Addiction
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10 questions
| 🇬🇧 | 🇬🇧 |
| Why do some people substance misuse | Pleasure Entertainment Enhance creativity Peer influence Relieve boredom Relieve anxiety, depression, stress, pain |
| What questionnaire can be used to identify for alcohol misuse and what score is needed | CAGE questionnaire Have you ever felt you should Cut down on your drinking? (Yes/No) Have people Annoyed you by criticising your drinking? (Yes/No) Have you ever felt bad or Guilty about your drinking? (Yes/No) Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)? (Yes/No) A total score of 2 or greater |
| What is AUDIT-C | If the score is 3 or more, continue with the remaining six questions. A score of 8 or more is considered to indicate hazardous or harmful alcohol use, with risk increasing up to possible dependence when scores are above 20 |
| What is some management of substance misuse | Alcohol detoxification --> treating patients with withdrawl symptoms Supportive treatment --> nutritional supplements Relapse prevention --> medication to prevent relapse Psychosocial intervention --> Motivation interviewing , social support, alcohol annoymous |
| As a doctor what can you do | Making some kind of assessment. Motivating: getting client to consider change (remember motivational interviewing). Offering basic advice if appropriate. Knowing what different treatments do and applying any that are within your remit. Sign posting: where to go for what. Supporting people: into, through and after treatment. |
| What are the 4 main principles of Motivational Interviewing | Empathy Support Self efficacy Roll with Resistance Develop Discrepancy |
| What is the FAST questionnaire | FAST questionnaire |
| What FAST score is needed to be FAST positive | An overall score of 3 or more is FAST positive |
| Difference between harmful and hazardous drinking | Hazardous drinking - People who are drinking over the sensible drinking limits, either in terms of regular excessive consumption or less frequent sessions of heavy drinking --> have avoided significant alcohol problems Harmful drinking - Drinking at levels above those recommended for sensible drinking, typically at higher levels than most ‘hazardous drinkers Unlike hazardous drinkers, they show clear evidence of some alcohol related harm |