Smoking and alcohol cessation Flashcards
What is the estimated social and economical cost of alcohol related harm in the uk?
£21.5bn
What is the estimated social and economical cost of illicit drug use in the uk?
£10.7bn
Give examples of the damage alcohol can cause to the body
- Stroke
- Brain damage
- Heart disease
- High blood pressure
- Liver disease
- Depression and anxiety
- Cancer
What affect can alcohol have on the oral cavity
- Irritation to gums, tongue and oral tissues
- Poor healing
- Poor dental health habits
- Increased tooth decay
- Poor compliance
- Increase risk of periodontal disease and oral cancer
Who isomer likely to receive advice: smokers or risky drinkers?
Smokers are 7 times more likely to receive a brief intervention
What are th 3 main reasons we dontcarry out alcohol screening?
- GDPs had low confidence to talk to patients
- GDPs had poor knowledge reducing they willingness to talk about alcohol mis use
- GDPs felt it would strut the dentist patient relationship
Who is classified as a lower risk drinker?
Someone who has no more than14 units per week with at least 2 alcohol free days
What can we use to help identify if a patient is at risk due to their drinking habits?
WE can use AUDIT-C (Alcohol use disorder identification test )
What does AUDIT C stand for?
Alcohol Use Disorder Identification Test
How do we carry out AUDIT-C?
By asking a patients three MCQ questions with each answer corresponding to a score (1-4) then we calculate their total score out of 12
What are the 3 questions we ask wen carrying out AUDITC
- How often you have a drink containing alcohol
- How many units of alcohol do you drink on a typical drinking day
- How often have you had 7 or. more units in a single occasion in the last year?
If a patient scores 0-4 on AUDIT C what does that mean
They are at a lower risk of harm from alcohol
If a patient scores 5-9 on AUDIT C what does that mean
Their frequency and pattern of alcohol consumption may be associated with any problems they may be experiencing
If a patient scores 10+ on AUDIT C what does that mean
They are above the safe levels of drinking
Direct the patient tot heir GP or an alcohol service
What is the Transtheoretical model?
It is aMODEL that assumes the people do not change behaviours quickly beat individual decision making to change behaviours is a cyclical process
List the 4 main stages of the Transtheoretical model
- Pre-contemplation
- Contemplation
- Action
- Maintenance
What are the 2 outcome of the Transtheoretical model?
- Termination leading to long term change
2. Lapse and relapse which can lead the cycle to tart again
What happens in the pre contemplation stage?
In his stage people do not intend to take action in the foreseeable future. People may be unaware their habit is problematic and may see too many negatives in stopping their habits
What happens in the contemplation stage?
In this stage people are intending to start he healthy behaviour in the foreseeable future (6mths)
People recognise hir behaviour may have negative implications on their health and have considered the pros and cons of changing they habit more
What happens in the action stage of the Transtheoretical model?
In this stage people have recently changed their behaviour and intend to keep moving forward with their behaviour change or acquiring new healthy habits
What happens in the maintenance stage of the Transtheoretical model
In this stage people have sustained they behaviour former than 6 months and intend to maintain the behaviour change moving forward
What is our preferred outcome to the Transtheoretical model
Termination
What happens in the termination stage of the Transtheoretical model
In this stage people have no desire to return to their unhealthy behaviours an are sure they will not relapse
Wh is termination not one of the main 4 stages of the Transtheoretical model
As people rarely reach this stage and tend testy in the maintenance stage
