Physicians from many specialties may care for inpatients with opioid use disorder. An acute hospital admission is an opportunity to engage with patients who have this common, chronic disorder, discuss addiction treatment and possibly affect the course of their illness. In this podcast, Dr. Joseph Donroe, Assistant Professor of Medicine at the Yale School of Medicine, discusses the best approach to specific problems that may arise when a patient with chronic opioid use disorder is hospitalized for another reason. Potential problems include withdrawal symptoms and managing acute pain.
Dr. Donroe co-authored a review article published in the CMAJ (subscription required).
Carolyn Shimmin is a Knowledge Translation Coordinator with the George and Fay Yee Centre for Healthcare Innovation and EvidenceNetwork.ca
From Chaucer to Shakespeare, women’s consumption of alcohol and other drugs has been historically written about and portrayed as an absolute affront to the dictates of socially-constructed ideals around “respectable femininity.” Girls and women living with substance issues are often falsely perceived as hypersexual and sexually promiscuous (i.e. as “sluts” and “loose”). Beneath the rhetoric that “good girls don’t imbibe” lies a dangerously entrenched stigma within our society that ― combined with the fact that two out of three Canadians don’t understand sexual consent as well as the codification of certain rape myths in law ― means the bodies of certain girls and women living with substance use problems become spaces where sexual violence can occur with impunity. ...continue reading