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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.
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!
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).
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.Advise - In a clear, strong, and personalized manner, urge every tobacco user to quit.More items...
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.
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)
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.
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.
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.
The options include:Prescription nicotine in a nasal spray or inhaler.Over-the-counter nicotine patches, gum and lozenges.Prescription non-nicotine stop-smoking medications such as bupropion (Zyban) and varenicline (Chantix)