Download The Alcohol Textbook 5th Edition for Free: Learn Everything You Need to Know About Alcohol

Objectives:Review the risk factors for drug and alcohol abuse.Identify the epidemiology of drug and alcohol abuse.Describe the evaluation of a patient suspected of drug or alcohol abuse.Explain a well-coordinated interprofessional team approach to provide effective care to patients affected by drug and alcohol abuse. Access free multiple choice questions on this topic.

the alcohol textbook 5th edition, free download

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Alcohol abuse refers to drinking too much alcohol on occasion, as well as habits of drinking alcohol that result in harm to health, ability to work behavior, and judgment. Alcohol abusers generally are not dependent on alcohol. On the other hand, alcohol dependence means a person needs alcohol to get through their day. Alcohol abuse and alcohol dependency were previous terms used in DSM-IV. DSM-5 has combined alcohol abuse and alcohol dependence to create a unified disorder, alcohol use disorder (AUD).[1][2][3]

Physical features accompanying alcohol abuse range from a normal physical exam to features of alcohol withdrawal (tachycardia, tremor, agitation, clouding of the sensorium) to features of the advanced liver disease in case of chronic alcoholism (spider angiomata, palmar erythema, gynecomastia, testicular atrophy, hepatic or splenic enlargement).[1]

The management of alcohol and drug abuse requires an interprofessional team that includes a mental health nurse, psychiatrist, emergency department physician, internist, addiction counselor, pharmacist, and pain specialist. Clinicians need to be proactive and identify these patients; the earlier the treatment is undertaken, the better the outcomes. In addition, healthcare workers need to curtail the liberal prescription of analgesics, hypnotics, and sedatives and offer patients alternative means of managing their pain and insomnia. Pharmacists may be well-positioned to notice patterns of drug-seeking behavior and report this to the prescribing clinicians. Interprofessional team coordination and information sharing can bring about more positive outcomes for these patients. [Level 5]

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