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M9490565.TXT
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1994-09-24
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Document 0565
DOCN M9490565
TI Primary care screening for substance abuse.
DT 9411
AU Caulker-Burnett I; Division of Substance Abuse Medicine, Medical College
of Virginia; Hospitals.
SO Nurse Pract. 1994 Jun;19(6):42-8. Unique Identifier : AIDSLINE
MED/94344487
AB Substance abuse is a major public health problem in the United States
today. Studies are showing increasing evidence of the serious medical
and psychosocial consequences of drug use across all age groups. Of
great concern are the problems of infants born to addicted mothers, the
increased incidence of cardiovascular complications in young people due
to cocaine use, and the extremely high risk of exposure to human
immunodeficiency virus. There is no socioeconomic group that is left
untouched by substance abuse. Yet, for various reasons this disease is
probably the most ignored or underdiagnosed disease in the primary care
setting. This article provides information about addiction and suggests
key areas for history taking, physical exams, and collection of
laboratory data that may help in primary care screening. When concrete
information about the consequences of drug use is provided to addicts
they may be motivated to seek treatment without feeling threatened.
DE Clinical Protocols Human Medical History Taking Motivation Nurse
Practitioners Patient Acceptance of Health Care Physical Examination
*Primary Health Care Referral and Consultation Risk Factors Substance
Abuse/*DIAGNOSIS/EPIDEMIOLOGY/NURSING JOURNAL ARTICLE REVIEW REVIEW,
TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).