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ALCOHOL ABUSE

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ALCOHOL ABUSE Alcohol Abuse Approx 14 million Americans are alcoholics Approx 100,000 death/yr associated with alcohol abuse 18.8% have lived with an alcoholic some ... – PowerPoint PPT presentation

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Title: ALCOHOL ABUSE


1
ALCOHOL ABUSE
2
Alcohol Abuse
  • Approx 14 million Americans are alcoholics
  • Approx 100,000 death/yr associated with alcohol
    abuse
  • 18.8 have lived with an alcoholic some time
    during their childhood
  • 9.2 have been married or cohabitated with an
    alcoholic
  • 37.9 have a blood relative who is an alcoholic
  • Approximately 1/3 of high school students report
    binge drinking once a month
  • 1,400 college students a year die from accidents,
    violence or poisoning related to alcohol

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Alcohol Abuse
  • Alcohol is a central nervous system depressant,
    not a stimulant
  • Feel release of personal inhibitions
  • Broken down by the liver at a rate of 2/3 to 3/4
    of an ounce per hour
  • If you drink more then this the alcohol level in
    your blood will rise

6
Factors that influence absorption
  • Strength of the drink
  • Number of drinks consumed
  • Speed of consumption
  • Presence of food in your stomach
  • Body chemistry
  • Amount of time it takes for the stomach to empty
    depends on stress, anger, fear, nausea

7
Factors that influence absorption
  • Gender
  • Women produce less of enzyme needed to breakdown
    alcohol
  • Women have greater fat content and alcohol is not
    fat soluble so it enters the blood stream faster
  • Women have less water so alcohol does not become
    diluted
  • Women absorb more alcohol during the premenstrual
    phase

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Blood Alcohol Levels
  • Legal blood alcohol is less the 0.08 if you are
    over 21
  • 0.04 for 18-21
  • 0.01 below 18

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Blood Alcohol Levels
  • 0.02 no effect
  • 0.03-0.05 relaxed, slightly lightheaded,
    decreased inhibitions
  • Level reached by 160 pound man taking 2 drinks
    per hour
  • 0.1 loss of motor coordination and impaired
    judgment
  • 0.15 significant impairment of motor
    coordination and reaction time, slurred speech

12
Blood Alcohol Levels
  • 0.2 severely intoxicated, loud obnoxious drunk
  • 0.3 limited control of functions, may be
    unconscious
  • 0.4 comatose
  • 0.6-0.7 suffocation and death, usually pass out
    before this point

13
Sobering Up
  • Acute alcohol poisoning
  • Drank too much, too fast
  • Call 911 if
  • Unable to awaken person
  • Shallow breathing
  • Fast heart rate
  • Cool skin
  • Bluish color to skin

14
Sobering Up
  • Regurgitation and aspiration
  • Lay person on their side and do not leave them
    alone

15
Alcohol Related Health Problems
  • Hangover
  • Mild withdrawal from alcohol
  • Nerve cells become dehydrated by alcohol
  • No cure except time
  • hair of the dog that bit you means drinking
    again to avoid withdrawal symptoms

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Alcohol Related Health Problems
  • Alcohol and pregnancy do not mix
  • Increased number of miscarriages
  • Fetal alcohol syndrome (FAS)
  • Mental retardation
  • Slow growth
  • Facial abnormalities
  • Small heads
  • Widely spaced eyes
  • Flattened noses
  • 10 or more drinks/day 74 will have FAS

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Alcohol Related Health Problems
  • Cardiovascular system
  • High blood pressure
  • Scar tissue formation on the heart
  • Fatty deposit increase the size of the heart
  • Death from heart failure

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Alcohol Related Health Problems
  • Liver metabolizes the alcohol
  • Liver is the most vulnerable organ to alcohol
  • Heavy drinking damages the liver causing
    cirrhosis and eventual death

23
Alcohol Related Health Problems
  • Gastrointestinal system
  • GI bleeding
  • Esophageal varacies
  • Malnutrition
  • Esophageal cancer

