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

Cognitive coping strategies focus on retraining the

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Cognitive coping strategies Focus on retraining the way a patient thinks Behavioral coping strategies Involve specific actions to reduce risk for relapse   STAGE 3: PREPARATION Facilitate Quitting Process  (cont’d) HANDOUT
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Review commitment to quit Distractive thinking  Positive self-talk Relaxation through imagery Mental rehearsal and visualization Cognitive Coping Strategies STAGE 3: PREPARATION Facilitate Quitting Process  (cont’d)
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Thinking about cigarettes doesn’t mean you have to  smoke one: “Just because you think about something doesn’t mean you have  to do it!”  Tell yourself, “It’s just a thought,” or “I am in control.” Say the word “STOP!” out loud, or visualize a stop sign.  When you have a craving, remind yourself:   “The urge for tobacco will only go away if I don’t   use it.” As soon as you get up in the morning, look in the mirror  and say to yourself: “I am proud that I made it through another day without tobacco.” Cognitive Coping Strategies: Examples STAGE 3: PREPARATION Facilitate Quitting Process  (cont’d)
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Control your environment Tobacco-free home and workplace Remove cues to tobacco use; actively avoid trigger situations Modify behaviors that you associate with tobacco: when, what,  where, how, with whom Substitutes for smoking Water, sugar-free chewing gum or hard candies (oral substitutes) Take a walk, diaphragmatic breathing, self-massage Actively work to reduce stress, obtain social support,  and alleviate withdrawal symptoms Behavioral Coping Strategies STAGE 3: PREPARATION Facilitate Quitting Process  (cont’d)
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Provide medication counseling Promote compliance Discuss proper use, with demonstration Discuss concept of “slip” versus relapse “Let a slip slide.” 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)
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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
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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.
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