Books > Medicine > Clinical & internal medicine > Geriatric medicine
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Addiction in the Older Patient (Paperback)
Loot Price: R2,788
Discovery Miles 27 880
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Addiction in the Older Patient (Paperback)
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This text focuses on the under-recognized and undertreated problem
of addiction in later life. The widespread lack of clinical
knowledge about this patient population can be traced to several
sources: the systematic exclusion of older individuals from
clinical trials; their reluctance to seek medical help owing to
stigma and shame; the fact that additive disorders may be disguised
by concurrent medical conditions; a lack of screening instruments
tailored to an older population; and the low sensitivity of
standard diagnostic criteria for detecting addiction in middle-aged
and elderly adults who do not display the occupational and legal
"red flags" seen in younger individuals. This volume provides the
reader with a clear sense of the surprisingly high prevalence of
alcohol and substance use disorders in older adults. For each of
the major classes of addictive substances, both prescribed and
illicit, this book highlights the key clinical issues that can
complicate successful diagnosis. The authors describe strategies
for initial engagement with the patient, including screening
instruments, brief interventions which can be adapted to a primary
care setting, emerging web-based and mobile technologies, and
treatment strategies which are tailored to the age-appropriate
needs of older adults, including older women - who have been found
to be especially vulnerable to prescription drug misuse. With the
aging of the baby boomers, a generation arriving in middle-age with
greater exposure to alcohol and drugs than any previous cohort, the
need for successful identification and effective treatment of
alcohol and substance use disorders in later life has become a
clinical imperative. Addiction in the Older Patient, whose editors
bring more than 40 years of combined research and clinical
experience in the field of addiction treatment, offers a
comprehensive introduction to this underexplored and timely topic.
This text synthesizes current clinical evidence to support the most
effective strategies for discovering and treating addictive
disorders in our older patients.
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