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Title of the thesis

Socio-Economic & Nutritional status of drug addict Patient

Name of Author

Dr. Imtiaz Ilahhi Piracha

Address

Chemical Examination Health, Complex Kutchery Road Multan

Reg #

98-PMN-2023

Roll #

H-5856861

Student’s Batch # 1 st
Research Supervisor

Dr. Capt. Rashid Mehmood

Address

Community Medicine dept. Nishtar Medical College, Multan

ABSTRACT

A study involving fifty drug addicted patients admitted in the Psychiatry department of Nishtar Hospital Multan was conducted to apply the skills in order to assess their socio-economic and nutritional status, particularly their nutritional deficiencies that mostly affected the health of such patients adversely.

The study evaluated to formulate useful recommendation and suggestions to combat the menace of drugs and improve health of the patients and subsequent nutritional incompatibilities so as to get the effective and successful compliance and outcome of remedial measures, and to make them fit for society and relatives.

The addicts were using different drugs, mostly the curse of the day, Heroin, even on punni, cannabis, alcohol in different age groups, even more than five to six years, without taking proper diet and essential nutrients in their diet. Their health deteriorated markedly because most of the money was wasted in purchasing drugs instead of buying commodities and food for themselves.

Most of the patients were underweight. 4% patients were having average weight of 37 kg, height 1.48 m and BMI 17. 64% patients were with average weight of 47 kg, height 1.6m and BMI 18.4. 20% patients were with the average weight of 54kg, height 1.68m and BMI 19. 12% addicts were with the average weight of 62kg, height 1.76m and BMI 19.6. 92% patients were anemic judged from their nails, conjunctiva and buckle cavity. Hair changes were observed in 32% of patients. Lip changes in 48%, gum changes in 44% respectively and edema in 32%. Many of the changes co-existed. It was all due to deficiency of nutrients and vitamins.

The general physical examination, anthropometrics and clinical tests were taken like blood and urine, as limited facilities were available, whereas biochemical and clinical test facility regarding nutrition was not available in the ward. Dietary assessment was made.

During the study it was revealed that drug sellers are always in contact with addicts or their friends. They induce them for theft or crime, for purchase of drugs. Many of them leave the ward against the medical advice. So the proper care should be taken.

Common factors affecting the socio-economic and nutritional status proved to be lack of knowledge regarding hazards of addiction, lack of education, emotional instability, peer pressure, poverty, proper balanced diet and last but not the least, social aspects like domestic quarrels, social cut off and unemployment.

The strong psychosocial support and high motivation and a balanced diet high in proteins and vitamins are required to discontinue the drug abuse and to curb its menace for maintenance of good health and return to normal life. If the patients abstain from drug abuse, take proper nutrition; the treatment outcomes will be better. To succeed in breaking through the drug dependence of patients it is necessary to look into the factor, which directly or indirectly affects their nutritional status. The relatives should take the proper follow up of the addicts. They should be treated and accepted like normal people when they come back from psychiatry units. Proper care regarding their health and diet should be taken.

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