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Management of the Addicted Patient in Primary Care

  • Book
  • © 2007

Overview

  • One of the only books available on the subject
  • Logically organized into easily accessible sections
  • Emphasizes the knowledge and skills needed to treat addiction in an office-based primary care setting
  • Provides a crucial understanding of why and when to refer
  • Bulleted clinical "pearls" aid in patient management

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Table of contents (6 chapters)

Keywords

About this book

Tobacco, alcohol, illicit drugs, and secondhand exposure are the nation’s leading health problems. These acquired problems cause more than half of all deaths per year. First use, as well as some subsequent use, may be voluntary, but after loss of control, continued use is to be expected in an addict. So, prevention is the treatment of choice and also the treatment with the greatest ef? cacy. When prevention fails, early intervention and prompt treatment are critical; oth- wise, abuse becomes dependence and with it comes a chronic life-long disease without a speci? c cure. This places a great deal of responsibility on the already overburdened primary care physicians, who must identify a disease fraught with denial and whose patients are generally the last ones to know and accept the fact that they are hopelessly addicted and need help. Physician education and competency make early diagnosis more likely, but most practicing phy- cians do not have addiction education or treatment training as part of their undergraduate medical education. Among physicians, tobacco competency has improved, and a smoking history is now a part of almost every new patient assessment. A patient’s attempts to quit and pharmacologic treatments have been incorporated into most practices in which the physician emphasizes we- ness. Most physicians have prescribed and followed patients treated with ni- tine replacement and Zyban. Progress in the treatment of alcohol abuse and dependence, cocaine and prescription misuse and dependence, and other drugs of abuse has been much slower.

Authors and Affiliations

  • St. Vincent’s Medical Center, Jacksonville

    Heidi Allespach Pomm

  • College of Osteopathic Medicine, Nova Southeastern University, Ft. Lauderdale

    Heidi Allespach Pomm

  • Department of Family Medicine and Community Health, University of Miami Miller School of Medicine, Miami

    Heidi Allespach Pomm

  • Department of Psychiatry, University of Florida, Gainesville

    Raymond M. Pomm

About the authors

Authors are leading authorities on the topic. Have published extensively on the topic in the medical literature.

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