Transcript of "Prevention of alcohol related problems by Yapa Wijeratne"
Yapa Wijeratne<br />Faculty of Medicine<br />University of Peradeniya <br />Sri Lanka<br />Prevention of alcohol related problems<br />
Problems in brief …..<br />Psychological<br />Mental illness- alcohol dependency<br />Psychiatric disorders to develop and an increased risk of suicide<br />Emotional & physical abuse of children <br />Severe cognitive problems<br />Social <br />Domestic violence <br />Conflicting with neighbours<br />Break up of the family units<br />Social isolation<br />Poverty <br />Effects on children education<br />
Physical<br />Cirrhosis <br />Pancreatitis <br />Epilepsy <br />Polyneuropathy<br />Alcoholic dementia <br />Heart disease <br />Nutritional deficiencies <br />Sexual dysfunction<br />Increased risk of developing cardiovascular disease, <br />Malabsorption<br />Cancer <br />Damage to the central nervous system and peripheral nervous system can occur fromsustained alcohol consumption.<br />
The supply or availability of alcohol can be reduced by:<br />Controls of production and trade<br />Controls on distribution and sales (regulating the number of licensed outlets and their hours of opening; drinking age laws)<br />Not issuing any liquor license to open new liquor shops. <br />All possible measures to stop the production of illicit liquor.<br />Increasing the price of alcoholic drink by taxation.<br />Decrease the amount of liquor being imported.<br />Banning or restricting advertising of alcohol.<br />
Measures to reduce the demand for alcohol include:-<br />Health Education-MOST IMPORTANT<br />Promotion of alternatives to alcoholic drinks<br />Provision of alternatives to drinking as a leisure-time occupation<br />Reducing incentives to drinking by controls on advertising and promotion of alcohol.<br />
Guidelines for parents to prevent alcohol abuse amongst adolescents-Parental attention on their children<br />Helping young people with mental health problems.<br />
What are the effective alcoholprevention strategies?<br />Demystification.<br />Demonstrating no advantages in alcohol use.<br />Changing social reality/social milieu.<br />Deglamorize the alcohol use.<br />
DEMYSTIFICATION<br />Programmes should focus on people and their reasons for alcohol use, rather than the psycho pharmercological actions of alcohol.<br /> Some people say that they use alcohol to forget problems, to relax, for enjoyment, as an appetizer, to enhance creativity and for many other reasons.<br />But none of this is a pharmercological or chemical effect of ethyl alcohol. <br />Therefore, it is important to discuss how people falsely identify that alcohol is beneficial and then break those falsely held social beliefs. <br />
DEMONSTRATING NO ADVANTAGES IN ALCOHOL USE<br />Alcohol industry tries to illustrate a positive side of alcohol use. The alcohol users, along with a large fraction of the society however think that a moderate use of alcohol is beneficial.<br />Some scientists who are in the alcohol industry payroll make statements that are biased towards to wards the industry to promote alcohol.<br />There is no good scientific evidence to support the idea that moderate use of alcohol is beneficial.<br />Alcohol prevention programmes should demonstrate that there are no advantages what so ever in alcoholuse.<br />
CHANGING THE SOCIAL REALITY<br />Since the creation of the positive image of alcohol is a social phenomenon, its reversal too has to be through social change.<br />Programmes should examine and identify the rituals, symbolic meanings and other social learning influences which make alcohol experience positive and change these social attitudes.<br /> Alcohol promoting influences may differ form culture to culture.<br />Therefore when planning a prevention strategy it is necessary that the alcohol promoting culture to be clearly identified.<br />
DEGLAMORIZE THE ALCOHOL USE<br />Prevention programmes should be aimed at creating a social milieu which ridicules the alcohol use and recognizes it as, <br /><ul><li>boring and uninteresting,
a little silly and stupid.</li></li></ul><li>ALCOHOL PREVENTION PROGRAMMES<br />Alcohol prevention programmesshould be based on group learning process. This is slow, but allows people to discover things for themselves, hence, it is a more effective approach to change the behaviour.<br />The whole programme would be designed to demystify and deglamorize alcohol use.<br />The programme should take a low key profile and where possible give a positive message.<br />This way advantage can be taken by the “sleeper” effect, which has been shown to produce a higher degree of behaviour molding than other more concerned arousing methods.<br />
So if ultimately the total prevention of alcoholism is never realistically going to be achieved <br />Manage alcoholics <br />In order to prevent the problems to the society & to him.<br />
Management <br />Medications<br />A variety of medications may be prescribed as part of treatment for alcoholism.<br />E.g.Antabuse (disulfiram),Temposil (calcium carbimide),Naltrexone,Campral<br />Detoxification<br />Alcohol detoxification or 'detox' for alcoholics is an abrupt stop of alcohol drinking coupled with the substitution of drugs, such as benzodiazepines, that have similar effects to prevent alcohol withdrawal.<br />Group therapy and psychotherapy<br />
Note:<br />This was done as a student presentation using photographs & content from various web sites & textbooks on the assumption of fair usage for studying & is for NON-COMMERCIAL purposes.<br />
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