Alcohol and substance use disorder has been around for centuries, but is a growing concern in the United States today with significant effects on economic, social, and healthcare systems. The estimated cost of addiction to illicit drugs alone in the U.S. is over $600 billion per year (Herman & Roberto, 2015). Short term use can cause changes to blood pressure, heart rate, and mental status, while cardiac arrest or stroke has been known to occur even after just one use (NIDA, 2017). Not everyone who partakes in alcohol or drug use will become addicted, but when addiction does occur, it is due to changes in normal brain activity which ultimately leads to long-lasting drug-induced neuroplastic changes. 

The Association of Rehabilitation Nurses (ARN) – Past-President Stephanie Vaughn, PhD RN CRRN FAHA, and current ARN President Michele Cournan, DNP RN ANP-BC FNP CRRN – have been asked by the World Health Organization (WHO) to participate as the only designated nurse members of WHO's recently organized Competency Framework Steering Group. 

Recently, my 11-year-old son and I visited an Urgent Care about what I suspected was a urinary tract infection. The doctor asked my son basic questions related to his symptoms, including something about pain in his testicles. My son looked at me quizzically and I explained to the doctor that my son doesn't have testicles. He's transgender, born with female anatomy. To my great relief, the doctor nodded his acknowledgment and continued the conversation. My son, too, breathed a sigh of relief. We'd gotten through the tricky part. 

Tune into ARN's next live webinar, Essential Steps in Using & Training Apps, on June 13. Michelle R. Wild, MA, will show you how apps can be used as a cognitive resource in rehabilitation, as well as how to use apps to conduct systematic instruction training.

In recognition of Stroke Awareness Month, ARN wants you to know about President-Elect Barbara Lutz, PhD RN CRRN PHNA-BC FAHA FNAP FAAN, for the Stroke Article of the Year Award she received at the American Heart Association International Stroke Conference, in Hawaii, in February earlier this year!