Cases reported "Alcoholism"

Filter by keywords:



Filtering documents. Please wait...

1/14. survival from profound alcohol-related lactic acidosis.

    We present the case of a patient with profound alcohol-related lactic acidosis (lactate = 16.1 mmol/L; pH = 6.67) associated with a multitude of metabolic derangements who made a remarkable recovery following aggressive management. The patient was in extremis upon arrival in the emergency department (ED), and resuscitation was begun immediately. While in the ED, the problem list generated included: acute alcohol intoxication, severe lactic acidosis, dehydration, hypothermia, hypoglycemia, acute renal insufficiency, and hepatic failure. resuscitation continued in the intensive care unit with remarkable improvement and satisfactory outcome. In this patient, the severe lactic acidosis and associated abnormalities were all attributed to acute and chronic effects of ethanol. A brief summary of the proposed mechanism by which these metabolic derangements developed and an outline of her management follows.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

2/14. Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives.

    Individuals with alcohol and drug use problems may receive health care from medical, mental health, and substance abuse providers, or a combination of all three. Systems of care are often distinct and separate, and substantial opportunities for benefit to patient, provider, and payer are missed. In this article, we outline (1) the possible benefits of linking primary care, mental health, and substance abuse services from the perspective of the major stakeholders-medical and mental health providers, addiction clinicians, patients, and society-and (2) reasons for suboptimal linkage and opportunities for improving linkage within the current health care system. We also review published models of linked medical and substance abuse services. Given the potential benefits of creating tangible systems in which primary care, mental health, and substance abuse services are meaningfully linked, efforts to implement, examine, and measure the real impact should be a high priority.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

3/14. Network therapy for addiction: bringing family and peer support into office practice.

    Network therapy was developed as a specialized type of combined individual and group therapy to ensure greater success in the office-based treatment of addicted patients by using both psychodynamic and cognitive-behavioral approaches to individual therapy while engaging the patient in a group support network composed of family members and peers. This article outlines the role of group cohesiveness as a vehicle for engaging patients in this treatment; the patient's family and peers are used as a therapeutic network, joining the patient and therapist at intervals in therapy sessions. This network is managed by the therapist to provide cohesiveness and support, to undermine denial, and to promote compliance with treatment. The author presents applications of the network technique designed to sustain abstinence and describes means of stabilizing the patient's involvement. Some specific techniques discussed include ambulatory detoxification, disulfiram and naltrexone administration, relapse prevention, and contingency contracting. Also discussed are recent research on the use of psychiatric residents and counselors for treatment, and use of the internet in dissemination.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

4/14. Social behaviour and network therapy basic principles and early experiences.

    The present paper reports on the basic principles of a treatment approach currently being used in a National Multicentre Randomised Controlled Trial of Alcohol Treatments in the United Kingdom (UK Alcohol Treatment Trial). The treatment: Social Behaviour and Network Therapy (SBNT) is novel as a package but has been developed by integrating a number of strategies found to be effective in other treatment approaches. The intervention is based on the notion that to give the best chance of a good outcome people with serious drinking problems need to develop positive social network support for change. A brief review of the evidence supporting social treatments for alcohol problems is followed by an outline of the feasibility work and the basic principles that guided the development of SBNT. Process data from the first 33 trial cases and 2 case vignettes are described and discussed. It is concluded that SBNT is a feasible and coherent treatment approach that can be delivered by a range of therapists in the alcohol field.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

5/14. Obstructive sleep apnoea: a new disease for papua new guinea?

    Obstructive sleep apnoea is a common disorder in western societies and has a strong association with obesity and alcohol use. The condition has not previously been recorded in papua new guinea. The clinical details of 2 patients from Papua New Guinea with obstructive sleep apnoea are described, and the principles of treatment of this condition are outlined. sleep apnoea is likely to become an increasing problem in papua new guinea.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

6/14. Unrecognized substance misuse: clinical hazards and legal vulnerabilities.

    This paper explores clinical psychologists' relative lack of attention to alcohol and other drug problems, and examines clinical consequences as well as legal vulnerabilities. The ease with which manifestations of substance abuse readily imitate every other entity seen in clinical practice allows both use and abuse to influence treatment in ways which remain often unrecognized. borderline personality disorder is a common example. Failure to assess and appropriately treat or refer places the psychologist in an increasingly untenable position, especially as sophistication about alcohol and drug problems increases among other professionals and the lay public. The paper outlines sources of legal vulnerabilities, such as negligence and deviation from the standard of care, as they could be arise in substance abuse cases.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

7/14. Adult survivors of parental alcoholism: implications for primary care.

    alcoholism has a significant impact on families. In fact, there are between 28 million and 34 million children and adults in America who are members of alcoholic families. There are many emotional and interpersonal consequences for adult children of alcoholics (ACAs), who often suffer from health problems complicated by unresolved emotional issues related to their families of origin. This article describes the family dynamics that affect the ACA's ability to deal with life stresses, outlines the general characteristics of adults who have a history of family alcoholism, discusses assessment techniques and describes resources available to assist the ACA toward recovery. Also described is the role of the primary health care provider in the treatment of ACAs.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

8/14. Neuropsychologically impaired alcoholics: assessment, treatment considerations, and rehabilitation.

    Recently there has been a resurgence of interest in the neuropsychological status of the alcoholic. The research documenting neuropsychological deficits has consistently shown impairments in abstract reasoning ability, visuospatial and visuomotor ability, and learning and memory skills. Despite these findings, it appears that many alcohol treatment clinicians interpret patient behavior from a psychological perspective and treatment programs make unwarranted assumptions about patients' ability to profit from standard treatment approaches. This paper discusses these issues, and presents an outline of an innovative cognitive rehabilitation program designed specifically to meet the needs of neuropsychologically impaired alcoholic patients.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

9/14. Multicouple group therapy of alcoholics.

    A method of multicouple group therapy is described. Seven hospitalized alcoholics and five spouses participated in this group. Emphasis was put on intramarital conflicts. The contribution of the wife to the alcoholism of her husband as well as the intrapsychic conflict with her domineering needs is reviewed and discussed. The special contribution of multicouple therapy is investigated as to its influence of these conflicts. The principle of this technique is outlined and clinical illustrations are presented. A follow-up after 13 months showed that there was an improvement in four of the five familial atmospheres, a change of drinking habits in three of five alcoholics, and an amelioration in neurotic and psychosomatic symptoms in three of the five spouses.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)

10/14. Alcohol and other drug abuse in elders.

    With the growing population of older persons, ET nurses can expect an increasing number of elderly clients in their practice settings. Elderly persons are not immune to alcohol and other drug abuse. Detection of substance abuse in this population is complex and often missed. The purposes of this article are as follows: (1) examine barriers that may prevent nurses from addressing substance abuse among the elderly population; (2) suggest risks for psychoactive substance abuse in this population; (3) identify warning signs that should alert nurses to the problem; and (4) outline treatment options for substance-abusing clients.
- - - - - - - - - -
ranking = 1
keywords = outline
(Clic here for more details about this article)
| Next ->


Leave a message about 'Alcoholism'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.