ABC of Alcohol

The misuse of alcohol presents both individual physical and psychological problems as well as wider social consequences. Alcohol misuse is a frequent cause of attendance in accident and emergency departments and an underlying factor in a range of longterm and chronic conditions commonly treated and managed within primary care settings.

This expanded fifth edition includes new chapters on alcohol and its impact on young persons, alcohol–related liver disease, neurological problems, alcohol and its impact on older persons, alcohol and cancer, and the role of care teams and the alcohol nurse specialist. There is also improved coverage on the role of alcohol health workers and guidance on the availability of voluntary alcohol services more generally. The
concluding resources chapter provides further guidance on how to access appropriate services. It incorporates current NICE guidelines, the Government s Alcohol Strategy (2012), as well as case study scenarios and examples of best practice throughout.

From a new editor and a multidisciplinary contributor team, ABC of Alcohol is a practical guide for general practitioners, family physicians, practice nurses, primary healthcare professionals as well as for junior doctors, medical and nursing students.

About the ABC series

The new ABC series has been thoroughly updated, offering a fresh look, layout and features throughout, helping you to access information and deliver the best patient care. The newly designed books remain an essential reference tool for GPs, GP registrars, junior doctors and those in primary care, designed to address the concerns of general practitioners and provide effective study aids for doctors in training.

Now offering over 70 titles, this extensive series provides you with a quick and dependable reference on a range of topics in all the major specialities. Each book in the new series now offers links to further information and articles, and a new dedicated website provides you with even more support.

The ABC series is the essential and dependable source of up–to–date information for all
practitioners and students in general practice.

Contributors vii

Preface ix

1 Alcohol use: Consumption and costs 1
Peter McGovern and Eric Appleby

2 Alcohol use: Society and politics 7
Peter McGovern and Eric Appleby

3 Alcohol in the body 12
Alex Paton and Anne McCune

4 Definitions 15
Alex Paton

5 The nature of alcohol use disorders 19
John B. Saunders

6 The detection of alcohol use disorders 25
John B. Saunders

7 Medical problems 33
Alex Paton

8 Problems in the Emergency Department and their solutions 37
Zulfiquar Mirza and Robin Touquet

9 Alcohol and the young person 42
William Christian, Sian Veysey and Anne Frampton

10 Alcohol and the older person 46
Jarrod Richards and Rachel Bradley

11 Alcohol and the liver 50
Anne McCune

12 Surgical problems 56
James S. Huntley

13 Alcohol, maxillofacial trauma and prevention of personal violence 61
Jonathan Shepherd and Paul Jordan

14 Neurological and neurosurgical complications of alcohol 64
Jane Alty and Jeremy Cosgrove

15 Alcohol and cancer 69
Sarah L. Williams

16 Alcohol and the heart 74
Nitin Kumar, Yasmin Ismail and Julian Strange

17 Drug alcohol interactions 79
Dan Harris

18 Management of acute unplanned alcohol withdrawal 84
Adrian Brown and Anne McCune

19 The role of alcohol care teams in district general hospitals 89
Kieran J. Moriarty

20 Management in primary care 95
Carsten Grimm

21 Advice and counselling 99
Nicola Taylor

22 Psychological treatment and relapse prevention 102
Nicola Taylor

23 Alcohol and psychiatry 105
Nicola Taylor

24 Other resources, and alcohol and the doctor 109
Nicola Taylor

Index 000