Risk Elements of Drinking and Physical Inactivity


Healthy life span in Ireland – 60 years for men and 62 for females – declines far in short supply of actual life expectancy, 76 and 80 years correspondingly (Scottish Authorities, 2011a). Using a predicted 26% rise in the number of pensionable-aged Scots by 2035 (Scottish Authorities, 2011b), this kind of increase in chronic disease has led to a focus on the health risks linked to our actions (Dixon and Johnston, 2010).

Risk Factor: Excessive Alcohol Consumption

Alcohol posseses an irritant impact, contributing to arteriosclerosis, ultimately increasing the risk of hypertension, heart disease and stroke (Harrington-Dobinson and Produces, 2007a). It irritates the mucous cellular lining of the gastrointestinal tract and accessory internal organs, predisposing to chronic inflammation, malnutrition (possibly leading to Wernicke's encephalopathy and, if neglected, Korsakoff's psychosis (Rassool, 2009)) and tumor development; the liver, due to the central metabolic role, is specially susceptible to harm, cirrhosis, failure and cancer (Harrington-Dobinson and Blows, 2007a). Alcohol's apparently paradoxical stimulating and depressive effects, depending on amounts consumed (Harrington-Dobinson and Blows, 2006), are a significant factor in the complex routine of co-morbidity between mental ill-health and alcohol misuse (Rassool, 2009). The numerous serious health risks (Harrington-Dobinson and Blows, 2007a) and social harms (NHS ISD, 2011) will not be discussed here.

Well being Promotion: Towards Reduced Drinking

The medical approach to overall health promotion (Scriven, 2010) involves preventing or treating alcohol-related harm through healthcare interventions, using a ‘stepped care' technique (Scottish Authorities, 2011c). NICE (2010 and 2011) traces this process. Major prevention contains screening tools – for example , the Fast Alcohol Screening Test (FAST) in principal care (SIGN, 2003) or maybe the Paddington Alcohol Test (PAT) in crisis departments (NHS QIS, 2008) – and brief treatment (discussed below); secondary reduction may entail extended quick intervention through motivational selecting (SIGN, 2003) and helped withdrawal; tertiary prevention is usually provided by specialist services, and might include pharmacological relapse elimination (NICE, 2011). Scriven (2010) outlines four key approaches in the behavior change way: self-monitoring, cost/benefit/reward motivational devices, target-setting and coping tactics. A ‘drink diary' is a useful self-monitoring tool (Harrington-Dobinson and Produces, 2007b). Targets appropriate towards the individual – abstinence, decrease in consumption or merely harm reduction – should be agreed (NICE, 2011). Successful dealing strategies include included implementation intentions, particularly, " if (critical situation) occurs, i then will (behavioural response)” (Armitage, 2009). Alcoholics Anonymous or perhaps similar programmes, although not evidence-proven (SIGN, 2012), may still be appropriate for some people due to their large availability (Scottish Government, 2011c). The education procedure (Scriven, 2010) involves conversing the suggested guideline limitations (see Appendix 1), and the risks of exceeding these kinds of, to the open public. Although consumption appears to be reducing (see Appendix 2), this is simply not backed up by corresponding product sales data (NHS ISD, 2011), nor the apparent embrace dependency (see Appendix 2). As people usually offer an honest account of their intake (SIGN, 2003), this advises the government is right to be concerned over inconsistent drink labelling and the " drift towards larger ‘standard' measures” (Scottish Government, 2009, at g. 12). The beneficial cardio-protective effects of a moderate alcoholic beverages intake happen to be, at best, limited to certain sub-groups and, in worst cases, inconsistent and misleading (Grønbaek, 2009); they can be therefore , appropriately, underplayed in public health education. Alcohol Simple Interventions – lying somewhere between the medical, the actions change plus the education...

References: Armitage, C. J. (2009) Is there energy in the transtheoretical model? British Journal of Health Mindset. [Online] Vol. 14(2), pp. 195-210. Offered: CINAHL [Accessed: twenty March 2012].

Blackwell, G. (2007) Health advantages of physical exercise across the life-span. In: Vendor, J., Griffin, B. M. and Charnock, A. (eds. ) Sport and Work out: The Function of Health Promotion. Basingstoke: Palgrave Macmillan, pp. 63 – 82.

Dixon, M. and Johnston, M (2010) Health Behavior Change Proficiency Framework. [Online] Available: http://www.healthscotland.com/uploads/documents/14543-HBCC_framework1.pdf [Accessed: 31 Mar 2012].

GrГёnbaek, M. (2009) The positive and negative wellness effects of liquor and the public health implications. Record of Inside Medicine. [Online] Vol. 265, pp. 407-420. Available: CINAHL [Accessed: 20 Drive 2012].

Hardman, A. Elizabeth. and Stensel, D. J. (2009) Work out and Health: The Evidence Explained. 2nd education. Abingdon: Routledge.

Harrington-Dobinson, A. and Produces, W. (2007a) Part two: Nurses' tips for the impact of alcohol in health and wellbeing. United kingdom Journal of Nursing. Vol. 15(22), pp. 1217-1219. Obtainable: CINAHL [Accessed 20 March 2012].

Harrington-Dobinson, A. and Produces, W. (2007b) Part several: Nurses' guide to alcohol and promoting healthier lifestyle changes. British Journal of Nursing. Volume. 16(2), pp. 106-110. Readily available: CINAHL [Accessed twenty March 2012].

