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This book is written for any clinician who encounters substance abuse in a patient and wonders what to do. Experts from a cross-section of specialties and health professions provide up-to-date, evidence-based guidance on how non-expert clinicians can recognize, understand, and approach the management of substance abuse in their patients. They detail the range of treatments available and whether and how they work. The central importance of using a carefully selected multimodal approach that is tailored to the individual patient is emphasized throughout and illustrated in case scenarios from actual clinical practice.
Table of Contents
	1 Definition and Demographics of Addiction .......................................... 1
	Andrei D. Sdrulla, Grace Chen, and Kim Mauer
	2 Legal Issues .............................................................................................. 17
	Bobby Ray Malbrough
	3 Signs and Symptoms of Substance Abuse ............................................. 23
	Elizabeth Ngo and Shalini Shah
	4 Speaking with Your Patient about the Problem ................................... 33
	Shalini Shah
	5 Screening and Assessment for Substance Abuse .................................. 43
	Elizabeth Ngo and Shalini Shah
	6 Assessment of Pain .................................................................................. 53
	Jatin Joshi and Vinay Puttanniah
	7 Food and Abuse ....................................................................................... 63
	Ike Eriator, Efosa Ogiamien, and Xiaoli Dai
	8 Alcohol Dependence Syndrome ............................................................. 77
	Ameana Khan, Suresh Menon, and Sreekumar Kunnumpurath
	9 Tobacco .................................................................................................... 89
	Debasish Basu, Sukanya Mitra, and Nalini Vadivelu
	10 The Abuse of Agents Used to Induce or Maintain
	General Anesthesia: Intravenous Hypnotics
	and the Halogenated Hydrocarbons ...................................................... 109
	Ethan O. Bryson
	11 Prescription Drug Abuse ........................................................................ 127
	Susan Dabu-Bondoc, Amit A. Shah, and Philip R. Effraim
	12 Cocaine Abuse ......................................................................................... 143
	Emily Kahn, Hosni Mikhael, and Nalini Vadivelu
	13 Management of Acute and Chronic Drug Abuse
	of Amphetamines .................................................................................... 155
	Sahra Lantz-Dretnik, Michal Czernicki, and Sreekumar Kunnumpurath
	14 Herbal Supplements and Abuse............................................................. 165
	Karina Gritsenko, Iyabo Muse, and Amaresh Vydyanathan
	15 Opioids and Substance Abuse ................................................................ 179
	Matthew Verne Satterly and Magdalena Anitescu
	16 The Multidisciplinary Approach to the Management
	of Substance Abuse ................................................................................. 193
	Andrei D. Sdrulla and Grace Chen
	17 Evidence-Based Treatments for Substance Use Disorders .................. 209
	David Pilkey, Howard Steinberg, and Steve Martino
	18 Nursing Perspectives in Managing Patients with Substance Abuse ... 229
	Larissa Galante, Cynthia French, and Kirsten B. Grace
	19 The Role of the Social Worker ............................................................... 249
	Janet Lucas, Anne Riffenburgh, and Bill Mejia
	20 Physical Medicine and Rehabilitation in the Opioid
	Addicted Patient ...................................................................................... 265
	Michael N. Brown
	21 Appropriate Dispensing of Prescription Medications
	and Recognition of Substance Abuse:
	The Pharmacist’s Perspective ................................................................ 291
	Adam Marc Kaye and Alan David Kaye
	22 Methadone: Uses, Abuses, and Metabolism ......................................... 301
	Andrea Trescot, Natalia Murinova, and Daniel Krashin
	23 Buprenorphine for Pain and Opioid Dependence ................................ 311
	Sanford M. Silverman
	24 Opioid-Sparing Drugs (Ketamine, Gabapentin, Pregabalin,
	and Clonidine) ......................................................................................... 319
	Jasmina Perinpanayagam, Mohammad Jamil Abu-Asi,
	Sara Bustamante, and Sreekumar Kunnumpurath
	25 Substance Abuse Recovery Groups ....................................................... 331
	Anjuli Desai and Frank John English Falco
	26 Relaxation Techniques ............................................................................ 337
	Kareem Hubbard and Frank John English Falco
	27 Acupuncture as a Treatment for Substance
	Abuse in Pediatric Patients .................................................................... 349
	Shu-Ming Wang
	28 Neurostimulation and Drug Abuse ........................................................ 359
	Maria Teresa Gudin
	29 Hypnosis for Substance Abuse ............................................................... 369
	Sumit Gulati, Yashwin Agnelo D’Costa, Lara Zador,
	and Sreekumar Kunnumpurath
	30 Postoperative Pain Control in Drug Abusing Patients ........................ 379
	Clifford Gevirtz, Nalini Vadivelu, and Alan David Kaye
	31 Management of the Drug Abusing Patient in the ICU ........................ 389
	Ranjit Deshpande, Jhaodi Gong, Ryan Chadha, and Ala Haddadin
	32 Chronic Pain Patients and Substance Abuse ........................................ 407
	Rahul Rastogi, Narendren Narayanasamy, and Paul Sraow
	33 Management of Acute Pain .................................................................... 429
	Michael Alan Fishman and Donna-Ann M. Thomas
	34 Pediatric Drug Use, Misuse, and Abuse ................................................ 445
	Shu-Ming Wang
	35 Pregnancy and Substance Abuse ........................................................... 453
	Gulshan Doulatram, Tilak D. Raj, and Ranganathan Govindaraj
	36 Substance Abuse in the Elderly ............................................................. 495
	Danie Babypaul, Michal Czernicki, and Sreekumar Kunnumpurath
	37 Substance Abuse Among Healthcare Professionals ............................. 503
	Natacha Telusca, Kingsuk Ganguly, Chrystina Jeter,
	and Jordan L. Newmark
	38 Podiatric Problems and Management in Patients
	with Substance Abuse ............................................................................. 515
	Gabriel V. Gambardella, Chioma N. Odukwe Enu,
	Brian M. Schmidt, and Peter A. Blume
	39 Substance Abuse and Respiratory Disease ........................................... 537
	Martin D. Knolle, Sumit Chatterji, and Thomas B. Pulimood
	40 Medically Supervised Withdrawal for Opioid Dependence ................ 549
	Sanford M. Silverman
	41 Pain, Addiction, Depression (PAD): Assessment
	of Pain and Addiction, the Neurobiology of Pain ................................. 567
	Hans C. Hansen
	42 Between Social Welfare and Public Health:
	Substance Abuse and Co-occurring Disability ..................................... 593
	Song Kim and Alan David Kaye
	43 Effects of Substance Abuse on the Cardiovascular
	System and Its Management .................................................................. 603
	Adnan Khan Malik, Ann Marie Melookaran, Gnana S. Simon,
	and Qingbing Zhu
	44 The Face of Addiction ............................................................................. 619
	Debra Short
	45 Drug Testing and Adherence Monitoring in Substance
	Abuse Patients ......................................................................................... 621
	Steven Michael Lampert, Alan David Kaye, Richard D. Urman,
	and Laxmaiah Manchikanti
	Index ................................................................................................................. 633
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