beliefs etc Outcome objectives 0 510 years 0 Mortality and morbidity illness and death dentify key performance indicators for each of the three objectives Logic model 0 Inputs gt Activities gt Outputs gt lmpact gt Outcomes 0 Input resources money people facilities etc 0 Activities classes polls quizzes etc o Outputs countables how many people come to the activities Activities and outputs are included in the formative process evaluation 0 Impact Behavior indicators go here 0 Outcomes mortality and morbidity ntervention set of actions with coherent objective to bring about change or produce identi able outcomes 0 Population interventions promotion and prevention 0 Individual interventions treatment How can we make a change 0 Process analysis through root cause analysis 0 Root cause analysis error analysis data collection reconstruction Reasons for evaluation 0 Improvement gt Process activity Formative actual program 0 Effective gt Summative how it is in uencing people AccountabilityStakeholders Standards of evaluations 0 Utility useful Feasibility possible 0 Accuracy valid reliable Propriety ethically correct Data are a plural word data arewere is data iswas Formative and Summative evaluations are umbrella terms Formative includes formative midcourse and summative processes 0 Other names for midcourse are quality improvement continuous improvement performance management Summative includes impact and outcome processes Summative means quotat the endquot
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