Alcohol Cessation
Assessment of alcohol dependence
C ut down. Felt like you should?
A nnoyed by people telling you to stop?
G uilty for drinking too much?
E ye opener?
2 or more out of 4 sensitive for alcohol dependence
A sk
A ssess
A dvise
A ssist
A rrange
Source
Australian Therapeutic Guidelines 2013
C ut down. Felt like you should?
A nnoyed by people telling you to stop?
G uilty for drinking too much?
E ye opener?
2 or more out of 4 sensitive for alcohol dependence
A sk
- Drinking status
A ssess
- CAGE
- Motivation/ Confidence in quitting (1 - 10/10)
- Previous quit attempts
A dvise
- Benefits
- Save money
- Better health
- Risks
- Cardiovascular risk (AMI, AF)
- Physiological risks (Korsakoff Wernicke's encephalopathy)
- Social risks
- Goal setting
A ssist
- Handouts
- Non pharm
- Quitline
- Alcoholic Annonymous/ support groups
- Rehab
- SNAP change
- Pharm
- Naltrexone (opiod antgonist --> reduce cravings)
- Disulfiram (prevent metabolism --> severe sefx of EtOH)
- Acamprosate (reduce sx of withdrawal - not for acute rx)
A rrange
- Follow up
Source
Australian Therapeutic Guidelines 2013