Harrington-Dobinson, A. and Produces, W. (2006) Part one particular: Nurses' tips for alcohol and promoting healthful lifestyle changes. Uk Journal of Nursing. Volume. 16(1), pp. 47-51. Available: CINAHL [Accessed 20 March 2012].

Lewis, They would. L. (2012) Physical activity is the key to heart health. Principal Health Care. [Online] Vol. 22(1), pp. 16-21. Available: CINAHL [Accessed: 20 March 2012].

Macdonald, T. (2012) Horizon: The Truth About Exercise. UK. [TV Programme] BBC2. twenty eight February 2012, 9pm.

Vendor, J. (2007) Social inequalities, social exemption and well being. In: Product owner, J., Griffin, B. T. and Charnock, A. (eds. ) Sport and Work out: The Function of Wellness Promotion. Basingstoke: Palgrave Macmillan, pp. 223 – 247.

National Institute for Health insurance and Clinical Superiority (NICE) (2010) Alcohol-use Disorders – Protecting against Harmful Drinking: Quick Reference point Guide. [Online] Available: http://www.nice.org.uk/nicemedia/live/13001/49024/49024.pdf [Accessed 13 Drive 2012].

National Institute intended for Health and Medical Excellence (NICE) (2008) Exercise and the Environment: Quick Reference Guide. [Online] Available: http://www.nice.org.uk/nicemedia/live/11917/38989/38989.pdf [Accessed 13 March 2012].

Nationwide Institute to get Health and Clinical Excellence (NICE) (2006) 4 Commonly Used Techniques to Increase Physical Activity: Quick Reference point Guide. [Online] Available: http://www.nice.org.uk/nicemedia/live/11373/31840/31840.pdf [Accessed 13 Mar 2012].

NHS Information Services Division (NHS ISD) (2011) Alcohol Statistics Scotland 2011. [Online] Readily available: http://www.alcoholinformation.isdscotland.org/alcohol_misuse/files/alcohol_stats_bulletin_2011_updated_110413.pdf [Accessed 13 March 2012].

NHS Quality Improvement Ireland (NHS QIS) (2008) Understanding Alcohol Wrong use in Ireland: Harmful Having Final Survey. [Online] Readily available: http://www.healthcareimprovementscotland.org/default.aspx?page=11877 [Accessed: doze March 2012].

Rassool, G. H. (2009) Alcohol and Drug Wrong use: A Handbook for Students and Health Professionals. Abingdon: Routledge.

Roberts, T. (2011) Minimum alcohol pricing in Scotland. Less dangerous Communities. [Online] Vol. 10(1), pp. 16-19. Available: CINAHL [Accessed: 20 03 2012].

Noble College of Nursing (2012a) RCN Program. Issue no . 289, March 2012.

Noble College of Nursing (2012b) Going Upstream: Nursing's Contribution to Public welfare. [Online] Available: http://www.rcn.org.uk/__data/assets/pdf_file/0007/433699/004203.pdf [Accessed: 31 March 2012].

The Scottish Executive (2003) Let's Help to make Scotland More Active: A technique for Physical exercise. [Online] Offered: http://www.scotland.gov.uk/Resource/Doc/47032/0017726.pdf [Accessed: 12 March 2012].

The Scottish Government (2012) Changing Scotland's Relationship With Alcohol: A Framework to use it – Progress Report. [Online] Available: http://www.scotland.gov.uk/Resource/0038/00388540.pdf [Accessed 12 Mar 2012].

The Scottish Federal government (2011a) Gross annual Report in the Chief Medical Officer: Wellness in Scotland 2010 – Assets intended for Health. [Online] Available: http://www.scotland.gov.uk/Resource/0038/00387520.pdf [Accessed: 12 Mar 2012].

The Scottish Authorities (2011b) The Scottish Health Survey Topic Report: Older People's Health. [Online] Obtainable: http://www.scotland.gov.uk/Resource/Doc/363507/0123373.pdf [Accessed: 12 March 2012].

The Scottish Government (2011c) Quality Alcohol Treatment and Support (QATS). [Online] Obtainable: http://www.scotland.gov.uk/Resource/Doc/346631/0115327.pdf [Accessed: 31 March 2012].

The Scottish Government (2011d) The Scottish Health Review 2010: Overview of Key Findings. [Online] Available: http://www.scotland.gov.uk/Resource/Doc/358537/0121196.pdf [Accessed: 12 03 2012].

The Scottish Federal government (2009) Changing Scotland's Romantic relationship with Alcohol: A Construction for Action. [Online] Available: http://www.scotland.gov.uk/Resource/Doc/262905/0078610.pdf [Accessed: 12 March 2012].

Scottish Intercollegiate Suggestions Network (SIGN) (2012) Proposed Review of SIGN Guideline (SIGN 74). [Online] Available: http://www.sign.ac.uk/pdf/SIGN74_alcohol_review.pdf [Accessed: 12 March 2012].

Scottish Intercollegiate Rules Network (SIGN) (2010) Managing of Unhealthy weight: A National Clinical Guide. [Online] Available: http://www.sign.ac.uk/pdf/sign115.pdf [Accessed: 12 March 2012].

Scottish Intercollegiate Guidelines Network (SIGN) (2003) Management of Harmful Drinking and Alcohol Dependence in Primary Care: A Countrywide Clinical Guide. [Online] Readily available: http://www.sign.ac.uk/pdf/sign74.pdf [Accessed: doze March 2012].

Scriven, A. (2010) Advertising Health: An affordable Guide. 6th ed. Edinburgh: Elsevier.



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