Alcohol and Relevance in Dentistry - Brief Intervention and Advice – Part 2 GN PDF

Alcohol and Relevance in Den/stry - Brief Interven/on and Advice – Part 2 Sarah Balian Oral and Dental Sciences GDC Learning Outcomes Recognise psychological and sociological factors that contribute to poor oral health, the course of diseases 1.1.11 and the success of treatment...

Alcohol and Relevance in Den/stry - Brief Interven/on and Advice – Part 2 Sarah Balian Oral and Dental Sciences GDC Learning Outcomes Recognise psychological and sociological factors that contribute to poor oral health, the course of diseases 1.1.11 and the success of treatment 1.2.1 Recognise the importance of and carry out an appropriate systema:c intra- and extra-oral clinical examina:on 1.2.3 Recognise the signi>cance of changes in the pa:ent’s reported oral health status and take appropriate ac:on 1.7.7 Refer to other members of the dental team or other health professionals 1.7.8 Recognise the need for and make arrangements for appropriate follow-up care Underpin all pa:ent care with a preven:ve approach that contributes to the pa:ent’s long-term oral health 1.10.3 and general health Describe the health risks of diet, drugs and substance misuse, and substances such as tobacco and alcohol 1.10.6 on oral and general health and provide appropriate advice, referral and support 3.1 Communicate eJec:vely and sensi:vely at all :mes with and about pa:ents, their representa:ves and the general public diKcult circumstances, such as when breaking bad news, and when discussing issues, such as alcohol 3.1c consump:on, smoking or Intended Learning Outcomes Outline the relevance of alcohol consump:on and its health impact in rela:on to the UK popula:on. Develop and demonstrate the role of dental care professionals in delivering key general health messages. Screen pa:ents with recommended screening toolkits Evaluate data and deliver appropriate advice to pa:ents and signpost where needed. Discuss the impact of alcohol on oral and general health.  Assessment Forma:ve Summa:ve Unseen cases Unseen cases Class discussion Case presenta:ons Clinical ac:vity  Any seCng Specialist Remit of every dental profession to provide alcohol and smoking advice Den:st Primary Dental Therapist Dental Hygienist Secondary Dental Nurse Orthodon:c Therapist Ter/ary Clinical Dental technician Guidance for Dental Professionals Delivering BeEer Oral health – November 2021 Chapter 12: Alcohol - GOV.UK (w ww.gov.uk) Report in notes alcohol consumption and advice that was given to patient Medico-legally Oral cancer (theddu.com) Knowing units Brief intervention to impact oral health AUDIT C – Alcohol Use Disorders Iden:>ca:on Test for Consump:on Limits of Alcohol Historically diJerent levels Both are now advised not to regularly drink more than 14 units per week There is no safe level of alcohol consump:on Spread over 3 days or more No alcohol in pregnancy Knowing Units Know your units – how are they calculated? ABV = ALCOHOL BY VOLUME Units = total volume of drink X alcohol by volume / 1000 Iden/Rca/on & Brief Advice (IBA) Brief advice on cutting down can influence behaviours to reduce alcohol consumption  Lower risk Increased risk Higher Risk Score 0- 4 Score 5 - 10 Score 11 -12 Not exceeding 14 units Advise level of drinking Drinking could be per week increasing risk of ill becoming a problem. health Inform low risk of long Consider referral to or short health harm Not safe to drink more specialist addic:on than 14 units per week service or GP. Congratulate Posi:ve feedback If you do drink more Do NOT advise to stop than 14 units – spread drinking as they may over at least 3 days need support to do so safely. Have several drink-free Put patient response in notes days a week May want time to go away and think Apps  NHS Brief Advice about alcohol & your health NHS LEAFLET  EYcacy Kane E F, Beyer F, Dickinson H O et al. EJec:veness of brief alcohol There is good evidence interven:ons in primary care that brief advice in primary popula:ons. Cochrane Database care is e5ective. A Syst Rev 2007; 2: CD004148. Cochrane review found that it consistently led to reductions in alcohol Ne5 J A, Kelley M L, Walters consumption. S T et al. E5ectiveness of a Screening and Brief Additionally, a randomised Intervention protocol for controlled trial in dental heavy drinkers in dental practice found that practice: A cluster- screening and brief randomized trial. J Health intervention for heavy Psychol 2015; 20: 1534– Significant reductions in both the drinkers resulted in 1548. quantity and frequency of alcohol consumed. Signpos/ng for professional help haps://www.e-lc.org.uk/programmes/alcohol/ Drink less - Beaer Health - NHS (www.nhs.uk) haps://www.nhs.uk/live-well/alcohol-support/ haps://www.alcoholics-anonymous.org.uk/ Find Alcohol addic:on services - NHS (www.nhs.uk) Required reading and resources haps://www.gov.uk/government/publica:ons/delivering-beaer-oral-health-an-evid ence-based-toolkit-for-preven:on/chapter-12-alcohol UK government. Alcohol use disorders identi>cation test consumption (AUDIT C). London: UK Gov; 2019. 2e917707-7c70-7978-37e-14d41f2dd14a (800×1067) (khub.net)