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More Complex Patients
Published in Pamela E. Macintyre, Stephan A. Schug, Acute Pain Management, 2021
Pamela E. Macintyre, Stephan A. Schug
Signs and symptoms of withdrawal syndrome include yawning, sweating, watery eyes, rhinorrhea, anxiety, restlessness, insomnia, dilated pupils, piloerection, chills, tachycardia, hypertension, nausea and vomiting, crampy abdominal pains, diarrhea, muscle aches and pains, and piloerection (Schug et al, 2020). Piloerection results in the appearance of gooseflesh so that the skin resembles that of a plucked turkey. Thus, the expression “going cold turkey” is used to describe the syndrome of abrupt withdrawal from opioids.
History taking
Published in David Sales, Medical IELTS, 2020
Cold turkey is used to describe specifically part of the rapid withdrawal from heroin (although the term is sometimes applied to the rapid withdrawal from any drug) and relates to the hair on the skin standing up and the skin itself feeling cold, appearing as goose-pimples.
Frequently Asked Questions
Published in Rajmohan Panda, Manu Raj Mathur, Tobacco Cessation, 2019
Rajmohan Panda, Manu Raj Mathur
Self-control and determination are almost always needed to quit tobacco use and it is the sole mechanism in the case of cold turkey. But, only about 5% users can quit this way. The rest requires assistance through counseling and/or medicines including NRT to quit successfully and to stay quit. The quit rate observed by adopting such methodology averages to ∼30%.
Understanding why patients with substance use disorders leave the hospital against medical advice: A qualitative study
Published in Substance Abuse, 2020
Rachel Simon, Rachel Snow, Sarah Wakeman
Many patients reported that their withdrawal was not adequately treated when they were hospitalized. When discussing how his withdrawal was managed, one patient said, “There's some hospitals that won't give you anything that makes you go through it like cold turkey, which is like impossible.” A few patients specified that certain medications were given to help with withdrawal but this was not sufficient. One patient described, “They [health care staff] just tell you sorry…They’ll give you some clonidine and some bentyl and send you on your way. So that doesn't work.” A few patients, however, described that their withdrawal was well addressed. One patient reported, “They've given me Suboxone and that's helped a great deal. That's huge. If I didn't have that, I'd probably be going out of my mind right now.” Some patients also described that hospitals around the city treated withdrawal differently; some hospitals effectively treated withdrawal while others did not.
New Insights Regarding the Phenomenon of Quitting
Published in Issues in Mental Health Nursing, 2020
What was striking about the stories published in the newspaper was the absence of the above-described professional interventions. These were stories of people who quit something on their own—some even quitting “cold turkey.” The account of Lisa Wells, who recovered from smartphone addiction, was especially interesting in view of recent media publicity about this new form of addictive behavior. Wells admits being one of the people who “stroke their screens about 2,600 times a day” (2020, p. 9). Her decision to quit was prompted by the realization that she was having a hard time reading, writing, or listening to her husband because “my mind returned me to the small computer in my pocket, to an unanswered email, to a “like” or a retweet…I went away. In giving my attention to the device, I withheld it from the person I value most” (Wells, 2020, p. 8). She describes her struggle to reduce smartphone use by leaving the phone off at intervals, but she was uneasy, worried about missing “phantom emergencies.” Ultimately, she just quit—no smartphone! She reports that “it took about 72 hours to teach my body that we had gone back to the old ways [i.e., dumbphone, asking people for directions]…but when the device is gone there is nothing to resist. I can read a book for hours in a sitting, and when my loved ones speak I hear the story they’re telling” (Wells, 2020, p. 9).
Perceptions, Knowledge, and Use of Electronic Cigarettes: A Survey of Mental Health Patients
Published in Issues in Mental Health Nursing, 2019
Gerald M. Baltz, Helen W. Lach
The older age group was much more likely to use ENDS due to the recommendation of a healthcare provider (n = 7, 14.0%) compared to the younger age group (n = 1, 1.7%), although few members of either group reported using ENDS due to healthcare provider recommendation, χ2 (1, N = 109)=6.0, p = 0.014. Furthermore, only 15 (13.8%) respondents had ever asked their healthcare provider’s opinion about ENDS. Out of the 15 respondents in this study who had asked for provider recommendations, 14 detailed their providers’ responses as follows. Ten providers stated ENDS were less harmful than cigarettes but advised caution, including a pulmonologist and cardiologist who recommended “cold turkey” as the best method to quit smoking, while an ear, nose and throat physician recommended not using ENDS at all. Several providers stated the need for further research, two providers warned against using any nicotine products, and one provider advocated certain laboratory-tested brands of e-liquid over others.