2 INSTRUCTOR GUIDELINES
|
|
- Vivien Johnston
- 5 years ago
- Views:
Transcription
1 STAGE: Not Ready to Quit (Ready to cut back) You have been approached by Mr. Faulk, a healthy young male, aged 28, who has applied to become a fireman and has a good chance of being offered the job. His training will be rigorous, but he is young and healthy and has been smoking for only 5 years. He figures that he can cut down to half a pack a day, once training starts, from the current pack and a half he is now smoking. His buddies want him to quit totally and have encouraged him to talk with his pharmacist. KEY POINTS THIS PATIENT is ready to cut down but not ready to quit completely wants to cut down to half a pack of cigarettes per day before starting a new job is considering quitting completely in 3 4 months THE PHARMACIST discusses the difficulties associated with smoking reduction but respects the patient s choice not to quit now advises the patient on methods for tapering smoking levels addresses key issues, including the patient s reasons and motivation for wanting to quit, confidence in ability to quit, and social support for quitting discusses coping strategies for routines and situations associated with tobacco use arranges follow-up counseling Rev CASE 2 Page 1 of 9
2 Step 1: ASK Not applicable. The patient has approached the pharmacist for information. Hi. I wanted to talk with you about cutting back on my smoking, maybe using the nicotine patch. Looks like I m going to be starting a new job as a firefighter, and the station just went smoke-free. My buddies thought I should talk to a pharmacist about the patch. Step 2: ADVISE So your goal is to cut back, not quit completely? Yeah, for now. I want to quit eventually, but I thought it would be easier if I just cut back first. I m smoking about a pack and a half a day, and I d like to get down to about a half a pack. I ll see how that goes and then maybe quit for good in 3 or 4 months. It is difficult for heavier smokers to reduce their smoking to a lower level. Most who cut back for a short time eventually return to previous smoking levels. Thus, it is helpful to talk with the patient about the nature of addiction and explain to him that the odds are against him if he hopes to cut back to less than 10 cigarettes per day in the long term. Sure, I can help you. But I must warn you that it s difficult to cut back, for a few reasons. Many smokers are able to reduce the overall number of cigarettes per day, but what typically happens is that they begin to smoke more of each cigarette, they inhale more deeply, and they keep the smoke in their lungs longer than usual. So in essence, they really haven t cut back much at all. And often, even if you are able to truly cut back, there s a high probability that you ll eventually go back to your normal smoking level. But reducing your level of smoking certainly can be a step in the right direction, if it s a first step toward quitting completely. I m happy to help you whether you choose to cut back or quit entirely. The choice is yours. But I also must tell you that most of the medications for helping people quit, such as the nicotine patch, are recommended for use only if you ve quit smoking completely. Hmm I didn t realize that I wouldn t be able to use the patch if I don t quit completely. Rev CASE 2 Page 2 of 9
3 Step 3: ASSESS How soon do you want to start cutting back, and what is your target date for quitting completely? I d like to cut back right now. And maybe in the next 3 or 4 months, I hope to quit completely. This patient is ready to cut down but not ready to quit completely. Step 4: ASSIST Assess tobacco use history: current use Are you currently smoking cigarettes only, or do you also smoke cigars or use other types of tobacco such as snuff? Just cigarettes. Assess tobacco use history: past use You said that you re smoking about 30 cigarettes a day. How long have you been smoking at this level, and at what age did you begin smoking? Oh, I d say I ve been smoking that much for about 4 years now. I started smoking when I was about 23. Rev CASE 2 Page 3 of 9
4 And have you ever seriously tried to quit or cut back? Nope. But I ve thought about it a bunch. Discuss key issues: reasons/motivation for wanting to quit So, it sounds like the main reason that you want to cut back is because of the new job. Any other reasons why you might want to cut back? Any reasons why you might want to quit completely? Well, my girlfriend s a nonsmoker. She d rather I quit. And I m getting more concerned about the fact that I ve been smoking for 5 years now. It s hard to believe. Discuss key issues: confidence in ability to quit You ve never tried to cut back or quit before. How do you feel about this? Do you think it ll be difficult? I don t know. I figured that cutting back wouldn t be too hard. But quitting completely that s a different story. I m not sure how hard it s going to be. I think I d have a better chance at quitting if I used the patch or the gum. Maybe I ll use that later, when I quit completely. Discuss key issues: social support for quitting You mentioned that your buddies and your girlfriend would like for you to quit smoking completely. Have you told them about your plans for trying to cut back? Rev CASE 2 Page 4 of 9
