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The US Preventive Services Task Force (USPSTF) recommends using the 5 As model; ask, advise, assess, assist and arrange.
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.
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.
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.
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!
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.
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)16-Feb-2009
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.