GRACIOUS COLLEGE OF NURSING ABHANPUR

RAIPUR (C.G.)

SUBJECT - MENTAL HEALTH

NURSING
HEALTH TALK ON
ALCOHOLISAM

SUBMITTED TO :-
SUBMITTED BY:-
MR. DURWENDRA NARAYAN JAISWAL
MS. POOJA DEWAN
LECTURER OF
M.Sc. NURSING 1ST YEAR

MENTAL HEALTH NURSING

GRACIOUS COLLEGE OF NURSING

GRACIOUS COLLEGE OF NURSING

ABHANPUR, RAIPUR (C.G.)

ABHANPUR, RAIPUR (C.G.)

IDENTIFICATION DATA

NAME OF STUDENT’S - MS. POOJA DEWAN

CLASS - M.Sc. (N) 1st YEAR

SUBJECT - MENTAL HEALTH NURSING

TOPIC - ALCOHOLISAM

NAME OF EVALUATOR - MR. DHURWENDRA NARAYAN JAISWAL

DATE - 19/ 06/2019

TIME - 10:30 TO 10:45 AM

PLACE - WARD NO. 22 (PT. J.L.N. HOSPITAL RAIPUR C..G

MEDIUM - HINDI/ CHHATISHGARHI

 METHOD OF TEACHING - LECTURE, DISCUSSION, EXPLANATION

A.V. AIDS - CHART, FLASH CARDS, FLIP BOOK

PREVIOUS KNOWLEDG E – PATIENT / ATTENDERS ARE HAVING IN ADEQUATE KNOWLEDGE REGARDING

THE ALCOHOLISM

GENERAL OBJECTIVES –
At the end of my teaching the patient / attainders will be able to acquired detailed knowledge regarding alcoholisam

SPECIFIC OBJECTIVES –
Patient / attainder are able to :-

1. Introduce the Alcoholism

2. Define the alcoholism
3. Explain the Properties of alcohol.
4. Discuss about the process of alcoholism
5. Enlist the types of drinker.
6. list out the causes of alcoholism
7. Elaborate the risk factors of alcoholism.
8. Describe the signs and symptoms of alcoholism.
9. Enumerate the diagnosis and test of alcoholism.
 10. Describe the treatment of alcoholism
11. List out the complication of alcoholism

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION

1. 1MIN To introduce INTRODUCTION :-

the Alcoholism What do you
Alcoholism formerly called alcohol dependence or Lecture Listening Orally means by
alcohol addiction, is the more severe end of the alcoholism ?
alcohol use disorder spectrum. It is a destructive
pattern of alcohol use that includes tolerance to or
withdrawal from the substance, using more alcohol or
using it for longer than planned, and trouble reducing
its use or inability to use it in moderation. Other
potential symptoms include spending an inordinate
amount of time getting, using, or recovering from the
use of alcohol, compromised functioning, and/or
continuing to use alcohol despite an awareness of the
detrimental effects it is having on one's life.

Alcoholism is the most serious form of problem

drinking, and describes a strong, often uncontrollable,
desire to drink. Sufferers of alcoholism will often place
drinking above all other obligations, including work and
family, and may build up a physical tolerance or
 experience withdrawal symptoms if they stop.
Alcoholism is sometimes known as alcohol addiction
or alcohol dependence. It’s slightly different to
‘harmful drinking’ which is an occasional pattern of
drinking which can cause damage your health.
An example of harmful drinking is drinking too much at
a party, and risking a fall or argument. This pattern may
develop into alcoholism if that kind of harmful drinking
becomes a habit and happens on a regular basis.

TEACHING LEARNING
S.NO. TIME SPECIFIC CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
OBJECTIVE
2. 1 min To define the DEFINITION
alcoholism
According to Alphonse jacab
Lecture Listening Orally People will be able
“ The use of alcoholic beverage to the point of causing to define the
damage to the individual, society or both”. alcoholism.

According to S. Nambi
“Alcoholism is the inability to control drinking during due
to both physical and emotional dependence on alcohol”

“A chronic disease characterized by uncontrolled drinking

and preoccupation with alcohol” .

