"...explains the concept of harm reduction as a crucial component of a city's response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens. Throughout the 1990s and 2000s, this group of residents from Canada's poorest neighbourhood organized themselves in response to a growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. It's prompted many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. The previous epidemic in Vancouver sparked government action. Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience..."-- publisher.
Contents: Toledo, Ohio -- Hundred block rock -- A chance encounter -- Hotel of last resort -- Rat park -- Growing up radical -- Back alley -- Miami, Florida -- The killing field -- A drug-users union -- Out of harm's way -- From housing to harm reduction -- Childhood trauma and the science of addiction -- Raleigh, North Carolina -- A drug dealer finds activism -- Taking the fight to city hall -- Building allies -- Rewriting the brain for addiction -- The Vancouver agreement -- Boston, Massachusetts -- The hair salon -- Establishing Insite -- Opening day -- Consequences -- Seattle, Washington -- Drug user with a lawyer -- Protests across Canada -- Court battle -- Crossing a line -- Sacramento, California -- Prescription heroin -- "The assassination" -- Fentanyl arrives.
This comprehensive guide to geriatric pain management provides the most current information available on assessment and treatment of pain in older adults. In a concise, reader-friendly format, the book provides techniques, tips, and tools for assessing pain and examines barriers to appropriate treatment. It addresses the physiological and psychosocial factors underlying the process and occurrence of pain and helps nurses to develop a comprehensive multimodal approach to pain management that includes pharmacological and nonpharmacological interventions. The guide provides detailed coverage of medications commonly used for pain management, including all contraindications and side effects, so that nurses will be able to evaluate the best use of a medication in the context of comorbidities and sensitivities of each individual. Also addressed are chronic illnesses common to the elderly population, palliative and hospice care, treatment of concurrent depression and anxiety, treatment of cognitively impaired elderly, and techniques for assessment and intervention in cases of substance abuse.
An essential reference for counsellors and a comprehensive textbook...Written by more than 50 experts in addiction treatment and related fields, each chapter includes case examples, practice tips and print and online resources.
Section 1 ? The Basics -- Section 2 ? Clinical Interventions -- Section 3 ? Special Issues and
Considerations -- Section 4 ? Specific Populations -- Section 5 ? Professional Practice and