Most people now survive a first stroke, but many patients are left with significant disability. In this article, our very own BATman 'goes through rehab' to review recently published NICE guideline. This aims to ensure that all stroke survivors have access to effective, individualised rehabilitation, both in the hospital and during long-term follow-up in the community.
We are a nation with an alcohol-induced dichotomy: we have a love affair with alcohol but are increasingly aware of its dangers. The pub has been a cornerstone of our society, providing a source of relationships and artistic imagination. However, our nation's favourite drug is also responsible for as many life-years lost as tobacco, but with additional psychological and socio-economic costs.
People have been producing alcohol for thousands of years and consuming it as part of their diet as well as for medicinal purposes. When taken in moderation, drinking alcohol can be a safe and pleasurable activity with potential heart health benefits. However, those cardiovascular benefits are lost when alcohol is consumed in excess, and drinking becomes harmful with adverse physical, psychological and social consequences.
It has been estimated that one in every five patients in the UK drinks to excess, so the average English general practice may have as many as 1,000 problem drinkers. This size of problem can only be dealt with effectively if all members of the primary healthcare team are involved in supporting problem drinkers and ensuring that dependent drinkers are referred to appropriate specialist services.
Alcohol forms part of the diet for over 90% of adults in the UK and is unusual in being both a nutrient and a drug. For many of us, alcohol is a safe and pleasurable part of the diet. However, there is growing concern that many people who see themselves as social drinkers are consuming levels that may cause harm. Understanding how to assess safe levels of alcohol consumption and identify strategies for cutting down can help us to advise our patients how to moderate their intake.
Alcohol-related harm is a major public health concern, and since April 2013 questions to identify problem drinkers have been included in the NHS Health Check for people aged 40-74 years. But young people are also a key at-risk group for hazardous consumption, and the physical harms of alcohol may be compounded by risks to their sexual health.
NHS Health Checks now include AUDIT-C, a brief screening tool designed to help identify people who may be problem drinkers. Taking the test can be a sobering experience for patients, but now is the time to get a grip on our national relationship with alcohol.