Caring for Children and Adolescents in Cannabis Liberalization Situations: Community Health Nurses' Roles
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Abstract
Nowadays, Thailand has brought cannabis to treat illnesses among adults and the elderly. However, using cannabis among children and adolescents is still being researched. The policy to unlock cannabis from drugs that the government enacted in 2022 causes changes in the free access and sale of cannabis, which can be done legally among people aged twenty years and over. Children and adolescents easily access cannabis without control. However, if cannabis is used by infants, toddlers, children, or adolescents, there are health consequences for all ages. Currently, the number of children and adolescents with cannabis-related illnesses is increasing by obtaining cannabis from family members, friends, or shops in the community. This article aims to present the roles of community health nurses in providing family nursing care by using a five-step nursing process consisting of family assessment, nursing diagnosis, family nursing plan, family nursing practice, and evaluation of family care. Nurses' roles are to prevent and resolve the problem of cannabis use in children and adolescents at the primary, secondary, and tertiary levels, strengthen family involvement, and draw on the potential of families to enhance their health.
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References
Leewairoj D. Cannabis vs Hemp. History and differences in similarities. [Internet]. [cited 2023 February 8]. Available from: https://www.baanlaesuan.com/145563/plant-scoop/marijuana#. (in Thai).
Ariyasriwattana C. Medical cannabis. [Internet]. [cited 2022 November 24]. Available from: https://www.wongkarnpat.com/viewpat.php?id=2972. (in Thai).
Department of Thai Traditional and Alternative Medicine. Protection and promotion of Thai traditional medicine wisdom act, B.E. 2542 (1999). [Internet]. [cited 2023 February 8]. Available from: https://www.dtam.moph.go.th/index.php/th/services/laws/enactment/6151-enactment-17. (in Thai).
Committee to Promote the Use of Cannabis for Medical Use, Ministry of Public Health. Unlock...free medical cannabis. Nonthaburi: Ministry of Public Health; 2022. (in Thai).
Kalayasiri R. Annual meeting of the Centre for Addiction Studies (CADS) research and academic skill development for new knowledge in addiction. [Internet]. [cited 2023 February 9]. Available from: https://www.thecoverage.info/news/content/3815. (in Thai).
Ministry of Public Health. Marijuana strains. [Internet]. [cited 2023 February 2]. Available from: https://www.medcannabis.go.th. (in Thai).
Uechaikul C. Cannabis plants: benefits, harms and regulatory development proposals. [Internet]. [cited 2022 November 24]. Available from: https://ccpe.pharmacycouncil.org/showfile.php?file=354. (in Thai).
Nimsomboon T. Cannabis toxicology. Thai Journal of Hospital Pharmacy 2021;30(2):125-36. (in Thai).
Government Pharmaceutical Organization. Cannabis" and important substances treat disease. Bangkok: Government Pharmaceutical Organization; 2019. (in Thai).
Department of Mental Health. The first medicinal cannabis plant extract from the United States. [Internet]. [cited 2022 November 26]. Available from: http://bit.ly/3UY2L4P. (in Thai).
Fletcher S, Pawliuk C, Ip A, Huh L, Rassekh SR, Oberlander TF, et al. Medicinal cannabis in children and adolescents with autism spectrum disorder: a scoping review. Child Care Health Dev 2022;48(1):33-44.
Moss MJ, Bushlin I, Kazmierczak S, Koop D, Hendrickson RG, Zuckerman KE, Grigsby TM. Cannabis use and measurement of cannabinoids in plasma and breast milk of breastfeeding mothers. Pediatric Research 2021;90(4):861-8.
Centers for Disease Control and Prevention (CDC). Breastfeeding and special circumstances. [Internet]. [cited 2022 November 28]. Available from: https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/index.html.
Navarrete F, García-Gutiérrez MS, Gasparyan A, Austrich-Olivares A, Femenía T, Manzanares J. Cannabis use in pregnant and breastfeeding women: behavioral and neurobiological consequences. Front Psychiatry 2020;11:586447.
Children’s Hospital Colorado. Acute marijuana intoxication. [Internet]. [cited 2022 November 28]. Available from: https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/acute-marijuana-intoxication/.
SickKids. Cannabis and children. [Internet]. [cited 2022 November 28]. Available from: www.aboutkidshealth.ca/Article?contentid=3956&language=English.
The Royal College of Pediatrician of Thailand and Pediatric Society of Thailand. Reports of pediatric cases with cannabis-related illnesses. [Internet]. [cited 2023 March 14]. Available from: https://www.thaipediatrics.org/?p=2266. (in Thai).
Woratanarat T. Health dangers from second-hand marijuana smoke. [Internet]. [cited 2022 December 3]. Available from: https://www.hfocus.org/content/2019/12/18160. (in Thai).
Centers for Disease Control and Prevention (CDC). Secondhand marijuana smoke. [Internet]. [cited 2022 December 3]. Available from: https://www.cdc.gov/marijuana/health-effects/second-hand-smoke.html.
Centers for Disease Control and Prevention (CDC). Marijuana and public health: health effects in teens. [Internet]. [cited 2022 December 3]. Available from: https://www.cdc.gov/marijuana/health-effects/teens.html.
Rubino T, Parolaro D. The impact of exposure to cannabinoids in adolescence: insights from animal models. Biol Psychiatry 2016;79(7):578-85.
Jewpattanakul Y. Family care. In: Krainuwat K, Kochakri R, editors. Community nursing. Bangkok: N P Press; 2016. (in Thai).
Chanprasit C, Chongrungrojsakul W. Family health care: the concept and process of Home visits. In: Aungwattana S, Narin R, editors. Community nursing: family health, school health, environmental health and occupational health. Chiang Mai: Smart Coating and Services; 2018. p. 1-12. (in Thai).
Imnamkhao S, Imnamkhao W. Integrative literature review: nurses’ role for child health promotion in early childhood. Royal Thai Navy Medical Journal 2021;49(1):198-211. (in Thai).
Suktrakul S, Uthis P, Sonla K, Swangpol M. The comparative study of resilience to amphetamine relapse among adolescent amphetamine user in the institute on drug abuse treatment. Royal Thai Navy Medical Journal 2018;45(3):476-92. (in Thai).
Department of Children and Youth. Manual of protocols and procedures on the protection and responding to children at risk of abuse, neglect, exploitation, and violence. [Internet]. [cited 2023 February 18]. Available from: https://www.dcy.go.th/public/mainWeb/file_download/1645693386343-29741025.pdf. (in Thai).
The Center for the Protection of Children's Rights Foundation. Child protection process. [Internet]. [cited 2023 February 18]. Available from: https://www.thaichildrights.org/category/articles/article-protection/. (in Thai).