Managing challenging patients
Description:
This chapter from TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs discusses the use of drug testing as a means of monitoring patient progress and treatment efficacy. This chapter details several methods for implementing drug testing, their effectiveness, and their pros and cons.
Source:
Center for Substance Abuse Treatment (CSAT)
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Description:
Developed by a consensus panel, these guidelines provide treatment recommendations for patients with dual disorders.
Source:
U.S. Department of Health and Human Services, SAMHSA
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- Screening and diagnosis
- Special populations
- Managing challenging patients
- Addiction
- Assessment
- Behavioral therapy
- Comorbidities
- Complicated patients
- Dependence
- Drug interactions
- Expert panel
- Pharmacology
- Pharmacotherapy
- Pharmacy
- Polysubstance use
- Psychiatric
- Psychosocial
- Referral
- Relapse
- Risk factors
- Screening
- Side effects
- Special populations
- Symptoms
- Tolerance
- Withdrawal
- Treatment Algorithm
- Experienced prescriber
- Just became waivered
- Need to refer
Description:
Information from the CDC on prevention, detection, and epidemiology of HIV/AIDS, including fact sheets suitable for patients.
Source:
Centers for Disease Control and Prevention (CDC)
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Description:
Although professionals identify distinct personality disorders (anti-social, borderline, schizotypal, et al), some personality disordered individuals may not fit in a particular category and yet may clearly deserve this label.</p>
Although classified as mental disorders they may be classified separately and distinguished from the Axis I Clinical Syndromes for some purposes.
Source:
BehaveNet®
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Description:
This 2010 Physician Clinical Support System (PCSS) document written by Dr. Judith Martin discusses types of aberrant behavior associated with buprenorphine and steps that can be taken to reduce the risk of abuse and diversion.
Source:
Physician Clinical Support System (PCSS)
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Description:
This study examined the efficacy of methadone in relieving cancer pain and also discusses side effects.
Source:
Cochrane Reviews (3 votes)
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Description:
RADARS®, the Researched Abuse, Diversion, and Addiction-Related Surveillance System, tracks prescription drug abuse, misuse and diversion throughout the United States. It is a nonprofit operation of the Rocky Mountain Poison and Drug Center, a division of Denver Health.
Source:
RADARS® (3 votes)
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Description:
This presentation discusses diversion of Subutex® and Suboxone® both in a general sense and in the specific case of the RADARS system, a nonprofit governmental program through the Rocky Mountain Poison and Drug Center.
Source:
Nabarun Dasgupta, MPH (presentation from SAMHSA 2008 Buprenorphine Summit) (3 votes)
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Description:
This article explores the use of the term "drug seeking" by nurses and proposes suggestions for alternative, non-stigmatizing terms to use for patients requesting opioids for pain relief.
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Pain Management Nursing (2 votes)
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Description:
This article describes how to identify drug-seeking patients, and explains risk management measures.
Source:
American Family Physician, 2000 (3 votes)
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