Case Report -Foetal Alcohol Spectrum Disorders
Case: Leena Kerama
Leena is a 26 year old women of Aboriginal decent. She has been admitted to the
mental health unit with a diagnosis of severe alcohol use disorder (DSM V 303.0, ICD10
F10.20) and alcohol-induced depressive disorder (DSMV 291.81). Leena’s past medical
history reveals a 10 year history of severe alcohol dependence consuming an average of
8 to 10 standard drinks of alcohol (wine or beer) per day (which continued during
pregnancy) and a two year history of symptoms of depression (low mood and diminished
interest or pleasure in all or almost all activities) associated with alcohol consumption.
Leena gave birth to a baby boy (Mani) six months ago.
a) Description of severe alcohol use disorder (DSM V 303.0, ICD10 F10.20) and alcohol-induced depressive disorder (DSMV 291.81)
b) Pathophysiology – the effect alcohol has on the adult brain
c) Signs and Symptoms
d) Contemporary treatment (pharmacological and non-pharmacological)
e) Nursing management within the multidisciplinary care team
f) Treatment outcomes