Alcohol hx Flashcards
structure alcoholism hx
CAGE
typical day
drinking pattern
dependence syndrome
essential general questions
CAGE
cut down
annoyed
guilty
eye opener (first thing in morning)
opening question
take me through a typical day of drinking
establish drinking pattern
what
how much
where
when
why/trigger/precipitant
cost/impact on life
dependence syndrome
compulsion
tolerance
priority
withdrawal symptoms
attempted withdrawal - reinstatement despite abstinence
reduced repertoire (alone, at home)
persistence despite problems (bio-psycho-social)
structure for dependence syndrome
TWiRP CHER
tolerance
withdrawal
repertoire
primacy/priority
control/compulsion
harm
eye opener
rapid reinstatement/relapse
essential general questions
history of previous episodes
risk assessment
depression/psychosis screen
PPH
FH (esp alcoholism)
specific social & safety questions
impact on work relationships
risk to others at home: partner, children etc
