Ada Practical Guide to Substance Use Disorders and Safe Prescribing

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:
 
* Detecting and deterring substance use disorders (SUD) and drug diversion in the dental office (drug-seeking patients)
* Prescribing complexities
* Treating patients with SUD and complex analgesic and sedation (pain/sedation management) needs and the best use of sedation anxiety medication
* Interviewing and counselling options for SUD
* Federal drug regulations
Commonly used illicit, prescription, and over-the-counter drugs, as well as alcohol and tobacco, are also covered.
 
Special features include:
 
* Clinical tools proven to aid in the identification, interviewing, intervention, referral and treatment of SUD
* Basic elements of SUD, acute pain/sedation management, and drug diversion
* Summary of evidence-based literature that supports what, when and how to prescribe controlled substances to patients with SUD
* Discussion of key federal controlled substance regulations that frequently impact dental practitioners
* Checklists to help prevent drug diversion in dental practices
* Chapter on impaired dental professionals
* Case studies that examine safe prescribing and due diligence

Inhaltsverzeichnis

Contributors xi
 
Preface xiii
 
Acknowledgments xv
 
1 Substance Use Disorders, Drug Diversion, and Pain Management: The Scope of the Problem 1
Michael O'Neil, PharmD
 
Introduction 1
 
Definitions 2
 
Substance Use Disorder, Drug Misuse, Drug Diversion, and Pain Management in the Dental Community 4
 
Understanding the Cultures of Substance Use Disorder, Drug Misuse, and Drug Diversion 8
 
Summary 9
 
References 10
 
2 Understanding the Disease of Substance Use Disorders 11
James H. Berry, DO and Carl Rollynn Sullivan, MD
 
Introduction 11
 
Definitions 11
 
Epidemiology: Drug/Alcohol 13
 
Pathophysiology/Brain Pathways 14
 
Signs, Symptoms, Behavior 15
 
Treatment Methods 20
 
Summary 26
 
Appendix 2.A: Common Opioid Analgesics and their Brand Names 27
 
References 29
 
Resources and Further Readings 30
 
3 Principles of Pain Management in Dentistry 31
Paul A. Moore, DMD, PhD, MPH and Elliot V. Hersh, DMD, MS, PhD
 
Introduction 31
 
Definitions 32
 
Neurophysiology and Neuroanatomy of Acute Inflammatory Pain 32
 
Orally Administered Analgesic Agents 33
 
Medication-Assisted Therapies for Treating Drug-Dependent Patients 41
 
Adjunctive Drugs Used to Limit Pain in Dentistry 41
 
Guidelines for Analgesic Therapy 43
 
Summary 45
 
References 45
 
Resources and Further Readings 46
 
4 Special Pain Management Considerations: (1) Chronic Methadone, Buprenorphine, and Naltrexone Therapy; (2) Chronic Opioids for Nonmalignant Pain 47
Michael O'Neil, PharmD
 
