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Risks: Patient identifies potential negative consequences of continued smoking. Rewards: Patient describes how quitting would benefit her and her family. Roadblocks: Patient identifies barriers to quitting. Repetition: Repeat at every visit for patients who smoke.
Provide financial coverage for classes and counseling through health plans (covering both employees and their families). Provide coverage for medications. Encourage use of telephone quitlines. Communicate availability of community-based cessation programs and self-help materials.
A quit attempt, offer cessation medication (unless contraindicated) and provide counseling to help them quit. attempt, arrange for follow-up contacts, beginning within the first week after the quit date. Tobacco cessation counseling can be delivered in individual, group, or telephone-based sessions.
The Ottawa Model for Smoking Cessation in 120 hospitals across Canada identifies the smoking status of all admitted patients, followed by brief advice, personalised bedside counselling, timely nicotine replacement therapy and/or pharmacotherapy, and follow-up after discharge 27.
5 Stages to QuittingPre-contemplation (not thinking about quitting)Contemplation (thinking about quitting but not ready to quit)Preparation (getting ready to quit)Action (quitting)Maintenance (remaining a non-smoker)
Educate employees on tobacco-related health risks (including risks of second-hand smoking), as well as the benefits of smoke-cessation....Smoke-free zones should include:All indoor areas with no exceptions, even if it is separately enclosed or ventilated.All areas outside office building entrances.All work vehicles.
You might say:"I'm so proud of you for trying to quit smoking. I'll help with whatever you need to make it happen.""Quitting smoking will be hard, but I know you can do it. Have you set a quit date?""You're not in this alone."Quitting smoking is the best thing I ever did!
Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit.
Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit.
EVIDENCE-BASED ANSWER Among pharmacotherapy options, dual nicotine replacement therapy (NRT) and varenicline (Chantix) are equally effective for smoking cessation at six months and more effective than single NRT and bupropion (SOR A, meta-analysis of RCTs).