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When advising someone not to smoke, it's important to approach the conversation with empathy and understanding. Encourage the individual to recognize the negative effects smoking has on their health and the well-being of those around them. Sharing a Mississippi Sample Letter to Encourage Cessation of Smoking can also provide a personal touch and motivate them to consider quitting.
Do praise them for trying to quit, and for whatever length of time (days, weeks, or months) of not smoking. Do remind them that they didn't fail they are learning how to quit and you're going to be there for them the next time and as many times as it takes. Do encourage them to try again.
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!
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.
Initial therapy selection First-line pharmacotherapies for smoking cessation include nicotine replacement therapy (NRT), varenicline, and bupropion (table 1) 1,2,7-9. These treatments aim to reduce symptoms of nicotine withdrawal, thereby making it easier to stop using cigarettes.
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)16-Feb-2009
The US Preventive Services Task Force (USPSTF) recommends using the 5 As model; ask, advise, assess, assist and arrange.
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.
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.