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Tobacco Presentation
Tobacco Presentation
7
Science
Professional
10/23/2012
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Term

Guidelines for Tobacco Cessations and Second Hand

Smoke Exposure 

(4)

 Definition

•Evidence indicates that patients are more likely to quit tobacco when clinicians intervene
•Integrate  interventions for tobacco cessation and second hand smoke exposure reduction into every interaction with the patient by using the 5A’s approach
•Utilize a combination of  behavioral change counseling (including the Utah tobacco quit line and/or Utah Quitnet) and pharmacotherapy treatments for the highest rates of abstinence success
•Inform about the health risks of secondhand smoke exposure – especially children; encourage the establishment of smoke-free environments
Term

The 5A’s

 Definition

•Ask
•Advise
•Assess
•Assist
•Arrange
Term

Ask

(3)

 Definition

•ASK every patient at encounter about tobacco use and document status.
–If patient recently quit using tobacco, reassess abstinence status, address possible relapse, and congratulate success.
•Ask the patient if they are exposed to secondhand smoke, or if the person who cares for their children smokes.
Term

Advise

(2)

 Definition

•ADVISE every tobacco user to quit smoking with a clear, strong, and personalized health message about the benefits of quitting.
•Discuss the health risks of secondhand smoke exposure on household members, especially children, and ADVISE them to always smoke outside and to create smoke-free home and car environment.
Term

Assess

(7)

 Definition

•ASSESS the willingness to make a quit attempt within the next 30 days.
–If not willing, address the appropriate 5 R’s with encouragement and support self-reliance in a non-confrontational manner.
•Relevance: Search for patient’s personal, important reason(s) to quit
•Risk: Ask patient to identify what are the harms of continued tobacco use
•Rewards: Have patient talk about benefits of quitting
•Roadblocks: Have patient discuss barriers and fears if quitting.
•Repetition: Review the relevant 5 R’s at each visit.
Term

Assist

(3)

 Definition

•ASSIST by referring the patient to the Utah Tobacco Quit Line at 1-800-QUIT-NOW (1-800-784-8669) or UtahQuitNet.com
•Provide positive, practical behavioral coaching as part of a quit plan
•Offer tailored pharmacotherapy treatments
Term

Arrange

(4)

 Definition

•ARRANGE a follow-up contact after the quit date/QuitNet referral
•Monitor for relapse. If relapse occurs, reassure this is normal and use lapse as a learning experience. Identify triggers and plan next quit attempt.
•Congratulate successes!


Firstfollowup should be within first week after quit date/QuitNet referral

Second followup within the first month 
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