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  • Subject Name : Nursing

Cannabis Used Disorder

1. What is cannabis?

Cannabis is the most frequently used psychoactive substance under internal control. Cannabis is the preferred designation of the plant Cannabis Sativa, Cannabis Indica and Cannabis Ruderlaris. It means “separated resin” whether crude or purified, obtained from the cannabis plant (Australian Crime Commission, 2018)

2. Why do people use cannabis?

Cannabis is used to feel good, alleviate boredom, decrease nervousness and disturbance, and seek deeper insights and flee troubles and to boost or reduce the effect of other drugs (Alcohol and Drug Foundation, 2018)

3. What are the main causes of taking cannabis?

The main cause of taking cannabis is peer pressure; believe that it is harmless, relief from mental conditions and it is readily available (National Survey on Drug Use and Health, 2016).

4. Cannabis use in the community? (Berwick suburb)

The use of cannabis depends on the specific task being performed. Used at workplace for extremely technical task that requires attentiveness and remembrance, more likely to be used by physicalmanual labor.

5. What are the risks of using cannabis?

Short term risk of using cannabis are breathing problem, increased heartbeat, problems during pregnancy, intense nausea and vomiting. Long term risks are temporary hallucinations, temporary paranoia and other mental disorders (DrugInfo & Alcohol and Drug Foundation, 2018)

6. How do people get addicted with it? As a medicine(legal/illegal)

The National Institute on Drug Abuse recently released that 30% of those who were prescribed to use cannabis to treat their mental problems; it can turn into addiction when the person cannot stop using it even when it interfere their daily routine.

7. How people misuse cannabis?

Many people use cannabis as medication to ease their physical and psychological disorders, but it can be misused by consuming excessive amount over months and years (NADK, 2020)

8. What is CUD? (Cannabis used disorder)

Cannabis Use disorder refers to Cannabis addiction or marijuana addiction (DrugInfo, 2018).

9. Side effect of CUD? (Cannabis used disorder)

Side effects of CUD are:

  • Risk of addiction
  • Effect on brain development
  • Mental illness
  • Risk of cancer
  • Risk of motor vehicles accident (Australian Institute of Health and Welfare, 2018)

10.Sign and symptoms of cannabis used disorder?

Sign and symptoms of cannabis use disorder are (Substance Abuse and Mental Health Services Administration, 2014):

  • Increased appetite
  • Weight gain
  • Lack of motivation
  • Dry mouth
  • Dizziness and Anxiety
  • Euphoria
  • Poor coordination

11.Management of CUD (Treatment)?

Management of CUD are (AIHW, 2018):

  • Counseling
  • Withdrawal Management
  • Assessment
  • Rehabilitation
  • Information and Education

12.Who can help?

Family and Friends support with Medical Assistance can be highly supportive.

13.Recreational use of cannabis?

Australia approved the use of Cannabis for medical purpose only. People 18 years and above can have cannabis up to 50 grams only. Other than that use of cannabis will be illegal and heavy penalty and charges will be charged against the supplier and consumer (the New York Times, 2019)

14.Treatments for withdrawal cannabis?

Treatments for withdrawal cannabis are (Alcohol and Drug Foundation, 2018):

  • Psychological intervention include cognitive behavioural therapy(CBT)
  • Motivational enhancement therapy (MET)
  • Contingency Management (CM)
  • supportive-expressive psychotherapy (SEP)
  • Medications

15.Problem caused by withdrawal.

Problem caused by withdrawal is anxiety, depression, restlessness, disturbed sleep, decrease appetite gastrointestinal symptoms, constipation and urges to smoke (Alcohol and Drug Foundation, 2018).

16.Where to seek help for withdrawal, and how?

In some cases professional help is not required with proper guidance and assistance at home. Some resources that might help are Detoxification centers, inpatient rehabilitation center, intensive outpatient programs and support groups and therapy. During withdrawal avoid people who might use drugs, challenge any illogical thoughts, eat healthy, drink a lot of water, stay busy, and help the person to manage stress (Alcohol and Drug Foundation, 2018).

17.Consider the nature of public attitude towards diagnosis of CUD With an addicted problem how you break the barriers?

Majority of population oppose the use of CUD. Around 80% of Australian population supports a clinical trial for CUD and 3% oppose the treatment. Almost 50% of the Australian population supports increased penalties for sale and supply of Cannabis (Australian Institute of Health and Welfare, 2016). In order to break the barriers, motivation and awareness must be spread, government must take initiatives to reduce the cost of treatment and clinics for the same must be accessible by people (Medical republic, 2019).

18.Problem associated with lifestyle dependence.

Regular users of cannabis become tolerant to the drug and later demand more. If suddenly stop smoking they experience anxiety, stress, irritation, sweating and so on.

19.How can counselling help?

Counselling can help in staying clean after withdrawal and can also take care of other psychological health situation that repeatedly play part in substance abuse.

20.Tips for avoiding cannabis use/or stay away from cannabis use?

Tips to avoid cannabis are (Global Drug Survey, 2018):

  • Reduce the consumption per pipe
  • Reduce the caffeine intake
  • Avoid consumption of alcohol
  • Ration daily use
  • Delay the time for first smoke
  • Cut it down gradually

21.How to make positive change in some’s life?

  • Being kind to others
  • Avoid negative thoughts
  • Build a strong a support change
  • Practise yoga and meditation
  • Exercise more

22.Physical wellbeing for people having cannabis disorder?

Physical wellbeing for people having cannabis is (Cannabis Information and Support, 2019):

  • Play and learn a music instrument
  • Learn a new language
  • Developing new artistic skills
  • Volunteer of events and charity
  • Spend more time with family and friends
  • Practise Meditation and yoga
  • Go for Adventure (Trek, Hiking, Rock climbing, etc)

23.How cannabis cause mental disorder?

Daily or constant use of cannabin at stimulating doses can lead to mental disorders such as panic attacks, slows reaction and decision making process (ABC Study, 2014)

24. How people can control over cannabis use?

By spreading awareness and providing preventive training for families and children. Life skills programs at schools were found effective. Interactive and social programs targeting vulnerable young people are also effective (DrugInfo, 2018).

References for Cannabis Used Disorder

Australian Institute of Health and Welfare. (2018). 2016 National Drug Strategy Household Survey. Canberra: AIHW.

Australian Institute of Health and Welfare. (2018). National Hospital Morbidity Database Principal Diagnosis data cube 2016-17. Canberra: AIHW.

Australian Bureau of Statistics. (2017). Household Expenditure Survey, Australia: Summary of Results, 2015-16(cat. no. 6530.0). Canberra: ABS.

Australian Bureau of Statistics. (2018). Apparent Consumption of Alcohol, Australia, 2016-17 (cat. no. 4307.0.55.001). Canberra: ABS.

Australian Institute of Health and Welfare. (2018). Alcohol and other drug treatment services in Australia 2016-17 (Drug Treatment Series no. 31. cat. no. HSE 207). Canberra: AIHW.

Australian Institute of Health and Welfare. (2018). National Drug Strategy Household Survey detailed report 2016(Drug Statistics Series no. 31. cat. no. PHE 214). Canberra: AIHW.

White, V., & Williams, T. (2016). Australian secondary school students' use of tobacco, alcohol, and over-the-counter and illicit substances in 2014. Prepared by Centre for Behavioural Research in Cancer, Cancer Council Victoria for Drug Strategy Branch, Australian Government Department of Health.

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