Week 8

Question 1

How is amount alcohol calculated

Answer 1

Units no more 14 a week
Depends on size and strength of drink
Single measure spirits 1.4 units
Glass wine 1.4 units, 8.3 units bottle wine
40 units litre vodka
1 unit 8g pure alcohol
Volume x ABV%/1000=units

Question 2

Hazardous drinking

Answer 2

Drinking above level that may cause harm in future but is not currently causing clear evidence of harm

Question 3

Harmful drinking

Answer 3

Drinking at a level leading to current evidence of physcial, social or psychological harm

Question 4

Alcohol dependence

Answer 4

Defined on ICD10as individual having 3 or more of a range of symptoms of alcohol dependence- tolerance, withdrawal, craving, difficulties in controlling drinking , neglect of alternative pleasures, persistent drinking despite negative consequences

Question 5

Medical and social harms with hazardous and harmful drinking

Answer 5

Medical: injuries, mental and behavioural disorders, GIT conditions, cancers, CVD
Social: not sleeping, marital harm, child abuse, crime/voilence, homicide

Question 6

Steps involved in brief intervention for hazardous and harmful drinking

Answer 6

Reference to screenings test results concerning frequency, amount, pattern of drinking and problems experienced in relation to drinking
Copy leaflet shown to patient
Review each panel in sequence
Give feedback, provide info, establish goal, give advice limits, review what’s a standard drink, conclude with encouragement

Question 7

Barriers to implementing brief intervention

Answer 7

Lack of time
Inadequate training
Fear of antagonising patients
Perceived incompatibility of alcohol counselling with primary healthcare
Belief that ‘alcoholics’ don’t respond to interventions

Question 8

Alcohol use disorder identification test AUDIT

Answer 8

Questionnaire to detect at risk, harmful or heavy drinking
10 questions covering three domains of hazardous alcohol use, alcohol dependence’s harmful alcohol use
Response 1-4
Users normally do better when: person conducting interview is friendly not threatening, aim of the questions clearly related to diagnosing users state of health, user doesnt consume alcohol or drugs while selection is made, info considered confidential, questions easy to understand
Whether they’re in risk zone I, II, III, IV