Search results for "Substance Abuse"
Safe prescribing can lessen overdose risk
In what one commentator called an “appalling” finding, 90% of patients in a recent study admitted to a hospital with a prescription opioid overdose eventually received another opioid prescription##mdash;often from the same clinician. Efforts to improve safe prescribing hope to fix the problem.
https://immattersacp.org/archives/2016/10/overdose.htm
1 Oct 2016
Congress' annual rite of passage to health care spending
ACP encourages Congress to consider end-of-year issues more fully, such as ensuring that Medicare payment cuts do not threaten primary care during what seems like an annual rite of passage.
https://immattersacp.org/archives/2022/02/congress-annual-rite-of-passage-to-health-care-spending.htm
1 Feb 2022
Early tapering of opioid-dependent patients may lead to relapse
Prescription opioid-dependent patients are highly likely to relapse if tapered off buprenorphine-naloxone, even after 12 weeks of treatment and even when receiving additional counseling, researchers found.
https://immattersacp.org/weekly/archives/2011/11/15/2.htm
15 Nov 2011
Mental health diagnoses in veterans associated with increased risk of opioid use
Military veterans who have received a mental health diagnosis, in particular post-traumatic stress disorder, are more likely to be prescribed opioids, have high-risk opioid use, and experience adverse outcomes, according to a new study.
https://immattersacp.org/weekly/archives/2012/03/13/2.htm
13 Mar 2012
Transitional care can be effective, underused
Clinicians are figuring out ways to flag those complex patients in advance and then better support them during transitions in care.
https://immattersacp.org/archives/2018/11/transitional-care-can-be-effective-underused.htm
1 Nov 2018
Opioid abuse potential prompts monitoring role for internists
Opioids can be used safely for pain management in most patients, but for a small but significant percentage, there is a real chance of addiction and other harms. Experts increasingly look to the prescribed drugs in a medicine cabinet as a source of concern.
https://immattersacp.org/archives/2011/05/opioids.htm
1 May 2011
Neurologists suggest steps for prescribing opioids for chronic pain
The American Academy of Neurology issued a position paper outlining steps that can help physicians who prescribe chronic opioid analgesic therapy (COAT) for chronic noncancer pain (CNCP).
https://immattersacp.org/weekly/archives/2014/10/07/1.htm
7 Oct 2014
Post-war, vets face new battle with PTSD
While the military screens soldiers returning from combat, post-traumatic stress disorder can show up months or years after, when the person may have left the military health system and returned to private care.
https://immattersacp.org/archives/2008/09/ptsd.htm
1 Sep 2008
Making opiates safe, efficient in the office
Managing opiates leads to a host of issues with patients, for pre-empting pain while ensuring communication of clear limits and preventing abuse. These goals confound many internists, but clear-cut and easy guidelines presented at Internal Medicine 2012 can help internists achieve the best outcomes.
https://immattersacp.org/archives/2012/06/opiates.htm
1 Jun 2012
Asking right questions key to detecting abuse
Unexplained bruising or injuries are red flags for intimate partner violence, but less obvious signs might include chronic pain, depression or anxiety. Experts advise how to help victims at risk.
https://immattersacp.org/archives/2009/03/abuse.htm
1 Mar 2009