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

These struggle with ambivalence about change patients

Info iconThis preview shows pages 52–61. 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: These struggle with ambivalence about change. Patients are not ready to change, yet. Pros of continued tobacco use outweigh the cons. GOAL: Move the patient into the contemplation stage. ASSESSING READINESS to QUIT (cont’d) STAGE 1: PRECONTEMPLATION Counseling Strategies DON’Ts Persuade “Cheerlead” Tell patient how bad tobacco is, in a judgmental manner Provide a treatment plan DOs Strongly advise to quit Provide information Ask noninvasive questions; identify reasons for tobacco use “Envelope” Raise awareness of health consequences/concerns Demonstrate empathy, foster communication Leave decision up to patient Considering quitting in the next 6 months but not in the next 30 days Patients are aware of the need to quit. They are aware of the benefits of quitting. But they struggle with ambivalence about change. GOAL: Move the patient into the preparation stage. ASSESSING READINESS to QUIT (cont’d) STAGE 2: Contemplation DOs Strongly advise to quit Provide information Identify reasons for tobacco use Demonstrate empathy; increase motivation Encourage self-reevaluation of concerns Offer encouragement DON’Ts Persuade “Cheerlead” Tell patient how bad tobacco is, in a judgmental manner Provide a treatment plan STAGE 2: CONTEMPLATION Counseling Strategies The 5 R’s—Methods for increasing motivation: Relevance Risks Rewards Roadblocks Repetition Fiore et al. (2000). Treating Tobacco Use and Dependence. Clinical Practice Guideline. Rockville, MD: USDHHS, PHS. Tailored, motivational messages NOT READY TO QUIT: Counseling Strategies (cont’d) NOT READY to QUIT A Demonstration CASE SCENARIO: Ms. Lilly Vitale You are a clinician providing care to Ms. Vitale, a young woman with early-stage emphysema. VIDEO # V6a Ready to quit in the next 30 days Patients are aware of the need to, and the benefits of, making the behavioral change. Patients are getting ready to take action. STAGE 3: Preparation ASSESSING READINESS to QUIT (cont’d) GOAL: Achieve cessation. Assess tobacco use history Discuss key issues Facilitate quitting process Practical counseling (problem solving/skills training) Social support delivered as part of treatment STAGE 3: PREPARATION Three Key Elements of Counseling HANDOUT STAGE 3: PREPARATION Assess Tobacco Use History Praise the patient’s readiness Assess tobacco use history Current use: type(s) of tobacco, brand, amount Past use: duration, recent changes Past quit attempts: Number, date, length Methods used, compliance, duration Reasons for relapse...
View Full Document

{[ snackBarMessage ]}

Page52 / 162

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

This preview shows document pages 52 - 61. Sign up to view the full document.

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