Veidlapa Nr. M-3 (8)

Study Course Description

Clinical Narcology (Alcohol)

Main Study Course Information

Course Code

RNA_016

Branch of Science

Clinical medicine; Psychiatry

ECTS

30.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Sarmīte Skaida

Residency Speciality

Speciality

Narcologist

Supervisor of Medical Speciality

Sarmīte Skaida

Contacts

About Study Course

Objective

To ensure the acquisition of theoretical knowledge and practical skills about alcohol-induced mental and behavioral disorders, their diagnosis, differential diagnosis, clinical manifestations, psychopharmacotherapy, basic principles of treatment and care.

Learning Outcomes

Knowledge

1.• Learn about the effects of alcohol on the human body; • Formulate the genetic, psychological and social factors that influence the development of addiction; • Formulate harmful alcohol abuse, addiction syndrome, their diagnostic criteria; • Classify variants of alcohol psychoses and describe their clinical manifestations; • Outline the physiological bases of the formation of addiction and the involved receptor systems; • Formulate and justify the chosen methods of alcohol addiction treatment; • Explain the pharmacokinetics, indications and contraindications of medications used in the treatment of alcohol addiction; • To provide knowledge about harmful use, addiction syndrome, diagnostic criteria; • To acquire knowledge about alcohol-induced abstinence syndrome, its diagnosis, examinations, treatment; • Learn the specifics of alcohol addiction in patients with mental illnesses; • Define the basic principles of alcohol addiction treatment.

Skills

1.• Recognize and evaluate the state of alcohol intoxication and its possible complications; • Recognize the clinical manifestations of alcohol psychoses; • Diagnose alcohol addiction by describing syndromes; • Evaluate and treat alcohol withdrawal syndrome; • Evaluate CNS and other organ dysfunctions caused by alcohol consumption; • Know the medications used in the treatment of alcohol addiction and use an individual approach to each patient; • Be able to use a multiprofessional approach in the treatment of each patient; • Be able to evaluate the severity of the patient's addiction and teach how to create a motivation-enhancing consultation; • Explain health disorders caused by alcohol, possible assistance measures, in an understandable way to the patient; • Describe in the medical documentation the anamnestic data obtained about the patient, clinical examinations and formulate the diagnosis according to ISK-10.

Competences

1.• Recognize and provide emergency narcological assistance for alcohol intoxication, abstinence and alcohol psychosis states. • To implement emergency diagnostic and therapeutic measures for complications of acute intoxication and abstinence. • Treat alcohol addiction patients according to approved technologies and guidelines. • Organize consultations, further care in specialized institutions. • Be aware of the limits of your professional competence.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
To prepare a lecture for patients about the nature of the addiction disease, its manifestations and treatment options. Presentation of a patient's clinical case at least once per year of study. Fill out the study course evaluation questionnaire.

Examination

Title	% from total grade	Grade
1. Examination	-	-
Testing of theoretical knowledge and practical skills once during the cycle with tests and tasks of clinical situations.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Auditorium

Topics

Pharmacology of alcohol.

Seminar

Modality	Location
On site	Auditorium

Topics

Screening for disorders caused by alcohol consumption, laboratory diagnostics

Seminar

Modality	Location
On site	Auditorium

Topics

Harmful excessive use of alcohol, dependence syndrome.

Seminar

Modality	Location
On site	Auditorium

Topics

Acute and chronic alcohol intoxication, pathological intoxication.

Seminar

Modality	Location
On site	Auditorium

Topics

Alcohol withdrawal syndrome. Clinic, principles of therapy, psychopharmacotherapy

Seminar

Modality	Location
On site	Auditorium

Topics

Organ and system disorders caused by alcohol.

Seminar

Modality	Location
On site	Auditorium

Topics

Classification of alcohol psychoses, pathogenetic mechanisms. Psychotic disorders, their types and clinic, psychopharmacotherapy.

Seminar

Modality	Location
On site	Auditorium

Topics

Alcohol delirium, clinic, differential diagnosis, psychopharmacotherapy, principles of care, complications.

Seminar

Modality	Location
On site	Auditorium

Topics

Alcoholic encephalopathy, amnestic syndrome.

Seminar

Modality	Location
On site	Auditorium

Topics

Alcohol consumption disorders in elderly people, women. Alcohol epilepsy. Alcohol and head injuries.

Seminar

Modality	Location
On site	Auditorium

Topics

Alcohol consumption disorders in patients with psychiatric illnesses (dual diagnoses).

Seminar

Modality	Location
On site	Auditorium

Topics

Principles, options and methods of alcohol addiction treatment. Remissions and relapses. Drug treatment of alcohol addiction, pharmacokinetics, interaction with other drugs.

Total ECTS (Creditpoints):

30.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Kliniskie algoritmi un pacientu ceļi. 2020

Narkoloģija. Astrīdas Stirnas redakcijā. Medicīnas Apgāds, 2008.

Latvijas republikas zāļu reģistrs

The ICD –10 Classifications of Mental and Behavioral Disorders.

Additional Reading

Richard K.Ries, David A.Fiellin, Shannon C. Miller, Richard Saitz The ASAM Principles of Addiction Medicine. 5th Edition, Wolters Kluwer, 2014

Description and diagnostic guidelines. WHO. Geneva, 1992.

Other Information Sources

SPKC

International Society of Addiction Medicine

National Institute of Drug Abuse

world Association of Dual Disorders