Alcohol excess history
candidate brief
brought in intoxicated
please take a relevant focused history
actor brief
45yo
examiner brief
- Alcohol excess screening questions
- e.g. CAGE: thought about Cutting down, Anger, Guilt, Eyeopener
- Physiological symptoms of withdrawal including seizures
- Other complications of alcohol excess e.g. liver disease
- Asks about mood, self-harm/suicidal ideation
- Alcohol impact on life
- Financial/job
- Social
- Forensic - trouble with police?
- Takes a social history
- housing situation
- other recreational drugs
- advise referral to drugs and alcohol services
- comes up with agreed management plan with patient
- invites questions
- address patient's concerns
- global mark