alcohol and smoking intervention Flashcards
give some oral implications of alcohol
irritation of gums, tongue poor healing after tx poor dental habits increased tooth decay poor home compliance increased perio risk
what is the increase in oral cancer risk if someone drinks and smokes
40x more likely
what is the definition for low risk drinking
no more than 14 units per week with at least 2 drink free days per week
what are some screening tools for alcohol
AUDIT-C
how do we use audit C
0-4- low risk and give positive reinforcement
5-9- signpost to support
5-10 could be harmful
10+ dependant drinker
what do we do if someone has an audit c number of 5-9
give advice and structured support
what do we do if someone has a audit c number of 5-10
signpost using card and structured advice
what do we do if someone has an audit c number of 10+
refer to GP or specialist services
what is the cycle of change
a model that shows
- pt firsts contemplate
- make a decision +action
- maintenance
- lapse or relapse
what can maintenance lead to
long term change
what do we say when a patient is pre contemplating
if you need help in the future here is a card with info
what do we say if a pt is contemplating
now might be a time to make a change
what are the 3As for smoking cessation
ask
advise
act
what are the impacts of smoking on the oral cavity
increase risk of periodontitis bone loss reduction in wound healing 3x more likely to develop severe periodontitis damages CT tissue increases oral cancer risk
why do we see changes in the oral cavitu
due to irritants and toxins
drying the mucosa
changes the membrane barrier and can affect response to fungi