5 No, I haven t told anyone yet. I don t want them to know about it yet. Too much pressure. I understand your concern; however, friends often can be very helpful during your quit attempt, particularly if they are supportive of your quitting. You might consider picking at least one person to confide in to be your buddy during the quitting process. I guess I ll tell my girlfriend. I spend the most time with her. Discuss key issues: concerns about withdrawal symptoms While you re cutting back, you may experience withdrawal symptoms that might make you more easily distracted and irritable. Given that you might be starting a new job, it would be best if you were over the main hurdle of withdrawal before you start the new job. When would the new job start? In 2 months. Most withdrawal symptoms generally subside within 2 4 weeks. I can give you an information sheet that describes the different withdrawal symptoms that occur while weaning off of tobacco. It also explains the duration of the symptoms and what you can do to manage them, should they occur. The pharmacist should give the patient the Withdrawal Symptoms Information Sheet. Rev CASE 2 Page 5 of 9
6 Discuss key issues: stress-related tobacco use For some people, new jobs can be stressful. Do you think that job stress might make it harder for you, or do you think it will make you more likely to go back to your usual levels of smoking once you ve started the new job? I think the opposite s true for me. Right now, most of my co-workers smoke during their breaks. At the fire station, hardly anyone smokes. Discuss key issues: routines and situations associated with tobacco use Are there any specific situations that might make it more difficult for you to cut back? Any routines that you have, such as smoking after meals, smoking in the car, or lighting up when you re having a drink with friends? I usually have my first cigarette with my morning coffee, while I m reading the newspaper. I also smoke after meals. Facilitate quitting process: discuss methods for quitting OK. What I d like to do is put you on a schedule for smoking reduction. You re trying to cut back from 30 cigarettes a day to 10, so that s 20 total that you need to reduce. What do you think about reducing by 1 cigarette each day for 20 days? That way, you d be at your target level a few weeks before you d start the new job. Then later we can discuss how we can get you off of cigarettes completely. Think of cutting back as your first step a big step toward becoming a nonsmoker. Rev CASE 2 Page 6 of 9
7 That sounds good to me. I ll start tomorrow morning. OK. Let s mark a calendar with the number of cigarettes you ll be smoking each day. The pharmacist should mark each day on a calendar with the appropriate number of cigarettes. Each evening, I want you to count out your cigarettes for the next day. Set them aside and remind yourself that you cannot have any more! Keep your calendar in the same place each day, where you will see it first thing in the morning on your nightstand, on the kitchen table, or wherever works best for you. Carry with you only the cigarettes you counted out the night before. Before you light up each cigarette, ask yourself how badly you need or want that cigarette if it isn t very badly, then you probably should try to skip it, or at least wait another half hour or so. If you ve waited 5 or 10 minutes and you still are having a very strong urge to smoke, go ahead. OK, one cigarette a day seems doable to me! Should I change to a low-tar, low-nicotine brand of cigarette? It s fine for you to do that. Some patients find that changing the brand of cigarette they smoke is a good first step in changing their smoking behavior. Just keep in mind we still want you to cut back by one cigarette a day for the next 20 days. I will warn you that most people who switch to light or ultralight cigarettes find they smoke differently. They inhale more deeply, smoke the cigarette all the way to the end, or either consciously or subconsciously cover the special vents on the filter as a means of getting more nicotine into the body. I m not trying to discourage you for switching brands. I just want you to be aware that switching to a low-nicotine cigarette is not always a safer or easier alternative. Rev CASE 2 Page 7 of 9
8 Facilitate quitting process: discuss coping strategies Let s talk about some specific strategies to deal with situations where you are likely to smoke. I m going to suggest a few alternatives for you. Behavioral Coping Strategies: In the morning, with coffee while reading the newspaper: Change the order of your morning routine. If you usually have your coffee before you shower, shower first. Change what you do. Listen to the radio instead of the television. Eat a smaller breakfast, or try new breakfast foods. Change where you do things. Read the paper in a different part of the house. Get dressed in a different room. Try changing your brand of coffee, or drink tea or a different flavored coffee for a few weeks (e.g., nonfat latte or cappuccino). Try drinking tea or fruit juice instead of coffee. Because nicotine speeds up the metabolism of caffeine, your body will need less caffeine while you are cutting back. If you continue to drink the same amount of caffeine, you likely will feel jittery and this will make your nicotine withdrawal symptoms seem worse. Instead of sitting at the table and reading the paper with your coffee, use the time to go for a short, brisk walk before you shower. This also will help you to combat weight gain, plus it s healthy, and the fresh air will help you to wake up. After meals: