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Help Your Partner Quit SmokingExpress your concerns.Find cessation aids.Prepare for withdrawal symptoms.Come up with distractions.Encourage them.Seek outside help.Support them through hard times.
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.
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.
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)
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.
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!
Telling them to take it one day at a time and reward themselves throughout the quitting process. encouraging them to exercise regularly - this helps deal with withdrawal symptoms, avoid weight gain and improve mood. reminding them to look after themselves - to get plenty of sleep and eat well.
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).
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.