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Clinical Institute Withdrawal Assessment Of Alcohol Scale, Revised (CiwaAr) Patient:___ Date: ___ Time: ___ (24 hour clock, midnight 00:00) Pulse or heart rate, taken for one minute:___Blood pressure:___NAUSEA
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Gather all necessary information such as personal details, medical history, and alcohol consumption habits.
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Individuals who have been diagnosed with alcohol liver disease or are at risk of developing it due to heavy alcohol consumption.
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Alcohol liver disease (ALD) is a medical condition that results from excessive alcohol consumption, leading to liver damage such as fatty liver, alcoholic hepatitis, and cirrhosis.
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Individuals diagnosed with alcohol liver disease who require medical or financial assistance may be required to file an official report or application related to their condition.
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To fill out the alcohol liver disease application (ALD a), individuals typically need to provide personal information, medical history, details about their alcohol consumption, and any relevant diagnostic information. It's advisable to seek guidance from a healthcare professional.
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The purpose of the alcohol liver disease application is to assess the severity of an individual's condition and determine eligibility for treatment programs, financial assistance, or other support services.
What information must be reported on alcohol liver disease a?
The information that must be reported typically includes personal identification details, medical diagnosis, treatment history, alcohol consumption patterns, and any other relevant health information.
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