Before you sit down to eat, remind yourself that you will not smoke after the meal. Get up from the table as soon as you finish your meal, and do something that occupies your mind and your hands. This could be as simple as doing dishes or other household chores. You might like to leave the house and go for a walk, surf the Web, or call your girlfriend to give her a progress report. Use a smoking replacement, such as a mint, sugarless gum, toothpick, straw, or a swizzle stick. Cognitive Coping Strategies: As soon as you get up in the morning say to yourself, Today I m going to smoke one less cigarette than yesterday! Remind yourself throughout the day how important it is for you to be able to work at your new job without needing to sneak outside for a smoke break. When you have a thought about a cigarette step back for a moment. Examine what you are doing and feeling. Then decide what else you could do in that situation that would not be associated with smoking. By the time you do this, the urge should pass. Rev CASE 2 Page 8 of 9
9 Any questions or other thoughts? No. It seems pretty straightforward. Facilitate quitting process: offer to assist throughout the quit attempt Congratulations on making a very difficult but important decision! I d like to continue to help you throughout the process. If you have any questions, please call me here at the pharmacy. Step 5: ARRANGE If it s OK, I d like to give you a call in the middle of next week, to see how you re doing. Sounds great. Thanks so much for your help. The pharmacist should obtain contact information and make a note to call the patient in 1 week. Rev CASE 2 Page 9 of 9
2 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are an ob/gyn clinician, and you are seeing Ms. LeClair, a 24- year-old woman who recently found out that she is pregnant. When you inquire about her use of tobacco, she tells
More information5 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit Ms. Warner has a history of essential hypertension. She is a 52-year-old woman who recently moved from out of state for a job promotion. She has been taking hydrochlorothiazide (a
More information18 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are a community pharmacist and have been approached by a 16-year-old girl, Nicole Green, who would like your advice on how she can quit smoking. She says, I never thought it would
More information9 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are a clinician in a family practice group and are seeing 16-yearold Nicole Green, one of your existing patients. She has asthma and has come to the office today for her yearly
More information21 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit Ms. Crosby is a 32-year-old woman who recently began attending a worksite group program for smoking cessation. Her group has set a quit date for one week from today, and she would
More informationA Guide to Help You Reduce and Stop Using Tobacco
Let s Talk Tobacco A Guide to Help You Reduce and Stop Using Tobacco Congratulations for taking this first step towards a healthier you! 1-866-710-QUIT (7848) albertaquits.ca It can be hard to stop using
More information4 INSTRUCTOR GUIDELINES
STAGE: Recent Quitter You are a clinician working on the vascular surgery service and are about to discharge Mr. McCray, a 58-year-old patient who recently underwent a femoral artery bypass graft for peripheral
More informationSmoking and Quitting Assessment
Smoking and Quitting Assessment A. Which of the following describes you? q I m not interested in trying to quit smoking. q I know I need to quit smoking, but I m not quite ready yet. q I m ready to quit
More information19 INSTRUCTOR GUIDELINES
STAGE: Recent Quitter You are a pharmacist in a smoking cessation clinic and you receive a phone call from one of your patients, Ms. Onitay. She is moderately panicked and tells you that she has a swollen
More information6 INSTRUCTOR GUIDELINES
STAGE: Not Ready to Quit You are a clinician in a family medicine practice, and one of your patients, Ms. Stinson, has an appointment today because she is experiencing some difficulty breathing and is
More information12 INSTRUCTOR GUIDELINES
STAGE: Not Ready to Quit You are a community pharmacist. You notice a woman, who looks to be in her twenties, standing in front of the nicotine replacement products case, looking confused. You are able
More informationThe 5 Things You Can Do Right Now to Get Ready to Quit Smoking
The 5 Things You Can Do Right Now to Get Ready to Quit Smoking By Charles Westover Founder of Advanced Laser Solutions Copyright 2012 What you do before you quit smoking is equally as important as what
More information15 INSTRUCTOR GUIDELINES
STAGE: Former Tobacco User You are a pharmacist at an anticoagulation clinic and are counseling one of your patients, Mrs. Friesen, who is a 60-year-old woman with a history of recurrent right leg deep
More informationSmoking Cessation. lyondellbasell.com
Smoking Cessation 1 Smoking Cessation Cigarette smoking is one of the most addictive habits. It s also one of the most deadly. Half of all smokers die prematurely, an average of eight years earlier than
More information11 INSTRUCTOR GUIDELINES
STAGE: Recent Quitter Ms. Barnes is a 28-year-old woman who has been filling her oral contraceptive prescription at your pharmacy for the past 6 years. Four months ago, you assisted her in quitting smoking
More informationre-learn life without cigarettes.
