Scenario Review 3.04

How Has it Arisen?

Decisions and the drivers for those decisions
Behaviours
Chaotic lifestyle, violence, homelessness, exclusion, debt, criminality, earlier death

Application of Background Knowledge

SF: neurology

OB: caries, xerostomia

PH: cost, impact and financial burden

Comms

Professionalism: safeguarding, signposting

Addiction - What you may encounter in your career?

Depends on where you work
Recognition of addiction - behavioural, clinical, safety of the team
Referrals for treatment of drug-dependent individuals - drugs teams, GMPs, prisons

Care and Treatment Planning

Dental Interventions

Prevention
- Xerostomia - artificial saliva, duraphat toothpaste, duraphat varnish
- OHI - provide toothbrush and realistic advice
Interventions
- LA - acre with LA wit adrenaline. No active treatment if recently taken methamphetamine
- If in doubt, seek advice
- Extractions - may have other conditions eg Hep B, HIV related to IV drug abuse - care with haemostasis. May need FBC, coag screen, LFT, Seek advice if in doubt.
- Restorative care - anything you place will be subject to same environment of destruction

Dependency and Drug Harm

Multi-Criteria Drug Analysis modelling showed that heroin, crack cocaine and methamphetamine were the most harmful drugs to individuals whereas alcohol, heroin and crack cocaine were the most harmful to others.
Overall, alcohol was the most harmful drug with heroin and crack cocaine in second and third places.

Conclusion