HC1212 Health Promotion workshop - Moderating alcohol consumption by Bethany Jones https://padlet.com/bethanyemmajones/5yfv8zt3fwjp Group 1 en-us 2018-05-04 12:38:12 UTC 2018-05-10 13:17:43 UTC hello@padlet.com Moderating Alcohol Consumption - A Valuable online resource Sarahtrigg96 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258082653 https://www.nhs.uk/LiveWell/Alcohol/Pages/Alcoholhome.aspx

The NHS choices website offers help and guidance about alcohol and promoting a healthy lifestyle. 
It has advice such as tips on cutting down, the risks of binge drinking  ]]> 2018-05-04 16:00:19 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258082653 Health Promotion Resources Sarahtrigg96 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258084116 https://www.drinkaware.co.uk/ 

Drink Aware UK is a charity that helps reduce alcohol misuse. 
There is an interactive app available to download on your phone which can calculate the amount of alcohol units a person has consumed.

There is an advice section that allows someone to ask for help about themselves or someone else]]> 2018-05-04 16:05:05 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258084116 Health Promotion Resources Sarahtrigg96 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258085233 https://www.alcoholics-anonymous.org.uk/

Alcoholics Anonymous UK - a free self-help group which involves regular support groups. 
It allows people to meet others in similar situations and share experiences, strength and hope with each other. ]]> 2018-05-04 16:09:04 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258085233 The Marmot Report 2010 BrennaLints https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258159592 This report shows the prevalence of inequalities in health in correlation with socioeconomic surroundings; whether they are affluent or destitute areas. 
Within the report it is apparent that the lower the socioeconomic group the higher the hospital admissions for alcohol related concerns/deaths]]> 2018-05-04 20:20:09 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258159592 What does the NMC code include in relation to these issues? bethanyemmajones https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258161830 E.g. 
- Putting care and safety first
- Respect rights, dignity, privacy & confidentiality
- Take action if they have concerns about the care and safety of patients
- Act with honesty and integrity at all times
- Pay attention to your wellbeing, treatment & care 
- Help you to access the care and support that you need 
- Listen & take notes of concern]]> 2018-05-04 20:31:15 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258161830 What professional and ethical considerations would a nurse need to be aware of when supporting a person with this need? bethanyemmajones https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258163279 - Respect their autonomy & their right to refuse support - can only advise and encourage the patient
Respect the person's self-determination 
- Patient centred care = their goals & outcomes, treatment & information given to them
- Consider showing beneficence & acting in a judgemental & maleficence manner & to ensure veracity
- Consider their approach to the patient = motivational interviewing, empower & encourage the patient, being persuasive & motivating 


]]> 2018-05-04 20:38:56 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258163279 Alcohol Concern BrennaLints https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258163588 These data results show that cases of death caused by alcohol are more affluent in the age bracket 55 - 64.
"Males accounted for approximately 65% of all alcohol-related deaths in the UK in 2014." 
Additionally stating that males made up the larger proportion of mortality rate in accordance with alcohol.]]> 2018-05-04 20:40:59 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258163588 Where you live? BrennaLints https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258165809 Within this epidemiological data it states that Scotland has the highest alcohol related mortality rates, however has seen the largest decrease in deaths.
Is this stating that where you live has an impact on the amount of alcohol that is consumed? This expanding on the Dahlgren and Whitehead Model of attributes that can impede ill health.]]> 2018-05-04 20:55:13 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258165809 Dahlgren and Whitehead Model BrennaLints https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258169500 2018-05-04 21:24:44 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258169500 Resources for patients ayresc1 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258327321 Self assessment tool - this helps patients see whether or not they are drinking in excess: https://www.drinkaware.co.uk/selfassessment

Drink aware track app - this allows patients to track their drinking habits and https://www.drinkaware.co.uk/tools/app/ 

Alcohol cessation book by international best selling writer of psychological dependence:  Allen Carr  - The Easy Way to Quit Drinking.  

These resources encourage patients to be proactive in their health, promoting independence and autonomy in the health promotion process  (as per NMC code).  ]]> 2018-05-06 18:07:28 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258327321 Approaches https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258329377 Behavioural Change- Encouraging individuals to adopt healthy behaviours and adopt a healthier lifestyle as defined by the health promoter (nurse). This can be through various resources - online applications, leaflets. Important to ensure the individual is able to understand the information they are being given.

