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Heavy Drinkers

Drinkers with trouble to family & Police or health Problems

Dependent Worker

The interaction of heavy drinkers related problems & dependence of Alcohol. Definition:- Substance Misuse Problem (SMP):- Te employee with Substance Misuse Problem is defined as those workers whose regular or intermittent use of substance repeatedly interferes with their work or the work of others, their job performance or their ability to work, their relationship with colleagues or clients, of their health. Dependency:- Dependence is a state in which an individual experiences difficulty in controlling the intake of the substance & experiences withdrawal symptoms on reduction or cessation of intake. Blood Alcohol Interpretation 25-50 Mg/Dl Risk taking increases & decision making skills begin to decline 60 Mg/Dl (4 Units) Double the risk of accident compared to those who has no blood alcohol 100Mg/Dl (7 Units) 6 times more risk of accidents 150Mg/Dl (10 Units) 25 times more risk of accidents Social Drinkers:- Consumption of alcohol below 50 units per week. Above 50 units/wk impairs Cerebral functions. Health Hazards:- 1) Dementia is the early sign including:a) Impaired problem solving b) Rigidity of thoughts c) Impaired Recent Memory d) Difficulty in carrying out fine tasks 2) Impairment of central functions 3) Epilepsy:- Drinkers who develop dependency of alcohol may develop seizures known as Rum Fits 4) Absentism 5) Mortality due to accidents, Hepatic Cirrhosis Diagnosis:1) Serum Gamma Glutamil Transferase (GGT):- It remains above 45 IU/Lit in blood, in liver cirrhosis & Chronic Alcoholism 2) Serum Aspartate Amino Transferase :- Increases in cirrhosis & Chronic Alcoholism If both of the above are raised together then it a strong indication that the person is taking heavy alcohol.

WHO Guidelines:- Alcohol Use Disorders Identification Tests (AUDIT) Non Clinical Scanning:1) How often due you have a drink containing alcohol?

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* * * * * 0 1 2 3 4 0:- Never 1:- Monthly or Less 2:- 2-4 times in a month 3:- 2-3 times in a week 4:- 4 or more times a week How many drinks containing alcohol do you have on a typical day when you are drinking ? 0 = 1-2 1 = 3-4 2 = 5-6 3 = 7-9 4 = 10 or more How often do you have 6 or more drinks on one occasion ? 0 = Never 1 = Less than monthly 2 = More than monthly 3 = Weekly 4 = Daily or Almost Daily How often during the last year have you found that you are not able to stop drinking once you had started ? 0 = Never 1 = More than a month 2 = Monthly How often during the last year have you failed to do what was normally expected from you because of drinking ? Score same as 4. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session ? Score same as 4. How often during the last year have you had a feeling of guilt after drinking ? Score same as 4. How often during the last year have you been unable to remember what happened in the night before, because you had been drinking ? Score same as 4. Have you or some one else been injured as a result of your drinking ? Score same as 4. Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested that you should cut down ? 0 = No 2 = Yes but not in last year 4 = Yes in the last year