Substance Abuse

This book is written for any clinician who encounters substance abuse in a patient and wonders what to do. Experts from a cross-section of specialties and health professions provide up-to-date, evidence-based guidance on how non-expert clinicians can recognize, understand, and approach the management of substance abuse in their patients. They detail the range of treatments available and whether and how they work. The central importance of using a carefully selected multimodal approach that is tailored to the individual patient is emphasized throughout and illustrated in case scenarios from actual clinical practice.

Demographics. - Legal Issues. - The multidisciplinary approach to substance abuse management. - Why a multidisciplinary approach? . - The role of the physician. - The role of the psychologist. - The role of the nurse. - The role of the physical therapist and the occupational therapist. - The role of the pharmacist. - Screening and assessment for substance abuse. - Inpatient screening and assessment. - Outpatient screening and assessment. - Substances of Abuse. - Food. - Alcohol (genetics, prevention, complications, and treatment). - Tobacco. - Induction agents (propofol, nitrous oxide, and inhaled agents). - Prescription drugs. - Cocaine. - Amphetamines. - Herbs. - Opioids. - Treatment Modalities. - Pharmacotherapy in substance abuse and addiction. - Methadone. - Buprenorphine. - Opioid sparing drugs(ketamine, clonidine, gabapentin, and novel analgesics). - Non-pharmacological approaches (relaxation techniques, acupuncture, nerve stimulation, hypnosis, etc.). - Special Clinical Scenarios. - Post-operative pain management (including regional anesthesia). - Management of chronic pain. - Management of acute pain. - Unique Issues in Selected Populations. - Children and adolescents. - Older adults. - Healthcare professionals.