3. 1min PROPERTIES OF ALCOHOL

To explain the
Properties of Alcohol is a clear liquid with a strong burning teste . rapid
alcohol. absorption of the alcohol is more into the blood stream
rather than the elimination.
Elimination of alcohol is through urine and by exhalation.
 80-100 mg of alcohol /100 ml blood is intoxication. Given knowledge
 200-250 mg of alcohol / 100 ml of blood is loss of Lecture Listening about process of
consciousness. alcoholism.
 500 mg of alcohol / 100 ml of blood is loss fatal.

PROCESS OF ALCOHOLISM
1 min To discuss
about the Alcoholism is the excessive consumption of alcohol
process of and become addicted to it is starts with
alcoholism.  Experimental
Due to peer pressure and curiosity individuals
starts to consume alcohol.
 TEACHING LEARNING
S TIME SPECIFIC CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
.NO. OBJECTIVE
  Recreational
Gradually the frequency of alcohol consumption will
increase during cultural meets as an enjoyment.
5. 1min To enlist the TYPES OF DRINKER
types of Lecture Listening Orally People will be able
drinker. to explain types of
1. Moderate drinker’s
drinker.
Moderately consuming alcohol and does not cause
much problem.

2 .Problem drinkers
As a result of drinking the health will be impaired affects
peace of mind, family disturbed , loss of reputation and
drinking will become as a routine.

To list out the CAUSES OF ALCOHOLISM

6. 2 min  Physical exhaustion
causes of At the end of my
alcoholism.  Hard physical labour Discussion Listening Flip book teaching all people
 Unhealthy environment Answering are having
 Ignorance knowledge about
 Problem in life causes of
 Sudden loss of property and close ones. alcoholism.
 Drinking early age
 Mental health problem like depression
 Stressful environments
 Taking alcohol with medicine
 Family history
 SPECIFIC TEACHING LEARNING
S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION

7. 2 min To elaborate RISK FACTORS Some risk factors may also be

the risk factors linked to excessive drinking. Lecture Listening Chart People will be able
of alcoholism  Genes: Some specific genetic factors may to tell risk factors
make some people more likely to develop of alcoholism.
an addiction to alcohol and other substances.
There may be a family history.
 The age of the first alcoholic drink: A study
has suggested that people who start drinking
alcohol before the age of 15 years may bemore
likely to have problems with alcohol later in life.

 Stress: Some stress hormones are linked to

alcohol abuse. If stress and anxiety levels are
high, a person may consume alcohol in an
attempt to blank out the upheaval.

 Peer drinking: People whose friends drink

regularly or excessively are more likely to drink
too much. This can eventually lead to alcohol-
related problems

 Low self-esteem: Those with low self-esteem

who have alcohol readily available are more
likely to consume too much.

Depression: People with depression may deliberately

or unwittingly use alcohol as a means of self-
treatment. On the other hand, consuming too much
alcohol may increase the risk of depression, rather
than reducing it.
 SPECIFIC TEACHING LEARNING
S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION

SIGN AND SYMPTOMS OF ALCOHOLISM People will be able

8. 1 min To describe the Lecture Listening Chart to tell symptom of
signs and  Black out – amnesia of events alcoholism.
symptoms of
 Indigestion – anorexia
alcoholism.
 Loss of self control
 sweating
 aggressive behaviour
 Malaise, tremors
 Weakness in feet and legs
 Insomnia
 Pain in upper abdomen

 Skipping work, school, family responsibilities, or

social functions more often in order to drink

 Getting drunk on the job

 Drinking and driving, or performing other dangerous

tasks while intoxicated

 Experiencing social, financial, and legal problems

9. 2min due to alcohol consumption
To enumerate Lecture orally People will be able
Listening
the diagnosis  Using alcohol to self-medicate mental health issues to tell about the
and test of diagnostic test of
alcoholism.  Feeling irritable, resentful, angry, or depressed when alcoholism.
not drinking

DIAGNOSIS/ TEST
The criteria include having a pattern of consumption
that leads to considerable impairment or distress.
 At least three of the following criteria should have
been present during the past 12 months

TIME SPECIFIC TEACHING LEARNING A.V.AIDS

S.NO. OBJECTIVE CONTENT ACTIVITY ACTIVITY EVALUATION
LECTURE
 : Alcohol tolerance: The person needs a large LISTENIN
quantity of alcohol to feel intoxicated However, G
when the liver is damaged and cannot metabolize the
alcohol so well, this tolerance may drop. Damage to
the central nervous system may also reduce tolerance
levels .
 Withdrawal symptoms: When the individual
abstains from alcohol or cuts down,they experience
tremors, insomnia, nausea, or anxiety. They may
drink more to avoid these symptoms .
 Beyond intentions: The person drinks more alcohol,
or over a longer period, than they intended.

