Alcoholism 31 july

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Alcoholism 31 july

  1. 1. Alcoholuse disorder T&T Don Bosco Goa July 2012
  2. 2. What is alcohol?Alcohol is a generic term for many different chemical compounds It is a clear, colorless liquid that comes from fermenting — or breaking down — natural substances such as fruit, corn, grain or sugarcane. The type of alcohol consumed by humans is ethyl alcohol or ethanol.Ethanol can have different colors, tastes, potency (strength) and flavors, depending on the fruits or vegetables used in its manufacture, the process of manufacture and the additives used. T&T Don Bosco Goa July 2012
  3. 3. Different types of alcohol-containing beverages T&T Don Bosco Goa July 2012
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  5. 5. Alcohol useMany communities consider the occasional use ofalcohol, for recreational purposes or on socialoccasions, as ‘normal’ and ‘acceptable’. There is little awareness that even the occasional orsocial use of alcohol does carry a risk of road trafficinjuries or industrial accidents.Intoxication from occasional use can lead to violenceor socially inappropriate or embarrassing behaviour. T&T Don Bosco Goa July 2012
  6. 6. Alcohol abuse, also called ―problem drinking‖, is a pattern of excessive drinking that results in adverse health and social consequences to the drinker, and often to those around the drinker. People with an alcohol abuse problem:● Use alcohol to help them change the way they feel aboutthemselves and/or some aspects of their lives.● Get complaints about their alcohol use.● Lose interest in activities and hobbies that used to bringpleasure.● Get irritable as their usual drinking time approaches, especially ifalcohol isnt available.● Keep alcohol in unlikely places at home, at work and in the car.● Drink alone or in secret. T&T Don Bosco Goa July 2012
  7. 7. Alcohol dependence refers to a cluster of symptoms. There are four main symptoms:Craving- A strong need, or compulsion, to drink.Impaired control -The inability to limit ones drinking on any given occasion.Physical Dependence- Withdrawal symptoms, suchas nausea, sweating, shakiness, and anxiety, when alcohol use is stopped after a period of heavy drinking.Tolerance- — The need for increasing amounts of alcohol in order to feel its effects T&T Don Bosco Goa July 2012
  8. 8. The user knows that alcohol use causes significant impairment and though he/she may have a desire to cut down or control its use, does not or cannot give it up, resulting in heavier use of alcohol than intended and subsequent reduction of social or occupational activities.There are many factors, psychological, social, environmental, and genetic, that play a role in alcohol dependence.Alcohol dependence is not just bad behaviour or a habit. It is a chronic and progressive disease. T&T Don Bosco Goa July 2012
  9. 9. Harmful use of alcohol is when some people, usually after a period of prolonged use, develop a pattern of use which causes damage to an individual’s health.Many patterns of consumption of alcohol can be considered as harmful use of alcohol, for example, drinking alcohol and driving — which can lead to road traffic injuries, “binge drinking” (drinking too much alcohol at one time) sometimes indulged in by teenagers, pay-day drinking when a person drinks heavily on the day he gets his salary, or pregnant women drinking alcohol. T&T Don Bosco Goa July 2012
  10. 10. Impairment of Day-to-day Functioning T&T Don Bosco Goa July 2012
  11. 11. CAGE QuestionnaireFour simple questions, which comprise the CAGE test developed by Dr John Ewing is widely used for alcohol abuse screening. (To help remember these questions, note the first letter of a key word in each question spells ―CAGE‖).● Do you feel that you should Cut down on your drinking?● Do you feel Annoyed when other people comment about your drinking habits?● Do you ever feel bad or Guilty about your drinking?● Do you ever need a drink (Eye opener) first thing in the morning to steady your nerves or to get rid of a hangover? T&T Don Bosco Goa July 2012
  12. 12. Some myths andmisconceptions about alcohol consumption T&T Don Bosco Goa July 2012
