1 / 0

Addiction

Addiction. Lorne R. Campbell Sr. M.D. UBMD Family Medicine. UBMD Addiction Medicine. Opioid Addiction. Lorne R. Campbell Sr. M.D. UBMD Family Medicine. UBMD Addiction Medicine. Pain. The 5 th Vital Sign. 1996. 1977. American Pain Society. Pain needs to be treated. 2008.

edie
Download Presentation

Addiction

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Addiction

    Lorne R. Campbell Sr. M.D. UBMDFamily Medicine UBMDAddiction Medicine

  2. OpioidAddiction

    Lorne R. Campbell Sr. M.D. UBMDFamily Medicine UBMDAddiction Medicine
  3. Pain The 5th Vital Sign
  4. 1996 1977 American Pain Society Pain needs to be treated
  5. 2008 Pain Management Not related to Addiction
  6. Prescription Opioids Medication Addiction
  7. Prescription Opioid Sales
  8. Prescription Opioid Problems
  9. DRUG USE IN 12 – 15 YEAR OLDS Opiates Marijuana Nicotine 1996 2012
  10. Buffalo
  11. Agonist Opiates Opioids Morphine Codeine Opium Heroin Oxycodone Fentanyl Hydrocodone Methadone
  12. Antagonist Naloxone Naltrexone Oral Depo
  13. Disease They made the choice Stupid Crazy Lazy They can change if they want They lack will power
  14. Disease 80% of all addiction problems have a genetic root
  15. Disease Frontal Lobe Limbic system
  16. Neuron
  17. Synapse Synaptic cleft Dopamine Neurotransmitter Nerve Cell Dendrite
  18. Synapse Down Regulation
  19. Synapse Agonist Antagonist Partial Agonist
  20. What Can You Do? Screening Brief Intervention Referral to Treatment
  21. Advise Assist ASK
  22. ASK
  23. ASK ?
  24. ASK Discuss Use
  25. ASK On a regular Basis
  26. When Should You Screen ASK Before You Write
  27. Hypertension Diabetes Anemia Liver disease Hepatitis Hepatitis C Hepatitis B Cirrhosis Vitamin Deficiencies Trauma Malnutrition Strokes Severe Weight Loss Cancer Sexual Abuse Obesity Dementia Accelerated Aging Werincke – Korsakoff Gout Electrolyte Abnormalities Lipid Abnormalities Interference with Healing Gastric Ulcers Injuries Birth Defects Heart disease Lung Disease Digestive disorders Impotence Depression Sexual Dysfunction Urinary Tract Disorders Relationship problems Early Menopause Seizures Gynecomastia Psychosis Tremors Headaches Nausea Pancreatitis Infertility Migraines Bleeding Disorders Arthritis Poverty Insomnia Family Dysfunction Crime Accidents When Should You Screen ASK Problems Related to Addiction
  28. Opioid Risk Tool Provides 5-item initial risk assessment Stratifies risk groups into low (6%), moderate (28%) and high (91%) Family History Personal History Age Preadolescent sexual abuse Past or current psychological disease
  29. Warning Signs Lost scripts Increased demand Not using as prescribed Strange urine tox screens
  30. Advise
  31. Advise
  32. Assist
  33. Most addicted patients don’t know they are.
  34. Consider the consequences of use as the problem.
  35. Do not blame the patient.
  36. Monitor yourself
  37. Think Patient Has a Problem Do Nothing Get Angry Brief Assessment Brief Intervention Refer for Treatment Reschedule for reassessment
  38. Where to Refer UBMB ADDICTION MEDICINE 1408 Sweethome Road Amherst NY, 14228 247 5281
More Related