Supporting clients on methadone maintenance treatment: a systematic review of nurse's role

Abstract

This paper discusses findings from a systematic review of literature pertaining to methadone maintenance in relation to the role of the nurse working in a general practice setting. Five electronic databases were searched for period of 2000-2008: Medline, CINAHL, Embase, PsycINFO and Cochrane Database of Systematic Reviews. Included studies were peer-reviewed literature articles that: (1) were dated no earlier than the year 2000; (2) represented a primary study (qualitative and quantitative), systematic review or meta-analysis; (3) focused on methadone maintenance for treatment of opiate dependence, not for pain; and (4) were published in English. In this review, three broad themes emerged as being significant to the role of the nurse in relation to methadone maintenance treatment (MMT) programming. These themes included: (1) identifying the client's personal characteristics; (2) having knowledge about methadone; and (3) supporting clients in MMT programmes. In conclusion, it is important to address the needs of health professionals working with clients on MMT, in order for them to provide the necessary care for this patient population. In particular, nurses need to gain knowledge about MMT to assist them in carrying out their nursing role competently when caring for this vulnerable population.

Razumevanje vloge medicinske sestre pri spremembi življenjskega sloga posameznikov, v preteklosti odvisnih od prepovedanih drog

“…Med njimi je tudi medicinska sestra, od katere se zahtevajo znanje in sposobnosti za ustrezno izvajanje zdravstvene nege in nudenje pomoči posameznikom v stiski; medicinska sestra je v skladu s kodeksom etike tudi zagovornica posameznika (Sotler, 2010). Za učinkovito zdravstveno obravnavo te ranljive populacije morajo medicinske sestre posedovati specialna znanja (Go, et al, 2011). Nekateri zdravstveni delavci, ki delajo na tem področju, menijo, da gre predvsem za dvosmeren odnos med medicinsko sestro in pacientom; prav iz tega kompleksnega odnosa medicinska sestra kontinuirano pridobiva potrebna znanja in veščine (Jazbec, 2015).…”

Policy implementation of methadone maintenance treatment and HIV infection: evidence from Hubei province, China

“…Taking an international perspective, the reasons for methadone treatment dropout include waiting lists, lack of money or health insurance, trepidation regarding the social stigma and discrimination that may result from identity exposure due to requirements to possess a photo identification card, beliefs about methadone side effects, and fear of withdrawal from methadone during incarceration [8,13-15]. Typical solutions to methadone treatment dropout include providing public financial support, waiving photo identification requirements, permitting time-limited treatment with the option to extend such treatment upon request, and working with corrections agencies to ensure continued methadone treatment [12,16,17]. It is worth noting that there are few studies of the impact of these solutions on treatment success in the existing literature.…”

Supporting Mothers’ Engagement in a Community-Based Methadone Treatment Program

“…Protecting children from exposure to maternal substance abuse is a public health priority [10, 11], particularly for nurses who work with childbearing families in the community [12]. Children exposed to maternal substance abuse are at increased risk for developmental problems, such as cognitive deficits, language delays, emotional problems, behavioural disorders, and becoming substance abusers themselves [13, 14].…”