24
Alcohol Related Health Problems
  • Endocrine disorders
  • Decreased testosterone production
  • Second leading cause of impotence
  • May lead to early menopause in women
  • Alters the menstrual cycle

25
Alcohol Related Health Problems
  • Central nervous system
  • Brain cell loss
  • Impaired nerve function
  • Depression
  • Alcoholics 30 times more likely to commit suicide
    then the general population

26
Tolerance to Alcohol
  • Develop a physical and psychological addiction to
    alcohol
  • Develop a tolerance to alcohol
  • Takes more alcohol to get the relaxed feeling
  • As damage to liver increases unable to breakdown
    alcohol and it takes less alcohol to get drunk

27
Effect on Society
  • Motor vehicle crashes
  • Every two minutes an alcohol related car crash
    injury happens
  • 28 if all 18-29 yr olds say they have driven
    while drunk
  • Do not drink and drive
  • If caught you will lose you license for one year

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Effect on Society
  • Drownings
  • Alcohol is involved in 34
  • Fires and burns
  • Half of burn victims above legal BAL
  • Crime and violence
  • Homicides have alcohol involved 67 of the time
  • 50 of rapists are intoxicated and 30 of victims
  • Suicide
  • Half of all suicides are committed by alcoholics
  • Alcohol is related to impulsive suicides vs
    premeditated ones

38
Hosting a Party Responsibly
  • You are responsible for the health and safety of
    you guests and may be held liable if they drink
    and drive
  • Dont push drinks
  • Dont serve doubles
  • Dont keep the glasses full
  • Have non-alcoholic beverages
  • Serve non-salty snacks

39
Hosting a Party Responsibly
  • Dont make drinking the main activity at the
    party
  • Do not let someone drive if they are intoxicated,
    take their keys or call 911

40
Keeping Yourself Sober
  • Drink slowly
  • Space your drinks
  • Know your limits
  • Designated driver
  • Dont drink before the party
  • Dont drink if you are mad or depressed
  • Avoid drinking games
  • Consume only a pre-planned number of drinks and
    stop drinking at a pre-planned hour

41
Stages of Alcohol Dependence
  • Early
  • Escape drinking
  • Binge drinking
  • Guilt feelings
  • Sneaking drinks
  • Difficulty stopping after beginning to drink
  • Increased tolerance
  • Preoccupation with drinking
  • Occasional blackouts

42
Stages of Alcohol Dependence
  • Middle
  • Loss of control
  • Self hate
  • Impaired social relationships
  • Changes in drinking patterns (more frequent binge
    drinking)
  • Dietary neglect
  • Increased blackouts

43
Stages of Alcohol Dependence
  • Late
  • Prolonged binges
  • Alcohol used to control withdrawal symptoms
  • Alcohol psychosis
  • Nutritional disease
  • Frequent blackouts

44
Causes of Alcoholism
  • Genetics
  • Strong family link
  • 50 of fathers, sons, brothers of alcoholics are
    likely to become alcoholics
  • Children of alcoholics are more then 3-4 times
    more likely to become alcoholics
  • Personality types
  • Low self esteem
  • Chronic anxiety
  • Antisocial personalities

45
Treatment
  • Biggest barrier to treatment and recovery is
    denial
  • Families delay treatment by enabling the
    alcoholic
  • Families deny the problem, delay treatment
  • Cover up for the alcoholic
  • Codependence with a significant other
  • Dual addiction
  • Alcoholic is addicted to alcohol and the family
    member is addicted to them
  • Delays treatment

46
Treatment
  • Detoxification is first
  • Go through physical withdrawal from alcohol
  • Inpatient medical treatment
  • Avoid DTs and seizures
  • Psychological addiction is next
  • Changing long term behavior
  • Problem solving skills
  • Stress management
  • 2/3 can recover with good emotional support

47
Treatment
  • Alcohol Anonymous (AA)
  • Based on the belief that people have to admit
    they have lost control over alcohol and they are
    powerless to control their drinking
  • One of the most successful programs
  • Alcoholics can not be social drinkers
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