This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Heroin addict (first consultation in primary care)

Authoring team

During the first consultation with a heroin addict it is important to:

  • obtain an adequate drug history
    • type of drug, injected or taken by other route
    • length of drug abuse
    • effects of withdrawal
    • how does the patient support his habit

  • measures to limit harm
    • does the patient practise 'safe sex'
    • does the patient share needles/use 'shared' needles
    • does the patient use a needle exchange scheme/ counselling agency
    • what is the family support available to the patient

  • agree a contract with the patient
    • if being treated in primary care agree what is expected from the patient, what treatment is offered by the practice, the keeping of appointments etc.
    • if the patient is referred for treatment then agreement is still required about future contacts with the practice

  • register with regional drug misuse database/ notification of addicts

  • referral if specialized treatment and counselling not available from within the practice

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.