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Screening for and Management of Opioid Use Disorder in Older Adults in Primary Care. [Review]

MedStar author(s):

Citation: Clinics in Geriatric Medicine. 38(1):23-38, 2022 02.PMID: 34794701Department: MedStar Center for Successful AgingForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Buprenorphine | *Opioid-Related Disorders | Aged | Analgesics, Opioid/ae [Adverse Effects] | Buprenorphine/tu [Therapeutic Use] | Humans | Opioid-Related Disorders/di [Diagnosis] | Opioid-Related Disorders/ep [Epidemiology] | Opioid-Related Disorders/pc [Prevention & Control] | Pain | Primary Health CareYear: 2022 Local holdings: Available online from MWHC library: 2000 - presentISSN:

0749-0690

Name of journal: Clinics in geriatric medicineAbstract: Opioid use disorder (OUD) is commonly seen in older adults in primary care offices. OUD when left untreated, often leads to overdose deaths, emergency department visits, and hospitalizations due to opioid-related adverse effects, especially respiratory and central nervous system depression. Primary care providers are on the front lines of efforts for its prevention, early detection, and treatment. This includes using the lowest doses of opioids for the shortest possible time for management of pain, routine screening, brief intervention, opioid withdrawal management, prescription of naloxone to prevent overdose death, and treatment with medications and psychosocial interventions for OUD. Referral to addiction treatment centers may be needed in complex cases. This review explores the epidemiology, screening, as well as management of OUD as it pertains to the elderly population. Copyright (c) 2021 Elsevier Inc. All rights reserved.All authors: Brandt N, Desai A, Duggirala R, Khushalani S, Palmer TOriginally published: Clinics in Geriatric Medicine. 38(1):23-38, 2022 Feb.Fiscal year: FY2022 Fiscal year of original publication: FY2022Digital Object Identifier:

https://dx.doi.org/10.1016/j.cger.2021.07.001

Date added to catalog: 2022-01-25

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34794701	Available		34794701

Available online from MWHC library: 2000 - present

Opioid use disorder (OUD) is commonly seen in older adults in primary care offices. OUD when left untreated, often leads to overdose deaths, emergency department visits, and hospitalizations due to opioid-related adverse effects, especially respiratory and central nervous system depression. Primary care providers are on the front lines of efforts for its prevention, early detection, and treatment. This includes using the lowest doses of opioids for the shortest possible time for management of pain, routine screening, brief intervention, opioid withdrawal management, prescription of naloxone to prevent overdose death, and treatment with medications and psychosocial interventions for OUD. Referral to addiction treatment centers may be needed in complex cases. This review explores the epidemiology, screening, as well as management of OUD as it pertains to the elderly population. Copyright (c) 2021 Elsevier Inc. All rights reserved.

English