Description |
1 online resource |
Series |
Practical Guide Series |
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Practical guide series (American Dental Association)
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Contents |
The ADA Practical Guide to Substance Use Disorders and Safe Prescribing -- Contents -- Contributors -- Preface -- Acknowledgments -- 1 Substance Use Disorders, Drug Diversion, and Pain Management: The Scope of the Problem -- Introduction -- Definitions -- Acute Pain -- Addiction -- Chronic Pain -- Drug Diversion -- Drug Misuse -- Opiates and Opioids -- Prescriber-Patient Mismatch -- Substance Abuse -- Substance Dependence -- Substance Use Disorders -- Substance Use Disorder, Drug Misuse, Drug Diversion, and Pain Management in the Dental Community -- Substance Use Disorder -- Medication Misuse -- Alcoholism -- Drug Diversion -- Pain Management in Dentistry -- Understanding the Cultures of Substance Use Disorder, Drug Misuse, and Drug Diversion -- The Sharing Culture -- The Income-driven Culture -- The Substance Abuse Culture -- The Addiction Culture -- Combinations of Cultures -- Summary -- References -- 2 Understanding the Disease of Substance Use Disorders -- Introduction -- Definitions -- Addiction -- Ambivalence -- Cross-addiction -- Medication-assisted Therapy -- Medical Model -- Psychological Therapy or Psychotherapy -- Tolerance -- Transtheoretical Model of Change -- Withdrawal -- Epidemiology: Drug/Alcohol -- Age and Gender -- Treatment -- Pathophysiology/Brain Pathways -- Signs, Symptoms, Behavior -- Alcohol -- Benzodiazepines -- Opioids -- Stimulants -- Cannabis -- Nicotine -- Hallucinogens, Designer Drugs, Inhalants -- Treatment Methods -- Behavioral Modifications and Counseling -- Medications for Substance Use Disorder -- Alcohol -- Benzodiazepines -- Opioids -- Stimulants, Hallucinogens, Cannabis, Inhalants -- Tobacco -- Summary -- Appendix 2.A: Common Opioid Analgesics and their Brand Names -- References -- Resources and Further Readings -- 3 Principles of Pain Management in Dentistry -- Introduction -- Definitions |
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Neuropathic Pain -- Nociceptive Pain -- Neurophysiology and Neuroanatomy of Acute Inflammatory Pain -- Orally Administered Analgesic Agents -- Nonopioid Analgesics -- Adverse Drug Reactions and Toxicities of Nonopioid Analgesics -- Opioid Analgesics -- Side Effects of and Drug Interactions Associated with Opioid Analgesics -- Medication-Assisted Therapies for Treating Drug-Dependent Patients -- Adjunctive Drugs Used to Limit Pain in Dentistry -- Long-Acting Local Anesthetics -- Preemptive Analgesics -- Corticosteroids -- Guidelines for Analgesic Therapy -- Summary -- References -- Resources and Further Readings -- 4 Special Pain Management Considerations: (1) Chronic Methadone, Buprenorphine, and Naltrexone Therapy -- (2) Chronic Opioids for Nonmalignant Pain -- Introduction -- Definitions -- Opioid Maintenance Therapy -- Pseudo-addiction -- Hyperalgesia -- Cross-tolerance -- Interviewing the Patient: Establishing Goals of Treatment -- Pharmacological Treatment of Opioid Addiction -- Goals of Treatment -- Pharmacological Considerations of Methadone and Buprenorphine -- Treating Acute Dental Pain -- Acute Pain in Patients Receiving Opioid Maintenance Therapy -- Methadone and Buprenorphine -- The Active Opioid Addict -- Acute Pain Management in Patients Receiving Naltrexone Therapy -- Acute Pain Management in Patients Receiving Opioids for Chronic Pain -- Summary -- References -- 5 Sedation and Anxiolysis -- Introduction -- Definitions -- Spectrum of Anesthesia and Sedation -- Rescue -- Preoperative Evaluation -- Physical Status Classification -- Sedation -- Medications Available for Sedation of Patients with Substance Use Disorder -- Nitrous Oxide-Oxygen Sedation -- The Benzodiazepines -- Opioids -- Chronic Pain or Opioid-Based Maintenance Programs -- Ketamine -- Propofol -- Antihistamines -- Alpha Agonists |
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Inhalation Anesthetics and Neuromuscular Blocking Drugs -- Inhalation Agents -- Local Anesthetics -- The Concept of Balanced Anesthesia -- Monitoring and Documentation -- Emergencies -- Special Considerations -- Summary -- Disclaimer -- References -- Resources and Further Readings -- 6 Common Substances and Medications of Abuse -- Introduction -- Definitions -- Drug Misuse -- Opiates and Opioids -- Prescription Drug Abuse -- Substance Abuse -- Substance Use Disorder -- Tolerance -- Visual Analog Pain Scale -- Signs and Symptoms of Substance Use Disorder -- Common Substances of Abuse -- Stimulants -- Hallucinogens -- Opioids: Heroin and Opium -- Inhalants -- Central Nervous System Depressants -- Marijuana and Other -9-Tetrahydrocannabinol Derivatives -- Prescription Medications -- Opioids -- Stimulants: Methylphenidate and Amphetamine/Dextroamphetamine (Schedule II) -- Central Nervous System Depressants -- Barbiturates -- Antipsychotics -- Muscle Relaxants -- Anticonvulsants -- Other Agents -- Over-the-Counter Medications -- Dextromethorphan -- Antihistamines -- Pseudoephedrine -- Summary -- References -- Resources and Further Readings -- 7 Tobacco Cessation: Behavioral and Pharmacological Considerations -- Introduction -- Definitions -- Cognitive Coping -- Behavioral Coping -- Nicotine Replacement Therapy -- Spit Products -- Forms of Tobacco -- Oral Effects of Tobacco Use -- Dental Practitioner Management of Tobacco Use -- Brief Intervention: Ask-Advise-Refer -- Low Intensity: Motivate-Educate-Refer -- Moderate Intensity: Create a Plan -- Spit Tobacco Interventions -- Gradual Reduction -- Oral Substitutes -- Social Support/Disapproval -- Medication Management for Smoking Cessation -- The Role of Nicotine -- Pharmacotherapy Options -- First-Line Agents -- Second-Line Agents -- Other Non-FDA-Approved Smoking-Cessation Therapies -- Summary |
