Final Exam Notes
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Medical Complications | show 🗑
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show | Liver (used to remove toxins from your body, metabolizes (breaks down) alcohol and other drugs)
Liver damage 1) fatty liver 2) alcoholic hepatitis - inflammation of the liver 3) cirrhosis - non-treatable, only treatment is a liver transplant
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Medical Complications: Cont'd | show 🗑
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show | Pancreas (secretes enzymes to help break down starches; produces insulin
Pancreatitis - blood pressure rises, not enough insulin (type 2 diabetes - untreated: blindness, amputation, heart disease), treatment: diet, oral medication, insulin injections
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show | 100% preventable
Caused by a pregnant woman drinking too much (during 1st trimester)
Prone to seizures, facial features like that of an individual with down syndrome, intellectual disabilities, not fully developed physically, low birth weight
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show | Heavy drinking increases the risk of breast cancer (heavy drinking = 3+ drinks per day)
Oral cancer (cancer of mouth, lip, throat, tongue; 6x risker with alcohol use; 38x the risk when combined with tobacco use; treatable)
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Gastritis | show 🗑
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Medical Model | show 🗑
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show | Advantages:
1) stigma reduces (people aren't weak)
2) easier to understand
3) research
Disadvantages:
1) quick fix (i.e. pill)
2) avoid personal responsibility
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Withdrawal Symptoms (from alcohol) | show 🗑
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show | Most serious form of alcohol withdrawal
Symptoms do not go away, they persist
Can last 10-14 days
2% chance of being fatal
More violent/serious symptoms
Withdrawal should be medically supervised
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show | Drug that will do nothing except if you drink alcohol while on Antabuse
Get VERY sick
Will prevent someone from driving if they know they are on Antabuse
Stays in system for 14 days
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show | Impacts the people you live with
Family members can be impaired (stress, tension, need to take more time off)
Enabling (not encourage but not doing anything about it) (i.e. paying for alcohol, calling in sick for them)
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Family Response | show 🗑
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show | 3) Chaos - no longer able to hide behavior from outside world, problems become visible, financial problems, 1st efforts to seek help (family, friends)
4) Divorce/Seperation - effort to escape, alcoholic leaves; family leaves alcoholic
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show | 1) behaviors are unpredictable (no feeling of safety)
2) unable to understand parental behaviors (confusion, insecurity)
3) self blame
4) victims of violence
5) limited social life
6) addictive behaviors
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Coping Skills | show 🗑
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show | Placater - lessen impact/anger of someone, manage emotions (calm people down), makes excuses for family/behaviors
Scape Goat - others blame you for their mistakes, identified as what is wrong with the family, bad in school, behavior problems
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show | Responsible Child - leaders, traits of micromanagement, need to be in control, more responsibility
Adjuster - unable to trust others, unable to have relationships, hard time committing, doesn't show emotions
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show | Placater - seeking to keep the peace, care for others (profession), resentment
Scape Goat - clients of the future, substance abusers, criminals
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show | High stress job
Have access to medications
Very long hours
Highest incidents of abuse come from ER physicians
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AA Meeting Reactions | show 🗑
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show | Held in churches, schools (religious aspect, over mention of God, churches are free to use)
"Dry Drunk" (abstinent but irritable and angry, signs of being drunk but sober, didn't go through "steps")
Economic diversity
Middle Class
Mostly men
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Alanon Meeting | show 🗑
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show | "male" = disorder, disease, problem
25% of women are alcoholics
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Women in Treatment | show 🗑
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show | 6) poorer
7) anxious, depressed
8) victims of violence (come into treatment with history of trauma)
9) loss of children (fear them being taken away)
10) drink alone and at home (people don't know, secretive, shameful, guilty)
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show | 1) change (frontal lobe - still developing, judgement, decision making)
2) live forever (think they will live forever, try more crazy things, future is hard to grasp)
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Adolescents and Alcoholism/Drugs: Cont'd | show 🗑
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show | Classroom attendance
Isolation
Participation in hobbies, sports, academics
Stealing
Acting out (against parents)
Grades
Change in peers (friend groups)
Change in appearance
Unaccounted time
Increase in lying (caught lying)
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show | DUI (Driving Under Influence)
Blood Alcohol Level to be legally drunk = 0.08
Downward trend of drunk driving accidents = better educated about it
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How Alcohol Impairs Driving Skills | show 🗑
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Criminal per se Laws (by itself) | show 🗑
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show | PSA (Public Service Announcement)
MADD (Mothers Against Drink Driving) - pressures to increase penalties
Increase in penalties
Sobriety check points
Designated Drivers
Drunk Driver Teses (alphabet backwards, walk on a straight line, etc)
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show | umbrella term for laws that hold restaurant liable for a drunk driver
shop can be held liable for a drunk person who left their restaurant
how you cut someone off, when to cut a person off (so they aren't held liable)
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Breathalyzer in Car | show 🗑
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Social Host Laws | show 🗑
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show | 1) Abstain
2) Reduce relapse
3) Drug free lifestyle (cut out people who are bad influences, hobbies, interests, change living arrangements, learning to have fun without drugs, relax, employment, balance)
4) Medical/Health
5) Mental Health
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show | 1) no 1 treatment for everyone (individualized)
2) readily available treatment
3) multiple needs (of client)
4) adequate time (90 meetings in 90 days)
5) medication are important
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show | 6) detox is only the 1st step (need further treatment)
7) treatment does not need to be voluntary (can be involuntary, involuntary commitment)
8) long-term disorder (treatment also needs to be long-term; can be managed, not cured)
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show | An event and a process
Event: picking up and using again
Process: process of building up to that decision (not "out of the blue")
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show | lack of follow up
others using (spouse/partner)
pressure
depression
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Staying Sober | show 🗑
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show | HALT
Hungry
Angry
Lonely
Tired
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Warning Signs | show 🗑
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