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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5538_Библиотеки_им_академика_М_И_Перельмана
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SUBSTANCE USE
in Older Adults
Edited by
Art Walaszek, M.D.
SUBSTANCE USE in
Older Adults
SUBSTANCE USE in
Older Adults
Edited by
Art Walaszek, M.D.
Note: The authors have worked to ensure that all information in this
book is accurate at the time of publication and consistent with general
psychiatric and medical standards, and that information concerning
drug dosages, schedules, and routes of administration is accurate at the
time of publication and consistent with standards set by the U.S. Food
and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic
ards may change. Moreover, specific situations may require a spe-
stand
cific therapeutic response not included in this book. For these reasons
and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in
their care or the care of a member of their family.
Books published by American Psychiatric Association Publishing
represent the findings, conclusions, and views of the individual authors
and do not necessarily represent the policies and opinions of American
Psychiatric Association Publishing or the American Psychiatric Association.
If you wish to buy 50 or more copies of the same title, please go to
www.appi.org/specialdiscounts for more information.
Copyright © 2024 American Psychiatric Association Publishing
ALL RIGHTS RESERVED
First Edition
Manufactured in the Unite
d States of America on acid-free paper
27 26 25 24 23 54321
American Psychiatric Association Publishing
800 Maine Avenue SW, Suite 900
Washington, DC 20024–2812
www.appi.org
Library of Congress Cataloging-in-Publication Data
Names: Walaszek, Art, 1972- editor. | American Psychiatric Association
Publishing, issuing body.
Title: Substance use in older adults / edited by Art Walaszek.
Description: First edition. | Washington : American Psychiatric Association
Publishing, [2024] | Includes bibliographical references and index.
Identifiers: LCCN 2023052900 (print) | LCCN 2023052901 (ebook) | ISBN
Subjects: MESH: Substance-Related Disorders | Aged
Classification: LCC HV5809 (print) | LCC HV5809 (ebook) | NLM WM 270 |
DDC 362.29084/2--dc23/eng/20240102
LC record available at https://lccn.loc.gov/2023052900
LC ebook record available at https://lccn.loc.gov/2023052901
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
CONTENTS
Contributors . . . . . . . . . . . . . . . . . . . .ix
Foreword . . . . . . . . . . . . . . . . . . . . . xiii
1 Introduction to Substance Use Among
Older Adults
Laurel Bessey, M.D.
Dolapo Oseni, M.D.
Art Walaszek, M.D.
. . . . . . . . . . . . . . . . . . . . . . . . 1
2 Comprehensive Assessment of Older
Adults With Substance Use
Karen Reimers, M.D.
. . . . . . . . . . . . 25
3 Management of Substance Use Disorders
in Late Life
Jen McDonald, M.D.
Art Walaszek, M.D.
. . . . . . . . . . . . . . . . . . . . . . . . 55
4 Safe Prescribing Practices for Older
Adults
. . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Badr Ratnakaran, M.B.B.S.
Rajdip Barman, M.D.
5 Alcohol Use and Use Disorder Among
Older Adults
Ganesh Gopalakrishna, M.D., M.H.A.
Pallavi Joshi, D.O., M.A.
Nisha Patel, D.O.
. . . . . . . . . . . . . . . . . . . . . 125
6 Tobacco Use Among Older Adults . . . . . . 159
Samuel Gazecki
Sandra Swantek, M.D.
7 Opioid Use and Use Disorder Among
Older Adults
Pallavi Joshi, D.O., M.A.
Robert Rymowicz, D.O.
Ganesh Gopalakrishna, M.D., M.H.A.
. . . . . . . . . . . . . . . . . . . . . 187
8 Sedative, Hypnotic, and Anxiolytic Use and
Use Disorder Among Older Adults
Seetha Chandrasekhara, M.D.
Sue-Jean Sylvia Yu, M.D.
. . . . . . 213
9 Stimulant Use Disorder in Older Adults . . 241
Margaret Z. Wang, M.D.
Jonathan Buchholz, M.D.
Andrew J. Saxon, M.D.
10 Cannabinoid Use and Use Disorder
Among Older Adults
Art Walaszek, M.D.
. . . . . . . . . . . . . . . 275
11 Cultural, Structural, and Ethical
Considerations in the Care of Older
Adults With Substance Use Disorders
Noelle Martinez, M.D., M.P.H.
Susan Lehmann, M.D.
Michael Fingerhood, M.D.
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
. . . . 295
Contributors
Rajdip Barman, M.D.
Medical Director and Chair, Inpatient Behavioral Health, Genesis
Health System, Davenport, Iowa
el Bessey, M.D.
Laur
Assistant Professor, University of Wisconsin School of Medicine and
Public
Jonathan Buchholz, M.D.
Assistant Professor, Department of Psychiatry and Behavioral Sciences,
University of Washington School of Medicine, Seattle, Washington
Seetha Chandrasekhara, M.D.
Assistant Professor of Clinical Psychiatry and Behavioral Science,
Lewis Katz School of Medicine at Temple University, Philadelphia,
Pennsylvania
Michael Fingerhood, M.D.
Professor of Medicine, Johns Hopkins University, Baltimore, Maryland
Health, Madison, Wisconsin
Samuel Gazecki, B.A.
Medical Student, Rush University Medical College, Chicago, Illinois
Ganesh Gopalakrishna, M.D., M.H.A.
Associate Professor of Psychiatry, University of Arizona–Phoenix,
Phoenix,
Arizona
ix
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