Section: Module 3: Lesson 3: Alcohol Use Disorder Specific Information | Substance Use Disorders in Primary Care | NextGenU.org
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Learning Objectives:
Upon completion of the third lesson of Module 3, students should be able to:
- Describe the specific effects of alcohol on the overall health.
- Describe the specific effects of alcohol on the liver.
- Demonstrate how to assess the person for alcohol withdrawal symptoms and treat or refer accordingly.
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This resource titled "Beyond Hangovers" will give you a good understanding of the impact of alcohol on the body.
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To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
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On the "CAMH and McMaster Addictions Curriculum Project" website open "Module 1: At Risk Drinking." From the Table of Contents on the left, click on "A Case of a Drinking Problem." Use the 'next' button to go over each of the following slides to the end of the presentation. Attempt to answer all the questions as best as you can before clicking to get the answer. This will test your understanding and skills on many of the aspects covered by this module.
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This resource titled "Alcoholic Liver Disease" includes some hyperlinks (the blue, underlined text) with more information about assessment, such as blood tests and imaging studies.
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"Diagnosis and Treatment of Alcoholic Liver Disease and Its Complications" is a more detailed resource on alcoholic liver disease. We expect you to review this resource only if you find that you are required to assess and manage liver disease without much support, and/or to understand better what might be done in more specialized settings.
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"EASL Clinical Practical Guidelines: Management of Alcoholic Liver Disease" is a very detailed clinical guideline that covers recent scientific advances. We do not expect anyone in primary care to cover this, but this resource may help you to understand specialized treatment if a patient gets to that point.
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This resource titled "Alcohol Withdrawal: Development of a Standing Order Set" may be of assistance in some situations.This training is not meant to fully teach how to assess or treat severe alcohol withdrawal in detail. However, individual practitioners might find themselves in a situation where they have no choice but to support safer withdrawal. The article explores the impact of using a standardized order set for alcohol withdrawal management in an acute care setting. It reviews the background to alcohol withdrawal management and provides an example of the standard order set that can be used in acute care (Figure 1). It is based on the CIWA protocol, which is also used in community settings for primary care management of alcohol withdrawal. Read the article from the beginning until the section titled 'Procedure.' It may be easier to review Figure 1 by downloading the PDF version of the article.
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The "Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)" is a protocol that is used in outpatient settings. We suggest that you review this protocol and keep it accessible for your practice (either in print or electronic format) to assess and help patients with alcohol withdrawal.