  13. 13. MythAlcohol helps people to forget their problems.Truth This has become a truth because regular and heavy alcohol-users often say this is the reason why they drink alcohol. Very often the opposite is found to be true – people bring up forgotten problems only when they are intoxicated. T&T Don Bosco Goa July 2012
  14. 14. MythAlcohol is a stress buster.TruthAlcohol is frequently resorted to as a ―cover up‖ during times of temporary or ongoing stress or grief experienced due to the loss of a loved one or the end of a relationship, unresolved family tensions or chronic work stress. However, alcohol increases the level of biological stress that is placed on the body. Adrenaline levels increase in the body as we drink. We may feel more relaxed when we drink alcohol, but the body actually comes under additional stress. T&T Don Bosco Goa July 2012
  15. 15. MythA man needs to drink alcohol to prove his manliness.TruthOn the contrary, people who need to use alcohol develop a tolerance for it and become dependent on it, thereby losing their will power and independence. T&T Don Bosco Goa July 2012
  16. 16. MythOne needs to drink alcohol to be trendy and part of the group.TruthBehavioral research has documented that in a group drinking alcohol; even those who are not drinking can have an equally good time and behave in the same uninhibited manner. Adolescents call this ―getting high on other people‘s alcohol‖. Forcing or urging someone to drink as a condition of group membership or acceptance can lead to tragic consequences, hospitalization, sexual and other types of violence and even death. Ultimately, alcoholics can be very lonely people shunned by family, friends and society. T&T Don Bosco Goa July 2012
  17. 17. M.V Act 1988 Under section 185 Motor Vehicle Act, 1988, the concentration of alcohol has been specified maximum as 30 mg/100 ml of blood detected in a test by a breath analyzer. The penalty for the first offence is with imprisonment for a term upto 6 months or with fine upto Rs.2,000/- or both. For second or subsequent offence (if committed within 3 years of the commission of previous similar offence), with imprisonment for a term upto 2 years or with fine upto Rs.3000/- or with both. Arrest without warrant by a police officer in uniform under section 202 M.V. Act, 1988. Procedure for breath and laboratory tests is specified under section 203 & 204 M.V. Act, 1988. The offence is non-compoundable under section 200 M.V. Act, 1988 (all challans are sent to the Court for taking cognizance) T&T Don Bosco Goa July 2012
  18. 18. Alcohol & Injuries In a report for WHO, a multi-centre collaborative study – ‗Injury and Alcohol‘ at NIMHANS Bangalore it was found that the proportion of injuries ‗linked‘ to alcohol use was 58.9% of all injuries with 24% due to own drinking and 35% due to others drinking. It was found that on the types of injuries amongst alcohol users, 46% was due to road accidents, 24% due to violence, 24% falls and 6% others. T&T Don Bosco Goa July 2012
  19. 19. Complications of Chronic Alcohol UseAlcohol is a toxic substance that can affect each and every organ in the bodyGastrointestinal system Slows down functioning and interferes with digestion Irritates the lining of the food pipe and stomach Causes gastritis and ulcer Increases incidence of cancer ·Can lead to fatty liver (sluggishness due to accumulation of fat cells)and alcoholic hepatitis (jaundice- like symptoms) ·Permanent damage – cirrhosis T&T Don Bosco Goa July 2012
  20. 20. Central Nervous System Delirium tremens Rum fits (alcohol withdrawal seizures) Alcohol hallucininosis Alcoholic dementia Suicide Cerebral degeneration Head injuries and fractures T&T Don Bosco Goa July 2012
  21. 21. Heart the life line Interferes with normal heart rhythm Excessive alcohol use candamage blood vesselsweaken heart musclescause enlargement T&T Don Bosco Goa July 2012
  22. 22. Other effects Acne Alcoholic hypoglycemia Malnutrition Anemia Sexual dysfunction Decreased immune function- can lead to infections such as tuberculosis. T&T Don Bosco Goa July 2012
  23. 23. Don’t be influenced by anybody. Don’t be impressed by anybody. Look, see, be aware- and choose.But remember, the responsibility is yours. T&T Don Bosco Goa July 2012
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