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Périodique
Drug and alcohol referrals: are elderly substance abuse diagnoses and referrals being missed?
(Références à la drogue et à l'alcool: les diagnostics de dépendance sont-ils anciens et les références manquantes?)
Auteur(s) :
F. McINNES ;
J. POWELL
Refs biblio. :
17
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
BENZODIAZEPINES
;
TABAC
;
ALCOOL
;
ABUS
;
PERSONNE AGEE
;
HOPITAL
;
PERSONNEL MEDICAL
;
DIAGNOSTIC
Note générale :
British Medical Journal, 1994, 308, 444-446
Résumé :
FRANÇAIS :
Un questionnaire a été adressé à 263 personnes âgées hospitalisées (+ de 65 ans) pour déterminer leur abus de drogues (tabac, alcool, benzodiazépines). Le personnel médical chargé de ces patients a également été interrogé. Plus de 41% des patients ont abusé de ces produits alors que l'équipe médicale n'en avait diagnostiqué que 25%. Les auteurs analysent les causes de ces insuffisances.
ENGLISH :
The diagnosis of problem substance use in hospital inpatients aged over 65 years and over (N=263) and their referral to drug and alcohol services by medical staff is examined. Medical staff did not recognise substance misuse in older hospital patients and did not seem to be aware of current recommandations of the National Health and Medical Research Council recommendations for safe use of alcohol and benzodiazepines. Only 25% of problem users were identified by medical staff. Of those identified with problems, 2 benzodiazepine users, 6 smokers, and 19 drinkers were considered for referral to drug and alcohol services. Greater awareness of recommandations for dealing with problem use of benzodiazepines and alcohol needs to be promoted among medical staff, along with and increased emphasis in medical education on substance use as a potentially important problem for older people. Drug and alcohol services also need to promote a broader role, particularly in regard to early intervention in a hospital setting for older patients. (Extract from authors' abstract)
Un questionnaire a été adressé à 263 personnes âgées hospitalisées (+ de 65 ans) pour déterminer leur abus de drogues (tabac, alcool, benzodiazépines). Le personnel médical chargé de ces patients a également été interrogé. Plus de 41% des patients ont abusé de ces produits alors que l'équipe médicale n'en avait diagnostiqué que 25%. Les auteurs analysent les causes de ces insuffisances.
ENGLISH :
The diagnosis of problem substance use in hospital inpatients aged over 65 years and over (N=263) and their referral to drug and alcohol services by medical staff is examined. Medical staff did not recognise substance misuse in older hospital patients and did not seem to be aware of current recommandations of the National Health and Medical Research Council recommendations for safe use of alcohol and benzodiazepines. Only 25% of problem users were identified by medical staff. Of those identified with problems, 2 benzodiazepine users, 6 smokers, and 19 drinkers were considered for referral to drug and alcohol services. Greater awareness of recommandations for dealing with problem use of benzodiazepines and alcohol needs to be promoted among medical staff, along with and increased emphasis in medical education on substance use as a potentially important problem for older people. Drug and alcohol services also need to promote a broader role, particularly in regard to early intervention in a hospital setting for older patients. (Extract from authors' abstract)
Affiliation :
49 St David's Rd, Haberfield, New S. Wales 2045
Australie. Australia.
Australie. Australia.
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