Introduction 47
 
Definitions 48
 
Interviewing the Patient: Establishing Goals of Treatment 49
 
Pharmacological Treatment of Opioid Addiction 49
 
Treating Acute Dental Pain 51
 
Acute Pain in Patients Receiving Opioid Maintenance Therapy 51
 
The Active Opioid Addict 55
 
Acute Pain Management in Patients Receiving Naltrexone Therapy 56
 
Acute Pain Management in Patients Receiving Opioids for Chronic Pain 57
 
Summary 57
 
References 58
 
5 Sedation and Anxiolysis 61
Matthew Cooke, DDS, MD, MPH
 
Introduction 61
 
Definitions 61
 
Spectrum of Anesthesia and Sedation 62
 
Preoperative Evaluation 64
 
Physical Status Classification 65
 
Sedation 65
 
Medications Available for Sedation of Patients with Substance Use Disorder 68
 
The Concept of Balanced Anesthesia 76
 
Monitoring and Documentation 76
 
Summary 78
 
Disclaimer 78
 
References 79
 
Resources and Further Readings 82
 
6 Common Substances and Medications of Abuse 83
William J. Maloney, DDS and George F. Raymond, DDS
 
Introduction 83
 
Definitions 83
 
Signs and Symptoms of Substance Use Disorder 85
 
Common Substances of Abuse 86
 
Prescription Medications 100
 
Over-the-Counter Medications 111
 
Summary 112
 
References 112
 
Resources and Further Readings 118
 
7 Tobacco Cessation: Behavioral and Pharmacological Considerations 119
Frank Vitale, MA and Amanda Eades, PharmD
 
Introduction 119
 
Definitions 119
 
Forms of Tobacco 121
 
Oral Effects of Tobacco Use 121
 
Dental Practitioner Management of Tobacco Use 122
 
Spit Tobacco Interventions 124
 
Oral Substitutes 125
 
Social Support/Disapproval 125
 
Medication Management for Smoking Cessation 126
 

Über den Autor / die Autorin

Michael O'Neil, Pharm.D., is Professor and Vice Chair of the Department of Pharmacy Practice at South College School of Pharmacy in Knoxville, Tennessee. Dr. O'Neil has more than 25 years' experience as a critical care and pain specialist and has taught pharmacy students, pharmacy residents, nursing students, surgery/medical students, and medical residents in the classroom and at the bedside. He has completed research and published in several leading health professional journals including pharmacy, dentistry, and nursing. Dr. O'Neil has also served as a consultant and expert on prescription drug abuse, substance abuse, and drug diversion for the U.S. Drug Enforcement Agency, the Bureau of Criminal Investigation, the U.S. Attorney's Office, the West Virginia Board of Dental Examiners, the American Association of Dental Boards, and several law enforcement agencies. Dr. O'Neil developed the West Virginia Pharmacists Recovery Network where he served as Executive Director and head investigator. Dr. O'Neil helped initiate other professional recovery networks in medicine, dentistry and nursing.

Zusammenfassung

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:

* Detecting and deterring substance use disorders (SUD) and drug diversion in the dental office (drug-seeking patients)
* Prescribing complexities
* Treating patients with SUD and complex analgesic and sedation (pain/sedation management) needs and the best use of sedation anxiety medication
* Interviewing and counselling options for SUD
* Federal drug regulations
Commonly used illicit, prescription, and over-the-counter drugs, as well as alcohol and tobacco, are also covered.

Special features include:

* Clinical tools proven to aid in the identification, interviewing, intervention, referral and treatment of SUD
* Basic elements of SUD, acute pain/sedation management, and drug diversion
* Summary of evidence-based literature that supports what, when and how to prescribe controlled substances to patients with SUD
* Discussion of key federal controlled substance regulations that frequently impact dental practitioners
* Checklists to help prevent drug diversion in dental practices
* Chapter on impaired dental professionals
* Case studies that examine safe prescribing and due diligence

Produktdetails

• Autoren: &apos, Michael Neil, O&apos, Michael O'Neil, M O''neil, Michael O''''neil, Michael (South College School of Pharma O''''neil
• Mitarbeit: Michae O'Neil (Herausgeber), Michael O'Neil (Herausgeber)
• Verlag: Wiley, John and Sons Ltd
• Sprache: Englisch
• Produktform: Taschenbuch
• Erschienen: 10.07.2015
• EAN: 9781118886014
• ISBN: 978-1-118-88601-4
• Seiten: 240
• Serien: ADA Practical Guide; ADA Practical Guide
• Themen: Naturwissenschaften, Medizin, Informatik, Technik > Medizin > Nichtklinische Fächer; Zahnmedizin, ZAHNHEILKUNDE, dentistry, Allg. Zahnmedizin, Mundheilkunde, Community Dentistry & Public Health, Zahnheilkunde u. Gesundheitswesen, Mundheilkunde / Pharmakologie, Oral Pharmacology