Persuasive Communications (Clarke 1999, Nursing Standard) Characteristics of the communicator are important (trustworthy? credible?) Requires a large amount of contact time as communication is more assured. This is something nurses may not have with every individual but the importance of building therapeutic relationships with individuals is still important.

Motivational interviewing (Health Psychology Article) - Reflective listening and helps to establish discrepancies. The individual needs to establish trust in the health promoter. Non- judgemental, encouraging and empathetic.

Educational Approach- Health promoter is able to inform the individual with knowledge and understanding of how lifestyle choices can affect their health. Health promoter is also able to explore the individuals values and attitudes through this approach and the individual has free choice after being oven the information. Information must be evidence based to ensure credibility - leaflets, posters, guides and suggesting alternatives.

Empowerment- Helps the individuals to identify their own concerns and needs and attitudes towards alcohol consumption. ]]> 2018-05-06 18:33:31 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258329377 The Role of the Health Visitor in Moderating Alcohol Consumption https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258533808 http://www.nchk.org.hk/filemanager/en/pdf/health_promotion_e.pdf

The health of an individual is largely determined by factors including shelter, food, education, health and social care services within area etc.  Therefore, health promotion nurses would need to take this into consideration before informing the initial assessment to ensure that the plan they form for the individual meet their individual needs and provides opportunity to gain knowledge and access to services available regarding alcoholism. alcohol consumption.

> What is it you understand about your present health condition?
> Have you received any previous help?
> Do you understand this? Is there anything you need me to go through?

. They focus on the stimulation of an awareness of health needs regarding alcohol consumption. and the facilitation of health enhancing activities I.e alcohol support groups.

Substance misuse can also have negative impacts on parenting. This includes time spent away from children, lack of energy as well as prioritising the addiction of alcohol over the needs of the child. Health promotion nurses work in partnership with families, friends etc in order to create a supportive environment.

Additionally, there are further negative outcomes for children I.e fetal alcohol spectrum disorder, behaviour problems, neonatal abstinence syndrome.
https://www.magonlinelibrary.com/doi/abs/10.12968/John.2015.3.7.374 

To address this, there are family support nurses and screenings as part of the Healthy Child Wales Programme.
The HCWP offer starts enhanced and intensive interventions to those children and families with increased level of need. 

Investments in early years is crucial - social, educational and health outcomes improved (The Black Report 1980) 
https://www.sochealth.co.uk/national-health-service/public-health-and-wellbeing/poverty-and-inequality/the-black-report-1980/ ]]> 2018-05-07 14:05:08 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258533808 Charitable organisations in South Wales catrinff https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258926072 http://www.drinkwisewales.org.uk/about-us/

Drink wise Wales is a national charity who's 'goal is to improve people’s lives through reducing the harm caused by alcohol.'
The long term aim of Drink wise Wales is to change the drinkining culture in Wales. This charity would be a good form of support for people who suffer from alcoholism, it provides information in addition to resources to help people who suffer.

https://www.alcoholconcern.org.uk/Pages/Category/alcohol-concern-cymru

Alcohol concern is another charitable organisation who works closely to the Welsh Government to encourage people to have a good relationship with alcohol. This paticular charity runs multiple campaigns e.g alcohol awareness week, dry January, advertising and drink driving. Alcohol concern also have support available wether it be in the workplace or out in the community. 

http://change4lifewales.org.uk/adults/alcohol/?lang=en

Change4life Wales provides tips and infromation on how people can moderate their drinking intake. The charity does this by promoting the possible alternatives to drinking, for example taking the dog for a walk, going for a walk or starting a new hobby. Change4life Wales also have a 'get more support' section which would refer a service user to websites such as drink wise Wales, drink aware and alcohol concern as these charities provide more support.]]> 2018-05-08 14:27:35 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/258926072 Physical effects of alcohol constumption ayresc1 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259223234
  • Liver damage: Prolonged alcohol misuse can cause serious and irreversible damage to the liver.  https://www.nhs.uk/conditions/alcohol-related-liver-disease-arld/
  • Cancer: The less alcohol you drink, the lower your risk of cancer.  Alcohol is known to cause 7 types of cancer, including breast, mouth and bowel cancer  http://www.cancerresearchuk.org/about-cancer/causes-of-cancer/alcohol-and-cancer
  • Obesity: A standard glass of wine can contain as many calories as a piece of chocolate, and a pint of lager has about the same calorie count as a packet of crisps.   Alcoholic drinks account for 11% of the UK population’s daily intake of added sugar http://www.drinkaware.co.uk/alcohol-facts/health-effects-of-alcohol/effects-on-the-body/alcohol-and-sugar/ 
  • Diabetes:  Due to alcohol’s high sugar content, it can be very dangerous for those with diabetes to drink in excess.  It also makes hypoglycemic medications less effective https://www.drinkaware.co.uk/alcohol-facts/health-effects-of-alcohol/effects-on-the-body/alcohol-and-sugar/

