Alcoholism
Mock Case Study:
Demographics:
Patient Name: Matthew
Age: 25
Gender: Male
Race: White
Physical Assessment:
Patient has a malnourished appearance
Blood pressure: 132/85
Patient has alcohol breath
Mental Assessment:
Depressed
High Anxiety
Social Assessment:
College student
parties on weekends with friends
bartender at night
Medical Assessment:
Patient has high blood pressure
Patient feels fatigue on a routine basis
Loss of appetite
Dental History:
Generalized attrition on anteriors
RCT & PFM on #30
Has not been to the dentist in 3 years
EO/IO Assessment:
General appearance: tired
Face: Symmetrical
Tongue: Coated
Buccal mucosa: Petechiae
Glands: Palpable
Visible rampant caries
#8 & #9 fractured
Communication:
1. Have you ever felt the need to cut down on your drinking?
- Yes I do believe I should cut down on my drinking but every time I go out I am always around it.
2. Have you ever felt annoyed by criticism of your drinking?
- Yes I do tend to get annoyed by the criticism, but I still feel the need to drink and I enjoy it.
3. Have you often been under the influence of alcohol in a situation where it increased your chances of getting hurt?
- Yes, I have driven home after being at parties under the influence.
4. Have you ever felt guilty about your drinking?
- Yes all the time.
5. Have you ever taken a drink first thing in the morning?
- No, I am usually hung over first thing in the morning.
Appointment Planning:
Short 20 minute appts
Afternoon
Nutritional counseling
3 month recall intervals are recommended
Client Positioning:
Make sure patient is comfortable in a supine or semi-supine position
DH Procedures:
Avoid alcohol-based mouth rinses
Safety Precautions:
Confirm if there is any known liver damage- be cautious with amide local anesthesia
OHI:
Saliva Substitutes
Alcohol free mouth rinse
Bass brushing method
"C" shaped flossing
Caries management/Education
Personal Reflection:
I chose this condition because it affects me personally and so many people around me. I grew up where drinking was an occasional or sometimes a weekend thing and not where it's almost everyday. Well my sons dad grew up differently, he thinks it normal to drink half the week and his family drinks daily and are almost always intoxicated. It is just sad how it affects so many peoples lives and how dependent they become off of it. It seems like if they can't have some the world might come to an end and they are not sure what to do.
Additional Information:
- 13% of the adult population has abused alcohol
- Alcohol is involved in about 30% of suicides and 60% of homicides
- You Tube- http://www.youtube.com/watch?v=1HhJfvMwpgA
- http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001940/
Demographics:
Patient Name: Matthew
Age: 25
Gender: Male
Race: White
Physical Assessment:
Patient has a malnourished appearance
Blood pressure: 132/85
Patient has alcohol breath
Mental Assessment:
Depressed
High Anxiety
Social Assessment:
College student
parties on weekends with friends
bartender at night
Medical Assessment:
Patient has high blood pressure
Patient feels fatigue on a routine basis
Loss of appetite
Dental History:
Generalized attrition on anteriors
RCT & PFM on #30
Has not been to the dentist in 3 years
EO/IO Assessment:
General appearance: tired
Face: Symmetrical
Tongue: Coated
Buccal mucosa: Petechiae
Glands: Palpable
Visible rampant caries
#8 & #9 fractured
Communication:
1. Have you ever felt the need to cut down on your drinking?
- Yes I do believe I should cut down on my drinking but every time I go out I am always around it.
2. Have you ever felt annoyed by criticism of your drinking?
- Yes I do tend to get annoyed by the criticism, but I still feel the need to drink and I enjoy it.
3. Have you often been under the influence of alcohol in a situation where it increased your chances of getting hurt?
- Yes, I have driven home after being at parties under the influence.
4. Have you ever felt guilty about your drinking?
- Yes all the time.
5. Have you ever taken a drink first thing in the morning?
- No, I am usually hung over first thing in the morning.
Appointment Planning:
Short 20 minute appts
Afternoon
Nutritional counseling
3 month recall intervals are recommended
Client Positioning:
Make sure patient is comfortable in a supine or semi-supine position
DH Procedures:
Avoid alcohol-based mouth rinses
Safety Precautions:
Confirm if there is any known liver damage- be cautious with amide local anesthesia
OHI:
Saliva Substitutes
Alcohol free mouth rinse
Bass brushing method
"C" shaped flossing
Caries management/Education
Personal Reflection:
I chose this condition because it affects me personally and so many people around me. I grew up where drinking was an occasional or sometimes a weekend thing and not where it's almost everyday. Well my sons dad grew up differently, he thinks it normal to drink half the week and his family drinks daily and are almost always intoxicated. It is just sad how it affects so many peoples lives and how dependent they become off of it. It seems like if they can't have some the world might come to an end and they are not sure what to do.
Additional Information:
- 13% of the adult population has abused alcohol
- Alcohol is involved in about 30% of suicides and 60% of homicides
- You Tube- http://www.youtube.com/watch?v=1HhJfvMwpgA
- http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001940/