How to take Alcohol History?

by admin on April 28, 2010

Following are the 10 points which will help in history taking of alcoholic patient.
1. How often do you have a drink containing alcohol? choose answers like never, monthly or less, 2-4 times a month, 2-3 times per week, 4 or more times a week
2. How many drinks containing alcohol do you have on a typical day when you are drinking? answer may be 1or 2, 3 or 4, 5 or 6, 7 or 9, 10 or more
3. How often do you have six or more drinks on one occasion? answer may be never, less than monthly, monthly, weekly, daily or almost daily
4. How often during  the last year have you find it difficult to get the thought of alcohol out of your mind? answer may be never, less than
monthly, monthly, weekly, daily or almost daily.
5. How often during the last year have you found that you were not able to stop drinking, once you started? never, less than monthly, monthly, weekly, daily or
almost daily.
6. How often during the last year have you unable to remember what happened the night before because you are drinking? answer may be never,
less than monthly, monthly, weekly, daily or almost daily.
8. How often during the last year have you had a feeling of guilt or remorse after drinking? answer may be never,
less than monthly, monthly, weekly, daily or almost daily.
9. How you or someone else been injured as a result of your drinking? no, yes but in last year, yes during the last year.
10. Has a friend or relative or doctor or other health worker been concerned about your drinking or suggested you cut down? answer may be
no , yes but not in last year, yes during the last year.

if you have 5 answers to question give (0) to the first answer (1) to the second answer (2) to the 3rd answer and (3) to the 4th answer and (4) to the fifth answer

if you have 3 answers to question give (0) to the first answer (2) to the 2nd  answer and (4) to the 3rd answer.

add the value you got, these are the scores and see results as per below lines

if you get 8-10 which indicates hazardous/ harmful alcohol consumption, and scores of 13 or more indicates the alcohol dependence.

CAGE QUESTIONNAIRE
(patient will reply in yes or no)
Have you ever felt you ought to cut down on your drinking?
have people ever annoyed you by criticizing you drinking?
Do you ever feel bad or guilty about your drinking?
Have you ever had to drink first thing in morning to get rid of hangover?

Alcohol history in medicine, psychiatric department or in de addiction department alcohol history plays a vital role in diagnosis of diseases.

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{ 1 comment… read it below or add one }

Archana khanal May 14, 2011 at 11:19 pm

it is good to know how to take the history of alcoholic person .I like it..

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