    • ]]>     2018-05-09 11:11:21 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259223234     Psychological effects of alcohol consumption ayresc1 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259225542
  • Cause and effect: Alcohol can not only negatively impact mental health, but excessive drinking can be caused by underlying mental health issues.  Nurses need to be mindful of this.  Many people ‘self-medicate’ through drinking, in order to temporarily alleviate feelings of anxiety, depression, emotional distress etc.  As such, it is often not enough to promote drinking in moderation without addressing the potential underlying issues which lead to excessive alcohol consumption.   https://www.drinkaware.co.uk/alcohol-facts/health-effects-of-alcohol/mental-health/alcohol-and-mental-health/
  • Can worsen mental health: Nurses need to inform patients that whilst drinking may provide a temporary relief to negative mental and emotional states, studies show that excessive drinking is ultimately detrimental to mental health and wellbeing.  Alcohol alters your brain chemistry which can affect our thoughts, feelings and actions. Alcohol interferes with neurotransmitters in the brain making it ultimately more difficult to deal with symptoms of anxiety, despite the fact it may initially help you feel relaxed. https://www.drinkaware.co.uk/alcohol-facts/health-effects-of-alcohol/mental-health/alcohol-and-mental-health/
  • Suicide: Alcohol can promote impulsive behaviour, so nurses need to be aware of this if e.g. a patient is drinking to excess whilst struggling with depression, as they may be at greater risk of suicide.  https://www.drinkaware.co.uk/alcohol-facts/health-effects-of-alcohol/mental-health/alcohol-and-suicidal-thoughts/
    • ]]>     2018-05-09 11:22:54 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259225542     Social effects of alcohol consumption ayresc1 https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259226441
  • Society and culture: Drinking alcohol is highly culturally ingrained in British society.  Whilst alcohol abstention may ultimately be best choices for promoting overall health and wellbeing, this may not be a practical goal.  As such, nurses need to encourage moderation, and educate patients how, if they do choose to drink, they can do so safely.  This can be through measures such as encouraging patients to limit how much they drink, encouraging patients to drink more slowly, drinking with food, alternating with water or non-alcoholic drinks (information from NHS choices)
  • Aggression: According to drinkaware and research by the home office, alcohol is linked to aggression.  This can arise in people who are not normally aggressive but can still have long lasting social implications.  For example, If a nurse was sighted displaying signs of aggression whilst being drunk, s/he would likely have a fitness to practice investigation and risk losing his/her job.  
  • Financial: Excessive alcohol consumption is expensive.  The average price for a pint of beer is £3.60.  This can be detrimental in particular to those who have already have anxieties about money.  

    • ]]>     2018-05-09 11:27:39 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259226441     What other multidisciplinary team members might a nurse usefully refer the person to for health promotion support with this issue? bethanyemmajones https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259551366 -      GP = for support on joining a support group e.g. alcohol anonymous 
    -       GP & Pharmacist = obtain medication (depending on their situation e.g. dependency and consumption of alcohol, age, pregnant, misuse of drugs etc)
    -       Mental Health nurse/Psychiatrist = effects of alcohol on our mental health, provide information on addiction
    -       Psychiatrist = diagnose, treatment & prevention of mental health, emotional & behavioural disorders 
    -       Psychiatrist = Aware them of the effects of alcohol on the body & brain 
    -       Social worker
    -       Counsellor = offers emotional and psychological support to people
    -       Health organisations & charities e.g. AA, MIND
    -       Charities = alcohol concern, Drinkaware
    ]]>     2018-05-10 09:17:49 UTC https://padlet.com/bethanyemmajones/5yfv8zt3fwjp/wish/259551366