Alcohol Use.pdf - general assessment series Best Practices in Nursing Care to Older Adults From The Hartford Institute for Geriatric Nursing New York

Alcohol Use.pdf - general assessment series Best Practices...

This preview shows page 1 - 2 out of 2 pages.

From The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing Best Practices in Nursing Care to Older Adults general assessment series Issue Number 17, Revised 2018 Editor-in-Chief: Sherry A. Greenberg, PhD, RN, GNP-BC Managing Editor: Robin Coyne, MSN, RN, AGACNP-BC New York University Rory Meyers College of Nursing Alcohol Use Screening and Assessment for Older Adults By: Madeline A. Naegle, PhD, APRN, BC, FAAN, New York University Rory Meyers College of Nursing WHY: Older adults are diagnosed with fewer alcohol use disorders (AUDs) than young and middle aged adults (Grant et al. 2015). The number of AUDs in older adults, however, are second only to prescription medication disorders. Importantly, harmful alcohol use increases the risk for non-communicable disease (WHO, 2017) and contributes to morbidity and mortality. Aging increases vulnerability to the effects of alcohol used alone and in combination with illicit drugs and medications. Alcohol use contributes to diabetes, cancer and cardiovascular disease. Risk further increases in the presence of co-morbid conditions. The National Institute of Alcohol Abuse and Alcoholism (NIAAA,2017), therefore, recommends that alcohol consumption for adults age 65 and older be limited to 1 standard drink (12 ounces of beer, 4-5 ounces of wine or 1 ½ ounces of distilled spirits) per day or 7 standard drinks per week and no more than 3 drinks per occasion. Lower limits or abstinence are recommended for those taking medications that interact with alcohol and conditions exacerbated by its use. In 2008, it was estimated that 40% of persons over 65 drank alcohol (NIAAA, 2017), a number which rose by 65% from 2002 to 2013. About 19% of older drinkers meet criteria for “at risk” drinking (alcohol consumption above NIAAA levels, likely to increase health risks). Additionally, 23% report binge drinking [4-5 drinks per occasion] (Grant et al., 2015). More than 50% of late middle-aged men and women (50-64), are drinking alcohol and 14% are drinking heavily. Many do not recognize related health risks of risky/harmful amounts of alcohol and do not reduce their drinking with age. These data portend growing numbers of alcohol related problems with an increase in the number of older adults (NIAAA, 2015). BEST TOOL: The U.S. Preventive Task Force recommends that all adults be screened for alcohol use and that “risky” drinkers be provided with counseling (USPTF, 2017). The first step is to ask “Do you drink alcohol?” and if so, “How much alcohol do you drink?”. If the patient reports regular alcohol consumption, The Short Michigan Alcoholism Screening Instrument–Geriatric Version (SMAST-G), should be used. It is a short-form alcohol screening instrument tailored to the needs of older adults. Two or more “yes” responses suggest an alcohol problem (Blow et al.,
Image of page 1
Image of page 2

You've reached the end of your free preview.

Want to read both pages?

  • Fall '19
  • Mr.Whitehead

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes