[Identifying and treating alcohol use disorders in the elderly].

IDENTIFYING AND TREATING ALCOHOL USE DISORDERS IN THE ELDERLY Aging does not prevent the occurrence of alcohol use disorders, the frequency of which declines little with age. And advancing age increases the risks and effects of alcohol consumption (even seemingly modest) or the damages caused by alcohol use disorders. Polypathology, which is more frequent with age and a source of polymedication for the elderly, further increases the risks and damages incurred, as does the concomitant use of other psychoactive substances.

[Smoking prevalence among nursing students and nursing assistants in Mâcon: 2021 survey and evolution over 13 years].

Introduction: Smoking is a public health issue in France, especially among the young. Its specificities for caregivers and health students are part of a nationwide "Tobacco-free health place" strategy, underlining the importance of individual choices and the clinical roles of future health professionals.

Method: Prospective survey by online questionnaire, conducted in 2021 among 238 nursing students and nursing assistants in Mâcon, concerning their smoking habits, vaping and the impact of the Covid-19 health crisis, the objectives being to assess the prevalence of smoking in this population, and compare it to previous surveys and data from the literature.

Misuse of opioid analgesics in elderly patients: a review.

Opioid analgesic (OA) addiction occurs frequently among the elderly, and results in high morbidity and mortality due to geriatric pathologies associated with pharmacokinetic modifications. However, patients with this type of addiction are under-identified and specific screening tools should be more widely used to detect the risk factors for OA addiction. Before initiating an opioid prescription, exhaustive research into associated treatments (to track drug interaction) and opioid prescriptions by other clinicians (a phenomenon known as "doctor shopping") is required.

[Substance use disorders and addictions among carers].

Carers also use psychoactive substances and sometimes at work. The risks of use and especially the misuse of psychoactive substances at work take characteristics in health area. Often silent or concealed, substance use disorders of health professionals justify identifying, screening, care and prevention through comprehensive institutional programs involving supervision team.

[Analgesic opioids misuse in the elderly: A review].

Analgesic opioids addiction (AOA) is very frequent in the elderly, and results in a high morbi-mortality due to geriatric associated pathologies with pharmacokinetics modifications. However, it is poorly detected in these subjects and specific screening tools should be widely used to detect the risk factors for AOA prevention. Before initiating opioid prescription, exhaustive search of associated treatments (to track drug interaction) and of opioid prescription by other clinicians (doctor shopping) are requisite.