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When advising someone not to smoke, focus on compassionate communication. Suggest tools like the North Dakota Sample Letter to Encourage Cessation of Smoking to help clarify their decision. Highlight the health benefits of quitting, such as improved energy and reduced health risks. It's important to listen and offer support rather than judgment.
The US Preventive Services Task Force (USPSTF) recommends using the 5 As model; ask, advise, assess, assist and arrange.
The 3 A's Protocol This can be summarised as follows: Ask and record smoking status. Advise patient of personal health benefits. Act on patient's response.
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!
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.
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.
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.
The 3 A's Protocol This can be summarised as follows: Ask and record smoking status. Advise patient of personal health benefits. Act on patient's response.
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.
If they light up, I simply say 'I don't like to be around cigarette smoke. I'll wait for you over here. ' Then I move myself away. They are less likely to take offense and usually will accommodate my decision by either not smoking or by moving away themselves.