A community health nurse assesses four patients between ages 70 and 80 . Which patient has the highest risk for alcohol dependence?
a. Patient with no history of alcohol-related problems until retirement but now drinks alcohol daily to distract himself from arthritis pain
b. Patient who drank socially throughout adult life and continues this pattern, saying "I'm old enough to drink if I want to"
c. Patient who abused alcohol between ages 30 and 45 but now abstains and occasionally attends AA meetings.
d. Patient with intermittent problems of alcohol misuse early in life. Now drinks one glass of wine nightly with dinner.
A
Alcohol dependence can develop at any age, and the geriatric population is particularly at risk. The geriatric problem drinker is defined as someone who has no history of alcohol-related problems but develops an alcohol abuse pattern in response to the stresses of aging.
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