ABC of Alcohol E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Serie: ABC Series
• Sprache: Englisch

Seitenzahl: 332

Veröffentlichungsjahr: 2015

Beschreibung

The misuse of alcohol presents both individual physical and psychological problems as well as wider social consequences. Alcohol misuse is a frequent cause of attendance in accident and emergency departments and an underlying factor in a range of long term and chronic conditions commonly treated and managed within primary care settings.

This expanded fifth edition includes new chapters on alcohol and the young person, alcohol related liver disease, neurological problems, alcohol and the older person, alcohol and cancer, and the alcohol nurse specialist. There is also improved coverage of the role of alcohol health workers, and guidance on the availability of voluntary alcohol services more generally, and the concluding resources chapter provides further guidance on how to access appropriate services. It incorporates current NICE guidelines, the Government’s Alcohol Strategy 2012, as well as case study scenarios and examples of best practice throughout.

From a new editor and a multidisciplinary contributor team, ABC of Alcohol is a practical guide for general practitioners, family physicians, practice nurses, primary healthcare professionals as well as for junior doctors, medical and nursing students.

This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand store.

Leseprobe

CONTENTS

Cover

Title page

Contributors

Preface to fifth edition

Preface to the fourth edition

CHAPTER 1: Alcohol use: Consumption and costs

Patterns of consumption

Morbidity and mortality

Burdens and costs

Further reading

CHAPTER 2: Alcohol use: Society and politics

Crime and disorder

Domestic violence and rape

On the road

Children and families

The politics and policy of alcohol

Minimum pricing and the multi-buy

‘Oh demon alcohol’

Further reading

CHAPTER 3: Alcohol in the body

Metabolism of alcohol

Behavioural effects

Further reading

CHAPTER 4: Definitions

Alcohol

Alcohol content

Sensible drinking

Alcohol misuse

Further reading

CHAPTER 5: The nature of alcohol use disorders

The spectrum of alcohol use and alcohol use disorders

Understanding alcohol use disorders: The three-dimensional approach

Definitions and criteria of alcohol use disorders

Practical implications of the diagnoses

DSM-5 alcohol use disorder

The neurobiology of alcohol dependence

Causes and influences on the development of alcohol use disorders

The consequences of alcohol use disorders

Relationship between alcohol use disorders and consumption

Conclusions

Further reading

CHAPTER 6: The detection of alcohol use disorders

Making the enquiry

Assessment

Detection in practice

The AUDIT

Interpreting the AUDIT

The broader value of the AUDIT

Briefer questionnaires

Embracing modern technologies

The difficult patient

Specialised questionnaires

Physical examination

Laboratory tests

Alcohol as its own marker

Conclusions

Further reading

CHAPTER 7: Medical problems

Spotting the problem drinker

Morbidity

Mortality

Is moderate drinking good for the heart?

Further reading

CHAPTER 8: Problems in the Emergency Department – and their solutions

Role of the emergency department

Detection in the ED

Clinical presentation and resuscitation

Withdrawal symptoms

Alcohol and trauma

Further reading

CHAPTER 9: Alcohol and the young person

Epidemiology of alcohol and the young person

Alcohol policy and young people

Alcohol and pregnancy

Early drinking and the young brain

Parental influence on young people’s drinking

Parental alcohol misuse

Domestic violence

Safeguarding children and child protection

Risk behaviours and personal safety

Education and schooling

Assessment and referral of children and young people identified as having an alcohol problem

Advice from the chief medical officer

Further reading

CHAPTER 10: Alcohol and the older person

Epidemiology

Presentation and screening in older people

Falls (Figure 10.2)

Cognition

Managing alcohol in the elderly

Further reading

CHAPTER 11: Alcohol and the liver

Introduction

Pattern of drinking and risk of liver disease

Alcohol-related liver disease

Fatty liver disease (steatosis)

Alcohol related hepatitis

Alcohol-related cirrhosis

Alcohol cirrhosis and hepatocellular carcinoma

Treatment of ALD

Alcohol withdrawal therapy in liver disease

Liver transplantation

Further reading

CHAPTER 12: Surgical problems

Trauma

Non-trauma

Preoperative problems

Intraoperative problems

Postoperative complications

Conclusion

Further reading

CHAPTER 13: Alcohol, maxillofacial trauma and prevention of personal violence

Introduction

Data sharing for violence prevention: The Cardiff Model

Alcohol brief interventions

Brief interventions work

The challenges of embedding these models

Further reading

CHAPTER 14: Neurological and neurosurgical complications of alcohol

Introduction

Seizures

Neuropathy

Cerebellar disease

Wernicke–Korsakoff syndrome

Alcoholic dementia

Stroke

Central pontine myelinolysis

Alcoholic myopathy

Head injury and subdural haematoma

Further reading

CHAPTER 15: Alcohol and cancer

Types of cancer

The higher the intake, the higher the risk

How alcohol can cause cancer

Reducing the risk of cancer

Further reading

CHAPTER 16: Alcohol and the heart

Introduction

Relationship of alcohol and all-cause mortality

Alcohol and cardiovascular mortality

Coronary artery disease

Alcohol and hypertension

Alcohol and lipid metabolism

Alcohol and the coagulation system

Alcohol and heart failure

Cardiac arrhythmias

Therapeutic effects of alcohol in cardiovascular medicine

Effect of type of alcoholic beverage

Alcohol consumption and diet

Conclusion

Further reading

CHAPTER 17: Drug–alcohol interactions

Prescribed and over-the-counter drugs

Illicit drugs

Conclusion

Acknowledgements

Further reading

CHAPTER 18: Management of acute unplanned alcohol withdrawal

Introduction

Screening and assessment of the dependent drinker