Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

” offer to assist throughout quit attempt follow-up

Info iconThis preview shows pages 73–82. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: ” Offer to assist throughout quit attempt Follow-up contact #1: first week after quitting Follow-up contact #2: in the first month Additional follow-up contacts as needed Congratulate the patient! STAGE 3: PREPARATION Facilitate Quitting Process (cont’d) STAGE 3: PREPARATION A Demonstration CASE SCENARIO: Ms. Lilly Vitale You are a clinician providing care to Ms. Vitale, a young woman with early-stage emphysema. VIDEO # V6b Actively trying to quit for good Patients have quit using tobacco sometime in the past 6 months and are taking steps to increase their success. Withdrawal symptoms occur. Patients are at risk for relapse. STAGE 4: Action GOAL: Remain tobacco-free for at least 6 months. ASSESSING READINESS to QUIT (cont’d) STAGE 4: ACTION Evaluate the Quit Attempt Status of attempt Ask about social support Identify ongoing temptations and triggers for relapse (negative affect, smokers, eating, alcohol, cravings, stress) Encourage healthy behaviors to replace tobacco use Slips and relapse Has the patient used tobacco at all—even a puff? Medication compliance, plans for termination Is the regimen being followed? Are withdrawal symptoms being alleviated? How and when should pharmacotherapy be terminated? Congratulate success! Encourage continued abstinence Discuss benefits of quitting, problems encountered, successes achieved, and potential barriers to continued abstinence Ask about strong or prolonged withdrawal symptoms (c hange dose, combine or extend use of medications) Promote smoke-free environments Social support Discuss ongoing sources of support Schedule additional follow-up as needed; refer to support groups STAGE 4: ACTION Facilitate Quitting Process Relapse Prevention Tobacco-free for 6 months Patients remain vulnerable to relapse. Ongoing relapse prevention is needed. STAGE 5: Maintenance GOAL: Remain tobacco-free for life. ASSESSING READINESS to QUIT (cont’d) STAGE 5: MAINTENANCE Counseling Strategies Assess status of quit attempt Slips and relapse Medication compliance, plans for termination Has pharmacotherapy been terminated? Continue to offer tips for relapse prevention Encourage healthy behaviors Congratulate continued success Continue to assist throughout the quit attempt. Brief interventions have been shown to be effective In the absence of time or expertise: Ask, advise, and refer to other resources, such as local programs or the toll-free quitline 1-800-QUIT-NOW BRIEF COUNSELING: ASK, ADVISE, REFER This brief intervention can be achieved in 30 seconds. WHAT ARE “TOBACCO QUITLINES”?...
View Full Document

{[ snackBarMessage ]}

Page73 / 162

Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

This preview shows document pages 73 - 82. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online