Immediate Goals of Detoxification
To provide a safe withdrawal from the drug(s)
of dependence and enable the patient to become
drug free. Many risks are associated with withdrawal,
some influenced by the setting. Withdrawal from
opioids produces severe discomfort, but is not
generally life threatening. However, risks to
the patient and society are not limited to the
severity of the patient's physical disturbance,
particularly when the detoxification is conducted
in an outpatient setting. Outpatients experiencing
withdrawal symptoms may self-medicate with street
drugs. The resulting interaction between prescribed
medication and street drugs may result in an
overdose. Less severe side effects include sedation
or a drop in blood pressure.
To provide withdrawal that is humane and protects
the patient's dignity. A caring staff, a supportive
environment, sensitivity to cultural issues,
confidentiality, and the selection of appropriate
detoxification medication (if needed) are all
important to providing humane withdrawal.
To prepare the patient for ongoing treatment
of his or her dependence. During detoxification,
patients may form therapeutic relationships with
treatment staff or other patients, and may become
aware of alternatives to an abusing lifestyle.
Detoxification is an opportunity to offer patients
information and to motivate them for longer term
treatment. |