BAB 1 PENDAHULUAN

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I. Introduction

Whatever happened to Rizal’s famous quote “The youth is the hope of the

nation” when a large percentage of the youth today are into intoxicating drugs and

substances?

These “future leaders” have indulged themselves into vices that are slowly

killing them and destroying their bright future, the country’s bright future. Through

sniffing and injecting cocaine the enjoyed a few minutes of ecstasy but unknowingly

they have let in a poison run through their veins destroying them from the inside. By

the time they realize (if ever they do) what’s happening, it is usually too late to repair

the damage done.

This is a case of twenty-three year old Ms. Esmeralda Gabinete, a resident of

Toledo City, Cebu. who, like the youths mentioned above, got herself into an

addictive vice like sniffing cocaine and injecting it into her own vein. She’s been

using it for nearly five years, realized last June that it wasn’t really doing her any

good, stopped, made a narrow escape from the cocaine’s deadly consequences but

otherwise suffered from its common withdrawal effect: psychosis.

A substance-induced psychotic disorder, by definition, is directly caused by

the effects of drugs including alcohol, medications and toxin. Psychotic symptoms

can result from intoxication on alcohol, amphetamines, cocaine and inhalants or as a

result of withdrawal from the mentioned substances.

The disorder is categorized in two ways. First, it is subtyped based on whether

the prominent feature is delusion or hallucination. Hallucinations are seeing, hearing,

feeling, tasting or smelling things that are not there and delusions are fixed, false

beliefs. Second, it is subtyped based on whether it began during intoxication on a

substance or during withdrawal from a substance. A substance-induced psychotic

disorder that begins during substance use can last as long as the drug is used while a

psychosis that begins during withdrawal may first manifest up to four weeks after an

individual stops using the drug.

April Mechelle Tecson’s case is an interesting and controversial one.

Interesting in a sense that the student nurse is about the client’s age and it brings up

the possibility of finding an answer to the question: What could possibly have lead

those youths to bring about their own destruction? Controversial in a way because it

involves a prominent issue such as drug addiction and gives rise to questions such as:

What is the government doing to control these stuff and why are drug dens (

Kamputhaw is a famous one), even though everybody knows where they are, still

impregnable to authorities?

This case study aims to shed light on, as much as possible, all of the factors

that have lead to April Mechelle Tecson’s current state of health.

As her student nurse and as someone who has sentiments over a co-youth who

have gone astray, the author seeks to delve more on here case and find means to help

her and her significant others deal with the disorder substance-induced psychosis.

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I. Introduction Whatever happened to Rizal’s famous quote “The youth is the hope of the nation” when a large percentage of the youth today are into intoxicating drugs and substances? These “future leaders” have indulged themselves into vices that are slowly killing them and destroying their bright future, the country’s bright future. Through sniffing and injecting cocaine the enjoyed a few minutes of ecstasy but unknowingly they have let in a poison run through their veins destroying them from the inside. By the time they realize (if ever they do) what’s happening, it is usually too late to repair the damage done. This is a case of twenty-three year old Ms. Esmeralda Gabinete, a resident of Toledo City, Cebu. who, like the youths mentioned above, got herself into an addictive vice like sniffing cocaine and injecting it into her own vein. She’s been using it for nearly five years, realized last June that it wasn’t really doing her any good, stopped, made a narrow escape from the cocaine’s deadly consequences but otherwise suffered from its common withdrawal effect: psychosis. A substance-induced psychotic disorder, by definition, is directly caused by the effects of drugs including alcohol, medications and toxin. Psychotic symptoms can result from intoxication on alcohol, amphetamines, cocaine and inhalants or as a result of withdrawal from the mentioned substances. The disorder is categorized in two ways. First, it is subtyped based on whether the p ...
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