alcohol awareness Flashcards

1
Q

What are recommendations by NICE?

A

All health and social care community and voluntary sector professionals in both NHS and non NHS settings should take action to screen and provide advice on alcohol use

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2
Q

What are ABIs?

A
Alcohol Brief Interventions
Short conversation 
Support individuals to change
Dependent drinkers + risky/high risk drinking
Cutting down can change risk
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3
Q

What is alcohol?

A
Drug
Depressant (downer)
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4
Q

How does drinking water affect alcohol?

A

Avoids hangover

Slows down absorption of alcohol through stomach lining

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5
Q

What helps to sober up a person?

A

Time

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6
Q

Why do people drink?

A
Relax
Feel confident 
Feel less lonely
Have fun w friends
Help cope w depression, stress, anxiety, guilt and anger
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7
Q

What is the impact of alcohol on society?

A

Accidents- injury/death
Antisocial behaviour- offences, arrests, criminal records
Family problems- arguments/violence, financial problems, impact on children
Poor decisions- unplanned sex etc
Housing problems- prioritise alcohol-> homeless
Work problems- sickness, absenteeism, accidents, low productivity

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8
Q

When is drinking a problem?

A

Drinking that causes problems in any area of their life is problematic

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9
Q

How does alcohol affect health?

A

Mouth and throat- tooth decay/erosion (less saliva + sugar + acid)
Oesophagus- gastric reflux-> reflux oesophagitis-> ulcer-> tear in mucous lining
Stomach- more acid-> pain-> vomiting, diarrhoea, ulcers, bleeding
Brain- takes 5 mins to reach and 10 mins to affect, slowed reactions, blurred vision, slurred speech, difficulty coordinating, poor decision making, memory loss, loss of inhibitions, decrease in anxiety
Heart- temp increase in BP and HR as alcohol= vasodilator, relaxed vessels allow more blood flow so heart compensates w BP
Liver- if has to break down too much alcohol (toxin), other functions affected (1hr to process one unit)
Kidneys and bladder- diuretic so pee more-> dehydration-> dry mouth, headache, nausea, fatigue
Large intestine- speed up/slow down bowel movement, affect gut bacteria-> inflammation, diarrhoea, constipation

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10
Q

How are automatic functions affected by high levels of alcohol in a short period?

A

Unable to remove quickly enough
Blackouts and severe impairment
High risk of alcohol poisoning
Automatic functions shut down eg. Gag reflex

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11
Q

What are long term health issues of alcohol?

A

Heart- alcohol cardiac myopathy -> heart attacks and stroke
Small intestine- prevents nutrient absorption, damages lining-> toxins/waste enter bloodstream
Cancer- breast, bowel, mouth, throat, liver
Brain- frontal lobe damage, dementia, alcohol amnesic syndrome, Wernicke-Korsakoffs Syndrome
Skin- dehydration, wrinkles, flushing, rosacea
Liver- liver cirrhosis

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12
Q

How does alcohol cause cancer?

A

Liver converts alcohol into acetaldehyde which damages cells and stops their repair
It changes hormones (oestrogen, insulin)
Cels divide more often which raises chance of cancer

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13
Q

How is mouth and throat cancer caused by alcohol?

A

Alcohol broken down by mouth bacteria into acetaldehyde

Skin of mouth affected to allow tobacco toxins to pass though easily

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14
Q

How does alcohol affect fertility and pregnancy?

A
Women less fertile
Lower male testosterone levels
Affects sperm quality/quantity
Reduces libido and causes impotence
Increased risk of still birth/miscarriage
Low birth weight
Premature birth
Foetal alcohol syndrome disorder
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15
Q

How does alcohol affect weight?

A

Stops body processing fat because liver prioritises processing alcohol
Insulin increase leading to low blood sugar- hunger
Poor food choices
Alcohol= high in carbs/calories

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16
Q

How much sugar in teaspoons is in alcohol?

A
Lager= 3+
Cider= 5+
Spirits= 0-1/2
Wine= 1/2-4
Whisky and coke= 5
17
Q

How does alcohol affect mental health?

A
Anxiety/stress
Drink alcohol
Altered brain chem
Increased cortisol, depleted serotonin
More anxiety/stress
18
Q

What happens if you mix alcohol with antidepressants?

A

Don’t work properly
Worsens side effects
Dangerous reactions
Drowsiness, confusion, loss of coordination

19
Q

What is alcohol misuse?

A

Above 14 units a week
Negative effects w drinking
Fail to do what was expected of them

20
Q

What is alcohol dependency?

A

Strong, uncontrollable desire to drink
Building up a tolerance
Experiencing withdrawal symptoms (shakes, sweats, anxiety, seizures, fits, hallucinations, death)
Stopping suddenly can kill you

21
Q

What is binge drinking?

A

Lots of alcohol in short time
Drinking to get drunk
8 units a session- man
6 units a session- woman

Accidents, misjudging risky situations, losing self control, unprotected sex, violence

22
Q

What are key messages?

A

Limit total amount of alcohol a session
Drink more slowly, alternate w food/water
Avoid risky situations and stay w people you can trust

23
Q

How is someone’s alcohol risk level calculated?

A

Calculate units- apps, tools (wheels, drink diaries)

Use audit tool to assess risk- qs on amount and frequency, dependence and problems caused AUDIT PC or AUDIT C

24
Q

What are alcohol risk levels?

A

Low- up to 14
Increasing- 15-34 (woman) 15-49 (man)
High- 35+ (woman) 50+ (man)

25
Q

What are tips for cutting down when at home?

A
Don’t buy it
Buy lower strength ABV
Smaller glasses
Measure your drink
Consider dinner/weekend only 
Start drinking later in day
26
Q

What are tips for cutting down when out?

A
Don’t do pre drinking
Sip drinks
Pace drinking
Alternate w non alcohol drinks
Avoid rounds
Avoid heavy drinkers
27
Q

What are the benefits of cutting down?

A
Liver relief
Weight loss
No hangovers
More money
Less anxious
Improved health
Better quality relationships
28
Q

What are alternative ways of coping?

A
Eat healthier
Exercise
Try a new recipe
Go bike riding
Call a friend
Have a laugh
Read a book
29
Q

What are the 4 As?

A

Ask
Assess
Advise
Assist

30
Q

What might referrals include?

A

Allocated to key worker- assessment, care plan, one to one sessions, group work, advice and self help, health improvement team, breakfast clubs, art groups, nature recovery, gardening, exercise, hypnotherapy, acupuncture, counselling, education

31
Q

What other support is there?

A

Adults affected by another’s substance use

Ex military