History of tobacco use must be taken at every clinical encounter
T/F
T
Smoking cessation is easy
T/F
F
difficult
Because __________ is addictive, quitting smoking leads to symptoms of nicotine withdrawal such as
_________ ,
anxiety and _______,
_________ , and
_____________
nicotine
irritability
depression; weight gain
Professional smoking cessation support methods generally endeavor to address both nicotine __________ and nicotine __________ symptoms.
addiction
withdrawal
Strategies for smoking cessation
Many different strategies can be used for smoking cessation, including
• ___________________ (“cold turkey” )
•medications such as _____________ or _____________ , and behavioral counseling.
quitting without assistance
nicotine replacement therapy (NRT)
varenicline
The majority of smokers who try to quit do so (with or without ?) assistance,
Without
The 5 A’s counseling strategy
ASK
ADVISE
ASSESS
ASSIST
ARRANGE
Behavior change: Precontemplation
Behaviour change:Contemplation
Behavior change: Preparation
Behaviour change:Action
Behaviour change: Maintenance
No intention to take action within the foreseeable future
Considering change within the next 6 months
Planning to take action within the next month
Actively changing (first 6 months of new behaviour
More than 6 months since behavior change
Behavior change
Pre contemplation
Contemplation
Preparation
Action
Maintenance
The ______________ Test for nicotine dependence
Fagerstrom
The ____________ the fagerstrom score, the more intense is the patients physical dependence on nicotine
higher
Fagerstrom score
Scoring:
___________ points-highly dependent
________ points-moderately dependent
_______ points-minimally dependent
7-10
4-6
< 4