 Unsuccessful attempts to cut down: The person is

continuously trying to cut down alcohol
consumption but does not succeed. They may have a
persistent desire to cut down

 Time consumed: The person spends a lot of time

obtaining, using, or recovering from alcohol
consumption.

 Withdrawal: The individual withdraws from

recreational, social, or occupational activities that
 they previously participated in.

 Persistence: The person continues consuming

alcohol, even though they know it is harming them
physically and psychologically.

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION

TESTS FOR ALCOHOLISM

 Blood tests can only reveal very recent alcohol

consumption. They cannot tell whether a person has
been drinking heavily for a long time
 If a blood test reveals that the red blood cells have
increased in size, it could be an indication of long-
term alcohol abuse..
 Carbohydrate-deficient transferrin (CDT) is a blood
test that helps detect heavy alcohol consumption.
 Other tests can indicate whether there is damage to
the liver, or — in males —
reduced testosterone levels. Both of these might

indicate chronic alcohol consumption .

10. 2min
To describe the
treatment of Lecture Listening Chart People will be able
TREATMENT
alcoholism. to explain
treatment of
The first step toward recovery is to acknowledge that there alcoholism.
is an alcohol dependency problem.
 The next step is to get help. This is available from a range of

support groups and professional services .

The following are recognized treatment options

foRalcoholism :

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
1.
 Do-it-yourself:
Some people with an alcoholproblem manage to
reduce their drinking or abstain without seeking
professional help. Free information is available on
websites, and self-help books can be purchased
online.

 Counseling: A qualified counselor can help the

person share their problems and then devise a plan to
tackle the drinking. Cognitive behavioral
therapy (CBT) is commonly used to treat alcohol
dependency .
 Treating underlying problems: There may be
problems with self-esteem, stress, anxiety,
depression, or other aspects of mental health. It is
important to treat these problems, too, as they can
increase the risks posed by alcohol. Common
alcohol-related issues, such as hypertension, liver
diseases, and possibly heart diseases, will need to be
treated too
.
  Residential programs: These can offer expert
professional help, individual or group therapy,
support groups, training, family involvement,
activity therapy, and a host of strategies for treating
alcohol abuse. Being physically away from access to
temptation is helpful for some people.

 Drugs for cravings: Naltrexone (ReVia) may help

reduce the urge to have a drink. Acamprosate
(Campral) may help with cravings.

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
How to treat alcoholism LECTURE LISTENING
In An overwhelming desire to drink

 An inability to stop or to control harmful

drinking

 Withdrawal symptoms when stopping

drinking

 Evidence of alcohol tolerance

 Pursuing the consumption of alcohol to the

exclusion of alternative pleasures

 Continuing to drink despite clear evidence

of harmful consequences

There are different treatments available for people

diagnosed with alcoholism but a key stage of
treatment is detoxification.
 Detox involves stopping drinking completely so that the
body can adjust to being without alcohol. During this time,
a person may experience alcohol withdrawal symptoms.
Ongoing treatment generally falls into one of three
main camps:

 Psychological

 Psychosocial

Psychological and psychosocial treatments can involve

counselling to help you understand and change your
attitude towards drinking.

Cognitive Behavioural Therapy (CBT) can also be offered to

help change negative thought patterns which lead to
drinking.

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION

Mutual help such as AA help partly because of the new

network of support a person gains and also because people
adjust their thinking and their attitudes to themselves and
others.

Pharmacological treatments (i.e. medications) can also have

a role in preventing relapse for some people who are trying
to abstain, or trying to reduce their drinking.
 NURSING MANAGEMET
What are the
Assessment Lecture Flash card complication of
Listening
 Employment history snd detsils about stressors in alcoholism.
working environment, work load.
 Sexual history – satisfactory pattern/ dissatisfactory
 Development mild stones, patterns of educational
status
 Inspection and observation – general appearance,
behavior patterns,
 Auscultation – look of cardiac murmurs.

