Health promotion

Question 1

Describe the behaviour change wheel

Question 2

Alcohol:
- Limits
- How to work out units
- Risks
- Medication interactions
- Screening tools
- Alcohol support services

Answer 2

• limits: 14 units spread over 3 days
• units = strength/vol / 1000
• risks: mouth cancer, heart disease, liver disease, mental health, brain damage
• cage questionnaire in prim care then AUDIT and refer if >15 units a day or >20 audit

Question 3

Tobacco:
- Risks
- Benefits
- Withdrawal symptoms
- Support available
- Harm reduction methods

Answer 3

• risks: lung ca, cold, cvs disease, infertility, ED, stomach ulcers
• symptoms: irritable, inc appetite, poor conc, disturbed sleep, cravings
• mx: nhs stop smoking services, nicotine replacement therapy

Question 4

Diet:
- Recommended daily intake
- Risks of high bmi
- Weight loss recommendations

Answer 4

weight/height2 - inc fat around stomach inc risk t2dm, heart disease, stroke
- energy expenditure: basal metabolic rate, diet induced thermogenesis, energy for voluntary physical activities
- obesity: htn, cvs, ca, t2dm, oa
- weight loss: around 0.5-1kg a day, 600kcal less than recommended (2000F, 2500M)

Question 5

Exercise:
- Recommended
- Benefits

Answer 5

• 150 mins over a week
• benefits: reduces cvs, t2dm, cancer, stress, dementia

Question 6

Substance misuse:
- Types
- Risks
- Who’s at risk
- Treatment

Answer 6

mx in prim: provide sexual/inj behaviour, offer blood borne tests, cbt, contingency mx