Nutritional Risk - Appendix 1 to 4 (70kb, pdf) - Department of Health

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APPENDIX 2: MORE INFORMATION ON HARM REDUCTION IN ALCOHOL ABUSE Practical guidelines 1) Does the client use alcohol, tobacco, or drugs/sedatives (refer Section 5.5)? 2) Identify the clients who are likely to incidentally withdraw from alcohol and seek advice. 3) Expert advice is available through a 24 hour a day advisory service on alcohol and drugs (refer next page). Prevention of incidental alcohol withdrawal Alcohol withdrawal becomes apparent in the first 24-72 hours after cessation of continuous drug use or excessive recent use of the drug. It is during this period that incidental alcohol withdrawal can occur. Older adults most at risk include: 1) Those who drink every day and have done so recently 2) Those who undergo procedures, tests or operations within a few days, the effects of which can mask alcohol withdrawal, and 3) Those who are treated with opiates (for example. pethidine) and other pain killers and sedatives (for example. benzodiazepines) which can mask alcohol withdrawal and delay its appearance. In a few individuals, alcohol withdrawal is so severe that it can cause difficult behaviour and perhaps result in serious injury to the person and bystanders or death from withdrawal complications. The prevention of incidental alcohol or drug withdrawal (in particular, alcohol withdrawal) is an important feature of good health care in all persons, regardless of their reason for presentation. Cessation of heavy drinking should not occur without medical supervision. Care of intoxicated adults *** NOTE: intoxication and alcohol/drug withdrawal can occur at the same time 1) Overdose, intoxication identified a) Move the person into a safe, quiet and supportive environment b) Consult a medical practitioner or expert (refer next page) 2) Aggressive individuals a) Adopt a calm and quiet approach immediately b) Inform other staff 3) Very violent individuals (rare) a) Inform nearby people b) Call the police immediately Identifying and Planning Assistance for Home-Based People Who are Nutritionally at Risk: A Resource Manual (2001) 179
ALCOHOL AND DRUG 24 HOUR ADVISORY SERVICES (VICTORIA) DACAS. Victorian Drug and Alcohol Clinical Advisory Service. Metropolitan areas Telephone: (03) (9416 3611). Country areas Telephone: (1800) (81 2804) (toll free). DACAS is a 24-hour telephone service which provides health professionals with advice on the clinical management of drug and alcohol issues. DIRECT LINE. Metropolitan areas Telephone: (03) (9416 1818). Country areas Telephone: (1800) (13 6385) (toll free). Direct Line is a telephone service which provides anyone in the community (users and health professionals) with access to services, counselling and information on drugs and alcohol. ALCOHOL AND DRUG ORGANISATIONS ADF (Australian Drug Foundation), Victoria 409 King Street, WEST MELBOURNE 3003 Telephone 03 9278 8100 The ADF has an extensive library which provides resource and reference material to anyone, particularly health workers. There is a lengthy publication list of printed material, posters and videos. Call the Librarian to arrange access. ARBIAS (Alcohol Related Brain Injury Advisory Service) 226 Gertrude Street (PO Box 213). FITZROY 3065 Tel 03 9417 7071 The aim of ARBIAS is to assist people disabled through alcohol or other substance related brain injury to live and function to their full potential in the community. ARBIAS provides assessment, accommodation and support. TURNING POINT ALCOHOL AND DRUG CENTRE INC. 54-62 Gertrude Street, FITZROY 3065 Telephone 03 9254 8061; Fax 03 9416 3420 Turning Point is a non-government organisation established to provide leadership in therapeutic innovation, research and evaluation, and education and training in the alcohol and drug sector in Victoria. It is affiliated with St Vincent’s Hospital and the University of Melbourne. VAADA (Victorian Alcohol and Drug Association) 3 Alexander Parade, COLLINGWOOD 3066 Telephone 03 9416 0899; Fax 03 9416 2085 VAADA is the peak body for Victorian organisations and individuals with an interest in reducing the health economic and social consequences of the use of alcohol and other drugs. VAADA runs an annual conference. 180 Identifying and Planning Assistance for Home-Based People Who are Nutritionally at Risk: A Resource Manual (2001)
Page 1 and 2: APPENDICES Identifying and Planning
Page 3: The HACC target population is defin
Page 7 and 8: Commonwealth of Australia 1992, ‘
Page 9 and 10: A WORLD OF FOOD: A MANUAL TO ASSIST
Page 11: Royal District Nursing Service Home

Nutritional Risk - Appendix 1 to 4 (70kb, pdf) - Department of Health

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