The ADA Practical Guide to Substance Use Disorders and Safe Prescribing
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The ADA Practical Guide to Substance Use Disorders and Safe Prescribing
About This Book
Dentists have been inundated by patients with an array of complicated medical conditions and pain/sedation management issues. This is in addition to a variety of legal regulations dentists must follow regarding the storage and recordkeeping of controlled substances. Avoid unknowingly putting your practice at risk by becoming victim to a scam or violating a recordkeeping requirement with The ADA Practical Guide to Substance Use Disorders and Safe Prescribing.
This Practical Guide is ideal for dentists and staff as they navigate:
â˘Detecting and deterring substance use disorders (SUD) and drug diversion in the dental office (drug-seeking patients)
â˘Prescribing complexities
â˘Treating patients with SUD and complex analgesic and sedation (pain/sedation management) needs and the best use of sedation anxiety medication
â˘Interviewing and counselling options for SUD
â˘Federal drug regulations
Commonly used illicit, prescription, and over-the-counter drugs, as well as alcohol and tobacco, are also covered.
Special features include:
â˘Clinical tools proven to aid in the identification, interviewing, intervention, referral and treatment of SUD
â˘Basic elements of SUD, acute pain/sedation management, and drug diversion
â˘Summary of evidence-based literature that supports what, when and how to prescribe controlled substances to patients with SUD
â˘Discussion of key federal controlled substance regulations that frequently impact dental practitioners
â˘Checklists to help prevent drug diversion in dental practices
â˘Chapter on impaired dental professionals
â˘Case studies that examine safe prescribing and due diligence
Frequently asked questions
Information
1
Substance Use Disorders, Drug Diversion, and Pain Management: The Scope of the Problem
HARM
DIntroduction
Box 1.1 Factors Complicating the Practice of General Dentistry
- Chronic pain management.
- Misuse of prescription medication.
- SUD associated with prescription medications.
- SUD associated with illicit substances.
- SUD associated with alcohol.
- Psychiatric disorders (diagnosed and undiagnosed).
- Opioid maintenance treatment programs (methadone, buprenorphine).
- Aging population.
- Polypharmacy (use of multiple medications to treat the same condition).
- Patient criminal activity.
Definitions
Acute Pain
Addiction
Chronic Pain
Drug Diversion
Drug Misuse
Opiates and Opioids
PrescriberâPatient Mismatch
Substance Abuse
Substance Abuse is a maladaptive pattern of chemical use (e.g. alcohol, medications, marijuana, cocaine, solvents, etc.) leading to clinically significant impair...
Table of contents
- Cover
- Dedication
- Title page
- Copyright
- Contributors
- Preface
- Acknowledgments
- 1 Substance Use Disorders, Drug Diversion, and Pain Management: The Scope of the Problem
- 2 Understanding the Disease of Substance Use Disorders
- 3 Principles of Pain Management in Dentistry
- 4 Special Pain Management Considerations: (1) Chronic Methadone, Buprenorphine, and Naltrexone Therapy; (2) Chronic Opioids for Nonmalignant Pain
- 5 Sedation and Anxiolysis
- 6 Common Substances and Medications of Abuse
- 7 Tobacco Cessation: Behavioral and Pharmacological Considerations
- 8 Detection and Deterrence of Substance Use Disorders and Drug Diversion in Dental Practice
- 9 Interviewing and Counseling Patients with Known or Suspected Substance Use Disorders: Dealing with Drug-seeking Patients
- 10 Office Management of Controlled Substances
- 11 Addiction and Impairment in the Dental Professional
- 12 Due Diligence and Safe Prescribing
- The ADA Practical Guide to Substance Use Disorders and Safe Prescribing
- Index
- EULA