Nursing daignosis
Alteration in sleep pattern
Goal
Enhance adequate sleping patterns.
Interventions
 Provide a calm and quiet environment
 Never leave the client alone.
 Observe the sleeping pattern
 Administered the medications as per doctors
prescription.
 Provide dim light and soft music

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
1. NURSING DIAGNOSIS -2
Alteration physical health
 Goal
Promote and maintains good physical health

Interventions
 Observe and record vital signs, physical complains.
 Provide symptomatic care and needed assistance.
 Provide care to the client during and after seizures ,
if any

NURSING DIAGNOSIS 3
Potential social injury and injury to others related to
alcohol withdrawal, seizures and confusion.
Goal
Protect the client from self injury and others.

Interventions
 Provide self enviorment , if clients exhibits violent
or withdrawal behavior
 Provide care for the client during and after seizures.
 Assess the emotions of the clients
 Administer medications as per prescription.
 Observe the gait And assist , if the client needs help.

NURSING DIAGNOSIS 4
Impaired socialization due to alcoholism .

Goal
Enhances socialization , slowly withdraws from alcohol.
SPECIFIC TEACHING LEARNING
S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
Interventions
 Provide social support , let the client enjoy
socialization without the use of alcoholism.
 Promote self concepts, socialization.
 Help the client to try out with new social groups to
 adjust.
 Assist the family members to develop confidence
over the client.

11. 2min To list out the

complication
of alcoholism. COMPLICATIONS
Complications of this condition may include

memory loss, confusion, mental health issues, and problems

with work or home life.
Eventually, regular heavy drinking may cause at least one of
the following problems:
 Fatigue: The person feels tired most of the time .
 Memory loss: Alcohol affects the short-term
memory in particular .
 Eye muscles: The eye muscles can become
significantly weaker.

 Liver diseases: There is a higher chance of

developing hepatitis and cirrhosis, an irreversible
and progressive condition

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
1.
  Gastrointestinal complications: Gastritis or
pancreas damage can occur. These will undermine
the body's ability to digest food, absorb
certain vitamins, and produce hormones that regulate
metabolism

 Hypertension: Regular heavy drinking is likely to

raise blood pressure.
 Heart problems: There is a higher risk of
cardiomyopathy (damaged heart muscle), heart
failure, and stroke.

 Menstruation: Excessive consumption of alcohol

can stop or disrupt menstruation.

 Erectile dysfunction: There may be problems

.
getting or sustaining an erection
 Fetal alcohol syndrome: Consuming alcohol during
pregnancy increases the risk of birth defects. The
newborn may have a small head, heart problems,
shortened eyelids, and developmental and cognitive
problems .
 Nervous system problems: There may be numbness
in the extremities, dementia, and confused or
disordered thinking.

SPECIFIC TEACHING LEARNING

S.NO. TIME OBJECTIVE CONTENT ACTIVITY ACTIVITY A.V.AIDS EVALUATION
1.
 Accidents:
 Cancer: There is a higher risk of developing
several cancers, including cancer of the mouth,
esophagus, liver, colon, rectum, breast, prostate, and
pharynx.

 Suicide:

 Mental illness: illnesses worse .

 Work or school problems: Employment or
educational problems and unemployment are often
alcohol-related.

 Domestic abuse: Alcohol is a major factor in

spouse-beating, child abuse, and conflicts with
neighbors
CONCLUSION
Alcoholism is a complex problem including spiritual alienation psychological addiction, physiological addiction and social dysfunction it is a disease
superimposed on a sin problrm , if lrft alone will probably die of alcoholism.

SUMMARY

Alcoholism, now known as alcohol use disorder, is a condition in which a person has a desire or physical need to consume alcohol, even though it has a negative
impact on their life.In the past, a person with this condition was referred to as an "alcoholic." However, this is increasingly seen as an unhelpful and negative
label. Health professionals now say that a person has an alcohol use disorder (AUD).

According to the National Institute of Health (NIH), in 2015, 15.1 millionAmerican adults (6.2 percent of the population) had an alcohol use problem.

According to the World Health Organization (WHO), globally, 3.3 milliondeaths every year result from the harmful use of alcohol .
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Net reference

7. https:/www.alcoholrehabguide.org.alcohol
8. https:/www. midcine.net.coM