167 An Alternative to the Emergency Department for Frail Older People

ConclusionThe CRU provides comprehensive Geriatrician led care for a wide variety of indications. This model of care offers a valid alternative to Emergency Department presentation and acute hospital admission.
Source: Age and Ageing - Category: Geriatrics Source Type: research

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Date: Thursday, 12 19, 2019; Speaker: George F. Koob, Ph.D., Director, NIAAA; Building: Building 50; 1328/1334
Source: NIH Calendar of Events - Category: American Health Source Type: events
AbstractPurpose of ReviewKratom (Mitragyna speciosa) is an herb with no current indication for medical use with potentially addictive properties, yet it is being used in the management of pain, depression, and anxiety. The agent ’s pharmacology lends itself for concern regarding recreational misuse (Drugs of Abuse,2017).Recent FindingsKratom ’s increasing popularity for use in the USA is reflected by National Poison Data System data that in 2011 there were 13 cases reported to poison control centers while in 2017 there were 682 calls in response to kratom exposure (Kratom exposure in the US linked to serious me...
Source: Current Emergency and Hospital Medicine Reports - Category: Emergency Medicine Source Type: research
According to Healthline, Oxycodone is used to treat moderate to severe pain. It can be used short term or long term, depending on your condition. It is an opioid oral tablet and is better known by its other generic brand names, including Oxaydo, Roxicodone, Roxybond, and OxyContin. It is available in five forms, and since it is an opioid medication, it can be very easy to form an Oxycodone addiction. If you feel as if you may be forming an addiction to Oxycodone, make sure you are aware of the signs, symptoms and when it’s time to get help. Oxycodone Addiction Warning Signs Oxycodone can be a very helpful tool for m...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Painkiller Substance Abuse opiate opiate addiction opioid opioids oxycodone oxycodone abuse prescription drug abuse prescription drug addiction prescription drug use prescription drugs pre Source Type: blogs
Are you always in control and always perfectly put together? Are you professionally successful, a great friend, and always showing a happy face to the world?  But what about on the inside? Is there something in the background or in the past that you don’t talk about?  Do you feel disconnected, like no one knows the “real” you? Deep down do you just know something is wrong? Well, you might have “perfectly hidden depression.” Today Gabe speaks with Dr. Margaret Rutherford who has done extensive work on the relationship between perfectionism and depression.  Dr. Rutherford tells u...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Depression General Happiness Interview LifeHelper Mental Health and Wellness Perfectionism Personality Podcast Psychiatry Psychology Research Self-Esteem Self-Help The Psych Central Show Trauma Source Type: blogs
BACKGROUND: Many Americans rely on opioids at varying dosages to help ameliorate their suffering. However, empirical evidence is mounting that opioids are ineffective at controlling non-cancer related chronic pain, and many argue the strategies meant to re...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
BACKGROUND: With increasing efforts to scrutinize and reduce opioid prescribing, limited data exist on the recent trend in receipt of prescription pain medications before diagnosis of opioid use disorder (OUD) or opioid-related overdose (OD). METHO...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
ConclusionsThe prevalence of alcohol dependence in hospitalized patients is substantial. Although our patient was being treated with the standard protocols for alcohol withdrawal, he rapidly developed delirium tremens, which led to an acute inferior ST-elevation myocardial infarction in the setting of nonoccluded coronary vessels. This case report adds to the sparse literature documenting acute coronary events in the setting of alcohol withdrawal and suggests that our patient ’s ST-elevation myocardial infarction is not fully explained by the current coronary vasospasm hypothesis, but rather was in part the result of...
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesPart 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Ano...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: cancer opioids pain rosielle The profession Source Type: blogs
AbstractThe subcutaneous administration route is widely used to administer different types of drugs given its high bioavailability and rapid onset of action. However, the sensation of pain at the injection site might reduce patient adherence. Apart from a direct effect of the drug itself, several factors can influence the sensation of pain: needle features, injection site, volume injected, injection speed, osmolality, viscosity and pH of formulation, as well as the kind of excipients employed, including buffers and preservatives. Short and thin needles, conveniently lubricated and with sharp tips, are generally used to min...
Source: Advances in Therapy - Category: Drugs & Pharmacology Source Type: research
Authors: Vice-O'Con K, Austin PN, Pugh MA Abstract Neuraxial anesthesia with the addition of opioids is the preferred technique for cesarean delivery because of the safety and efficacy of the technique compared with general anesthesia. However, pruritus associated with neuraxial opioids is reported by patients to be one of the most distressing side effects and is a source of patient dissatisfaction. The incidence of pruritus has been reported to be as high as 100%. This review examines the efficacy of different medications for the prevention of pruritus. An online database search of PubMed, Cochrane Database of Sys...
Source: Journal of Studies on Alcohol and Drugs - Category: Addiction Tags: J Stud Alcohol Drugs Source Type: research
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