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).