Substance Abuse Among Older Adults: Treatment Improvement ProtocolDIANE Publishing, 1999 - 173 pages Researchers are only beginning to realize the pervasiveness of substance abuse, such as alcohol and prescription drug misuse, among older people, thousands of whom need treatment but do not receive it. This Treatment Improvement Protocol (TIP) recommends best practices for identifying, screening, assessing, and treating alcohol and prescription drug abuse among people age 60 and older. Sections: alcohol; use and abuse of psychoactive prescription drugs and OTC medications; identification, screening, and assessment; referral and treatment approaches; outcomes and cost issues; legal and ethical issues; tools. Bibliography. 19 charts and tables. |
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Page xvii
... sleep architecture , decreasing the amount of time spent in the deeper levels of sleep ( stages three and four ) and increasing the number and duration of awakenings during the night . However , these new sleep patterns do not appear to ...
... sleep architecture , decreasing the amount of time spent in the deeper levels of sleep ( stages three and four ) and increasing the number and duration of awakenings during the night . However , these new sleep patterns do not appear to ...
Page xix
... Sleep disorders The Panel recommends that sleep history be recorded in a systematic way in order to both document the changes in sleep problems over time and to heighten the awareness of sleep hygiene . ( 2 ) Depression The Geriatric ...
... Sleep disorders The Panel recommends that sleep history be recorded in a systematic way in order to both document the changes in sleep problems over time and to heighten the awareness of sleep hygiene . ( 2 ) Depression The Geriatric ...
Page 14
... Sleep patterns typically change as people age ( Haponik , 1992 ) . Increased episodes of sleep with rapid eye movement ( REM ) , decreased REM length , decreased stage III and IV sleep , and increased awakenings are common patterns ...
... Sleep patterns typically change as people age ( Haponik , 1992 ) . Increased episodes of sleep with rapid eye movement ( REM ) , decreased REM length , decreased stage III and IV sleep , and increased awakenings are common patterns ...
Page 17
... sleep problems in patients with sleep apnea , or may interact with medications rendering them less effective or causing adverse side effects . A barrier to good clinical management in these cases may be the lack of understanding of the ...
... sleep problems in patients with sleep apnea , or may interact with medications rendering them less effective or causing adverse side effects . A barrier to good clinical management in these cases may be the lack of understanding of the ...
Page 29
... sleep disorders or chronic pain as well as for anxiety and labile mood ( Finlayson , 1995b ) . Approximately 25 to 28 percent of older adults reported use of a psychoactive drug within the last year , and 20 percent used a tranquilizer ...
... sleep disorders or chronic pain as well as for anxiety and labile mood ( Finlayson , 1995b ) . Approximately 25 to 28 percent of older adults reported use of a psychoactive drug within the last year , and 20 percent used a tranquilizer ...
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Common terms and phrases
Addiction adverse age-specific alcohol abuse alcohol and drug alcohol consumption alcohol problems alcohol-related alcoholism treatment American Psychiatric Association analgesics anxiety anxiolytics approach assessment Atkinson behavior benzodiazepines Beresford brief intervention Center chronic Clinical clinicians cognitive impairment comorbidities counselor criteria decreased dementia depression detoxification diagnosis disease doses drinking patterns drug abuse DSM-IV Dupree elderly family members Finlayson functioning Geriatric Geriatric Depression Scale gerontology Gomberg health care providers increased individual inpatient insomnia interactions interview issues late onset lorazepam Medicine mental health misuse National Institute older adults older alcoholics older clients older patients older person older substance abusers opioid outpatient oxazepam patient or client percent physical physicians population prescribed prescription drug prescription drug abuse problem drinkers professional psychoactive drugs psychological Research response risk screening sleep smoking social staff substance abuse problems substance abuse treatment symptoms therapy treatment outcomes treatment program triazolam Washington Winger withdrawal
Popular passages
Page 53 - Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (Eye opener)?
Page 134 - Do you prefer to stay at home, rather than going out and doing new things? YES NO 13. Do you frequently worry about the future? YES NO 14.
Page 17 - ... closely related) substance is taken to relieve or avoid withdrawal symptoms 3. the substance is often taken in larger amounts or over a longer period than was intended 4. there is a persistent desire or unsuccessful efforts to cut down or control substance use 5.
Page 125 - YES, DURING THE LAST YEAR 10. Has a relative or friend or a doctor or other health worker been concerned about your drinking or suggested you cut down? (0) NO (2) YES, BUT NOT IN THE LAST YEAR (4) YES, DURING THE LAST YEAR * In determining the response categories it has been assumed that one 'drink
Page 134 - Choose the best answer for how you felt over the past week. 1. Are you basically satisfied with your life?
Page 17 - A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12-month period: 1) recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (eg, repeated absences or poor work performance related to substance use; substance-related absences, suspensions...
Page 16 - A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period...
Page 17 - ... a need for markedly increased amounts of the substance to achieve intoxication or desired effect (b) markedly diminished effect with continued use of the same amount of the substance 2.
Page 129 - Going to toilet: Independent: gets to toilet; gets on and off toilet; arranges clothes, cleans organs of excretion (may manage own bedpan used at night only and may or may not be using mechanical supports). Dependent: uses bedpan or commode or receives assistance in getting to and using toilet.
Page 124 - Daily or almost daily 4. How often during the last year have you found that you were not able to stop drinking once you had started?