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Prescription -- Practitioner -- Dispense -- Readily Retrievable -- Due Diligence -- Common Violations by Dental Practitioners -- Scope of Practice -- Record Keeping -- Storage of Controlled Substances -- Disposal of Controlled Substances -- Documentation -- Surviving a Drug Enforcement Administration Inspection -- Practice Due Diligence Program -- Management of Noncontrolled Substances in the Office -- Summary -- Resources and Further Readings -- 11 Addiction and Impairment in the Dental Professional -- Introduction -- Definitions -- Addiction -- Impairment -- Denial -- The Complexity of Addiction -- The Neurobiology of Addiction -- The Stigma of Addiction -- Epidemiology of Addiction in Dentistry -- Risk Factors for Substance Use Disorder -- Family History of Substance Use Disorder -- Stress -- Other Risk Factors -- Substances of Choice -- Identifying Addiction -- "The Conspiracy of Silence" -- Intervention -- Goals of Intervention -- Evaluation/Assessment -- Treatment -- Family and Staff -- Relapse -- Monitoring -- Peer Assistance or Dental Well-being Committee Programs -- Addiction Support Programs and Information -- Self-report Programs -- Consent or Mandated Programs -- Contractual Agreements with Peer Assistance or Well-being Committee Contracts -- Summary -- References -- Resources and Further Readings -- 12 Due Diligence and Safe Prescribing -- Introduction -- Definitions -- Due Diligence -- Relapse -- Prescriber-Patient Analgesic Mismatch -- Case Scenarios -- Recognition of Diversion Behaviors -- Ethics and Analgesia -- Alcohol and Benzodiazepines -- Opioid Maintenance Treatment and Acute Analgesia -- Stimulants and Tooth Pain -- Acute "on" Chronic Pain Management -- Alcoholism with Liver Disease -- Controlled-Substance Prescribing Regulations -- Impaired Professional -- Summary -- References -- Continuing Education Examination -- Index |
Summary |
"This is in addition to a variety of legal regulations dentists must follow regarding the storage and record keeping of controlled substances"--Provided by publisher |
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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. - Publisher |
Bibliography |
Includes bibliographical references and index |
Notes |
Print version record and CIP data provided by publisher |
Subject |
Dental care -- United States
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Substance abuse -- United States
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Dental offices -- United States -- Organization
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Dentist and patient -- United States
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Drugs -- Prescribing -- Law and legislation -- United States
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Drug control -- United States
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Dental care.
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Dentist and patient.
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Dental Care
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Substance-Related Disorders
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Dental Offices -- organization & administration
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Dentist-Patient Relations
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Drug Prescriptions -- standards
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Drug and Narcotic Control
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MEDICAL -- Surgery -- General.
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Dental care
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Dentist and patient
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Drug control
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Drugs -- Prescribing -- Law and legislation
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Substance abuse
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United States |
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United States
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Form |
Electronic book
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Author |
O'Neil, Michael (Pharmacist), editor.
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American Dental Association, issuing body
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LC no. |
2015007609 |
ISBN |
9781118925270 |
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1118925270 |
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9781118925287 |
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1118925289 |
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9781119062738 |
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111906273X |
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1118886011 |
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9781118886014 |
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