Alcohol Use 2024_Lauren Clemmons.pdf

Alcohol Use Lauren Clemmons, DO, FACOFP [email protected] Objectives 1. Describe the importance of screening and brief intervention for alcohol use disorder in clinical practice. 2. Describe the essential components of the medical model of alcohol use disorders. 3. Describe the NIAAA standard drink...

Alcohol Use Lauren Clemmons, DO, FACOFP [email protected] Objectives 1. Describe the importance of screening and brief intervention for alcohol use disorder in clinical practice. 2. Describe the essential components of the medical model of alcohol use disorders. 3. Describe the NIAAA standard drink amounts. 4. Describe the NIAAA Safe Drinking Limits. 5. Identify what “at risk” drinking is vs. “alcohol use disorder.” 6. Describe the AUDIT-C, AUDIT, and CAGE questionnaires and when to use them. 7. Describe how to minimize defensiveness when talking with a patient with AUD. 8. Recognize red flags of alcohol use disorders. 9. Demonstrate awareness of how physician/clinician attitudes toward patients with alcohol use disorders impact recognition, diagnosis, and treatment of patients. 2 Health Care Communication Module: Social History Tobacco Alcohol Drugs Why do we ask these? What do we do with the information? 4 INTRODUCTION Patients’ alcohol use can influence every aspect of medical care; therefore, you should always inquire about patients’ alcohol use. Alcohol Use Disorder afflicts 20 percent or more of adults and leads to tragic family and social problems, injuries, and death. Most clinicians feel inadequately prepared to interact with severely affected patients. Screening and assessment improves detection (NIAAA, 2015; Saitz, 2005) Counseling improves patient health and clinician satisfaction with encounters. (Dawson, 2005; Madras, 2009; NIAAA, 2007; Saitz, 2005; Clark, 2008) 5 HEALTHY ALCOHOL USE Standard Drinks A “drink” is: 12 oz. beer 5 oz. wine 2-3 oz. of cordial or aperitif 1.5 oz. (bar shot) of liquor or brandy Each standard drink contains ~ 0.6 oz. of ethyl alcohol Alcohol contents are approximately as follows: Beer 5% Wine 12% Liquors 40% All the alcohol in drinks is absorbed. (Clark, 2008; NIAAA, 2015) 6 HEALTHY ALCOHOL USE More than 50% of US adults abstain or drink less than one drink monthly. NIAAA specifies research-based safe limits for those who drink alcohol. NIAAA Safe Drinking Limits Men: 14 or fewer drinks a week and no more than 4 drinks in a day. Women and anyone over age 65: 7 per week and 3 drinks in a day. 30% of adults drink more than “safe limits.” (NIAAA, 2015) Moderate Drinking Expert consensus holds that "moderate drinking" is defined by low quantity of intake (4 and