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Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

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As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
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Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Drug Abuse and Addiction: Pharmacological Phenomena01:15

Drug Abuse and Addiction: Pharmacological Phenomena

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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution

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Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
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Substance Misuse and the Older Offender.

Samer El Hayek1, Bernadette Mdawar2, Elias Ghossoub3

  • 1Department of Psychiatry, American University of Beirut, P.O. Box: 11-0236, Riad El-Solh 1107 2020, Beirut, Lebanon. Electronic address: https://twitter.com/samerelhayek.

Clinics in Geriatric Medicine
|November 19, 2021
PubMed
Summary
This summary is machine-generated.

Substance misuse is common in older adults within the criminal justice system. Integrated mental health and substance use services are crucial for older offenders.

Keywords:
AddictionElderlyIncarcerationJudicial systemOffenderPrisonSubstance use

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Area of Science:

  • Gerontology
  • Criminology
  • Public Health
  • Addiction Medicine

Background:

  • Substance misuse is a significant issue among older adults (50+) in the criminal justice system.
  • Offending behaviors and substance misuse patterns vary across different age groups of older offenders.
  • Current prison healthcare systems often fail to adequately integrate substance use disorder (SUD) services.

Purpose of the Study:

  • To review the types of offenses committed by older offenders.
  • To examine the association between offending behaviors and substance misuse in this population.
  • To identify and discuss available treatment services for substance misuse among older offenders.

Main Methods:

  • Literature review of studies on older offenders, criminal justice involvement, and substance misuse.
  • Analysis of the relationship between specific offense types and SUD prevalence.
  • Examination of current healthcare integration models for SUD treatment in correctional facilities.

Main Results:

  • Older offenders exhibit diverse offending patterns, with varying correlations to substance misuse.
  • Inadequate integration of substance use services within prison healthcare systems is a widespread problem.
  • Tailored mental health programs incorporating SUD screening and treatment are recommended.

Conclusions:

  • Effective management of substance misuse in older offenders requires specialized, integrated care.
  • Screening and treatment for substance use disorders should be a standard component of mental health services for this demographic.
  • Further research is needed to optimize treatment delivery and healthcare system integration for older justice-involved individuals with SUDs.