Health promotion Flashcards

1
Q

What is the recommended alcohol limit in the UK?

A

No more than 14 units a week spread across 3 days or more.

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2
Q

What is a healthy BMI?

A

18.5-25 kg/m2

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3
Q

What is the recommended exercise amount of adults?

A
  • Strengthening workout twice a week

- 150 mins mod intensity activity a week

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4
Q

What are the stages in the Stages of Change model?

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
  6. Relapse
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5
Q

What are the risks of excessive drinking?

A
  • Stroke
  • Heart disease
  • Liver disease
  • Brain damage and nervous system damage
  • Oral, oesophageal/pharyngeal and breast cancer
  • Mental health effects
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6
Q

What is single session drinking? What are the risks?

A

Binge drinking

  • Accidents/injuries, risky behaviour
  • Vomiting while unconscious
  • Hypertension and heart attack
  • Gastritis, pancreatitis, encephalitis
  • Alcohol poisoning - seizure, V, low RR
  • More likely to develop drinking problem and alcoholism
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7
Q

What drugs shouldn’t you drink alcohol with?

A
  • Sedatives eg. diazepam, increase risk of overdose and resp depression
  • Analgesics (all), liver damage, GI problems and PUD, resp depression
  • Antidepressants - worse sx and drowsy
  • Anticoag - increase risk of bleed
  • Antihyperglycaemic - drunk can mimic hypoglycaemia
  • Anticonvulsants - increased drowsiness
  • Antihypertensives - long term drinking increases BP
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8
Q

What is the advise around alcohol and pregnancy?

A

Should never use alcohol while pregnant = foetal alcohol spectrum disorder, miscarriage, premature birth and low birth weight.

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9
Q

What is the advice for older people and drinking?

A

Older people more likely to take medication (interaction) and aren’t able to breakdown alcohol as efficiently.

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10
Q

What is a CAGE questionnaire?

A

Used to assess whether a person engages in harmful drinking and if they are alcohol dependent:
Feel should Cut down
Annoyed by criticism of drinking
Guilt
Eye opener - had drink first thing in the morning?

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11
Q

When would you recommend structured community based intervention for alcohol reduction?

A

People w alcohol dependence who:

  • Limited social support
  • Physical or psychiatric comorbidities
  • Not responding to other interventions
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12
Q

When would you offer psychological intervention for someone w alcohol dependence? What do you offer?

A

For harmful drinkers w mild alcohol dependence offer:

  • CBT
  • Behavioural therapies focused on alcohol problems
  • Couples therapy
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13
Q

What are the signs and sx of Wernicke’s encephalopathy?

A

Ataxia (can’t coord voluntary movement). confusion and mental state alt and eye problems eg. paralysis, nystagmus

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14
Q

What are Wernicke and Korsakoff syndromes?

A

Due to deficiency of thiamine/VitB1.

Wernicke’s is more acute, if untreated transitions to Korsakoff which is irreversible and chronic.

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15
Q

How is Korsakoff syndrome characterised?

A

Short term memory loss = can’t form new memories or retain new info

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16
Q

How is Wernicke’s managed?

A

Parentral thiamine (usually IM), plus Vit B12 and folate orally.

17
Q

What are the w/drawal symptoms for smoking?

A
  • Weight gain due to increased appetite, usually about 5-9 kg if no attempt to exercise or eat healthy
  • Irritability, depression, restlessness
  • Poor conc
  • Disturbed sleep
18
Q

What is VBA in smoking?

A

Very brief advice:

  • Current and past smoking behaviour
  • Info about risks of smoking and benefits of stopping
  • Options for quitting
  • Refer to local smoking cessation service
19
Q

What options of there for quitting smoking?

A
  • Non pharmacological - NHS stop smoking services

- Pharamcological - NRT, bupropion, varenicline

20
Q

What are the recommended calorie intakes in men and women?

A

Women - 2000

Men - 2500

21
Q

What groups are at risk of substance abuse?

A
  • FH substance abuse
  • Childhood sexual abuse
  • Mental health issues
  • Problem w sexual orientation/gender identity
  • Low academic achievement
22
Q

When is it important to ask about recent drug use?

A
  • Acute chest pain in young person
  • Acute psychosis
  • Mood and sleep disorders
23
Q

What is harm reduction?

A

People will continue using drugs, a why to reduce the harm they get because of drug use:

  • Needle exchange
  • Drug testing in clubs and at festivals
  • Info for safer drug use
  • Drug consumption rooms
24
Q

What is methadone?

A

Long acting synthetic opioid - used for treating opioid dependence. Normally viscious oral solution (can’t be injected)

25
Q

What is bupenorphine?

A

Partial agonist properties and antagonists properties. Will block the effects of additional opioids.
Better than methadone as can’t use heroin on top and gives you a clearer head.