alc awareness session 1 - 2.6.20099

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  • 7/30/2019 Alc Awareness Session 1 - 2.6.20099

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    ALCOHOL:MAKING CHANGES

    SESSION 1

    PHYSICAL EFFECTS OF

    ALCOHOL

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    DOH DEFINITIONS OF ALCOHOL USE

    *SENSIBLE HAZARDOUS HARMFUL

    MALE 34 UNITS 57 UNITS > 7

    FEMALE 23 UNITS 45 UNITS > 5

    PREGNANT WOMEN SHOULD AVOID ALCOHOL

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    KNOW YOUR UNITS

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    LIVER CAN PROCESS ONE UNIT OF

    ALCOHOL PER HOUR

    Liver processes 9098% of alcohol turning

    it into Carbon Dioxide and water

    210% of alcohol is secreted in sweat,

    breath and urine

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    DIGESTIVE SYSTEM

    Increased risk of cancer in mouth and

    throat (x3 the risk) especially for

    people who smoke and drink.

    Tear in oesophagus caused by repeated

    retching.

    Cancer of oesophagus (double the risk)

    Oesophageal varices

    THROAT AND OESOPHAGUS

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    STOMACH

    Nausea / vomiting/ acid reflux

    Gastritisinflammation of stomach

    Stomach Ulcer (peptic ulcer)

    PANCREASE

    Pancreatitis (inflammation of

    Pancreas)

    Diabetes

    MALNUTRITION

    Found in 29% of heavy drinkers

    caused by poor diet and impaired

    Absorption of vitamins (particularly B

    vitamins)

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    LIVER

    Fatty Liver

    Fat deposits in liverno symptoms

    Alcoholic Hepatitis

    Inflammation of liver

    May lead to liver failure

    Cirrhosis

    Death of liver cells. May be fatal

    All above problems may not be detectable

    on blood tests

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    CIRCULATION

    High blood pressureAlcohol may bemost important cause

    Risk of Strokedoubled among heavy

    drinkers

    Arrhythmiaspalpitations or uneven

    heart beat

    Heart DiseaseCardiomyopathy

    (weakening of heart muscle)

    Increased risk of heart failure

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    Red blood cells swollen (macrocytosis)

    in 90% of dependant drinkers. Thiseffects ability to carry oxygen leading

    to tiredness and lethargy, due to

    thiamine deficiency and toxic effects of

    alcohol on bone marrow where red

    cells are produced.

    Immune system problemsAlcohol

    decreases number of white blood cellswhich are important for fighting

    infections

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    NERVOUS SYSTEM

    Nervous system problems are caused bydeficiency in thiamine (vitamin B1)

    Peripheral Parasthesiatingling in fingers

    and toes

    Peripheral Neuropathynumbness infingers and toes

    Wernickes Encephalopathy abnormal eye

    movements, (may be very subtle) impaired

    gait, confusion.

    If not treated, may lead to Korsakoffs

    Syndromean irreversible form of

    dementia

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    SEXUAL PROBLEMS

    MEN Reduced libido, impaired sexual functioning, reducedfertilitylower sperm count. Reduced testosterone.

    WOMEN Disruption of periods (amenorrhoea)

    Heavy bleeding (menorrhagia)

    Increased oestrogen

    Women should not drink when pregnant as this is a risk

    to foetus, risks include spontaneous abortion, still birth, and

    Fetal Alcohol Syndrome (growth deficiency and abnormal

    facial features).

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    ACCIDENTS

    Alcohol related to:

    45% of deaths through falls

    39% of deaths through fires

    25% of deaths through drowning

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    DEPENDENCY

    Tolerance

    The amount a person drinks without experiencing symptoms of intoxication.

    When people dont drink regularly their tolerance is low.

    If high amounts of alcohol are consumed regularly, tolerance increasesit

    takes a lot more alcohol for a person to experience symptoms of intoxication.

    Nervous system adapts to alcohol

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    ALCOHOL WITHDRAWAL

    If a person drinks heavily (15+units for a man and 11+ units for a woman) on adaily basis for several months and they stop or cut down significantly, theywill experience alcohol withdrawals.

    Starts around 1224 hours after drinkingworse symptoms are 23 daysafter stopping drinking.

    Common Symptoms include: More severe symptoms include:

    Tremor / Shaking

    Nausea and retching / vomiting

    Sweating DisorientationIrritability Hallucinations

    Anxiety Seizures

    Restlessness (Delirium Tremors)

    Insomnia

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    RECOVERY

    5 Weeks Replenished vitamin levels

    6 weeks Improved mood

    6 weeks Improved sleep pattern

    12 weeks Replenished red blood cells

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    SOME TIPS FOR CUTTING DOWN

    Drink lower strength drinks

    Have a spacer

    Drink more slowly

    Eat before and while you are drinking Avoid friends who drink heavily

    Delay starting time

    Discover non-alcoholic drinks that you enjoy

    Dont drink to cope with stress or negative feelings Change your drinking routine

    Keep a diary of your drinking