TY  - BOOK
AU  - Brandt, Nicole
TI  - Screening for and Management of Opioid Use Disorder in Older Adults in Primary Care. [Review]
SN  - 0749-0690
PY  - 2022///
KW  - *Buprenorphine
KW  - *Opioid-Related Disorders
KW  - Aged
KW  - Analgesics, Opioid/ae [Adverse Effects]
KW  - Buprenorphine/tu [Therapeutic Use]
KW  - Humans
KW  - Opioid-Related Disorders/di [Diagnosis]
KW  - Opioid-Related Disorders/ep [Epidemiology]
KW  - Opioid-Related Disorders/pc [Prevention & Control]
KW  - Pain
KW  - Primary Health Care
KW  - MedStar Center for Successful Aging
KW  - Journal Article
KW  - Review
N1  - Available online from MWHC library: 2000 - present
N2  - 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
UR  - https://dx.doi.org/10.1016/j.cger.2021.07.001
ER  -