re-learn life without cigarettes. About EX EX is brought to you by Legacy, a national nonprofit helping people live longer, healthier lives. Legacy s programs help people quit smoking and keep young people
More informationFOREVER FREE STOP SMOKING FOR GOOD B O O K L E T. StopSmoking. For Good. Life Without Cigarettes
B O O K L E T 8 StopSmoking For Good Life Without Cigarettes Contents Urges 2 Benefits of Quitting 4 But What About My Weight? 7 If You Do Smoke 9 This is the eighth booklet in the Forever Free series.
More informationReady to give up. Booklet 3
Ready to give up Booklet 3 This booklet is written for people who have decided that they want to stop smoking. You can use this booklet on its own or go through it with the person who gave it to you. You
More informationIndependence from Tobacco: Strategies to Lead You to a Tobacco-Free Lifestyle
Independence from Tobacco: Strategies to Lead You to a Tobacco-Free Lifestyle Congratulations on your decision to quit tobacco! Quitting tobacco is the single most important change you can make to improve
More informationORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM
ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM PURPOSE To introduce the program, tell the participants what to expect, and set an overall positive tone for the series. AGENDA Item Time 0.1 Acknowledgement
More informationSTAGES OF ADDICTION. Materials Needed: Stages of Addiction cards, Stages of Addiction handout.
Topic Area: Consequences of tobacco use Audience: Middle School/High School Method: Classroom Activity Time Frame: 20 minutes plus discussion STAGES OF ADDICTION Materials Needed: Stages of Addiction cards,
More informationFOREVER FREE STOP SMOKING FOR GOOD B O O K L E T. StopSmoking. For Good. What If You Have A Cigarette?
B O O K L E T 4 StopSmoking For Good What If You Have A Cigarette? Contents Can t I Have Just One Cigarette? 2 Be Prepared for a Slip, Just in Case 3 Watch out for the Effects of a Slip 4 Keep a Slip from
More informationYou Can Quit Smoking
If you would like this information in another official language, contact us at (867) 920-3367. Si vous voulez ces informations dans une autre officielle, téléphonez-nous au 867-920-3367. You Can Quit Smoking
More informationContents. Smoking. Staying stopped. Preparing to stop. Relapsing. Stopping
Contents Stage 1: Preparing to stop smoking 1 Stage 2: Stopping 3 Stage 3: Staying stopped 5 Nicotine replacement therapy 7 Non-nicotine treatments 10 Where to get help and advice 11 Stopping smoking isn't
More informationHelpline blf.org.uk
How to stop smoking It s never too late to quit If you can quit smoking, you ll live longer and feel better however old you are. It s never too late to stop, no matter how long you have smoked for. Quitting
More informationMINTO PREVENTION & REHABILITATION CENTRE CENTRE DE PREVENTION ET DE READAPTATION MINTO. Preparing to Quit. About This Kit
MINTO PREVENTION & REHABILITATION CENTRE CENTRE DE PREVENTION ET DE READAPTATION MINTO Preparing to Quit About This Kit There is no one best way to quit smoking. Your Heart Institute Prevention and Rehabilitation
More informationFundamentals of Brief Cessation Counseling Approaches
Fundamentals of Brief Cessation Counseling Approaches Jamie S. Ostroff Ph.D. Director, Smoking Cessation Program Memorial Sloan Kettering Cancer Center Co-Project Leader Queens Quits! Cessation Center
More informationRexall Ready-2-Quit. Continuous Care with Rexall
Rexall Ready-2-Quit Continuous Care with Rexall Congratulations on your decision to quit smoking! Stopping smoking may be difficult, but it can be done, and there are many ways to make quitting easier.
More information81 Veronica Ave., Suite 205 Somerset, NJ Amwell Road, Suite 203 Hillsborough, NJ Iron Bridge Road, Suite 10 Freehold, NJ 07728
PRE-OP DIET ADDENDUM 1. Please consume a plain Greek yogurt daily for ONE week before surgery. (no sugar or preservatives added) 2. Please drink a 20 oz. bottle of regular Gatorade at midnight the night
More informationIF YOU RE SICK OF: YOU RE READY TO QUIT! Hint: Quitting chewing tobacco and snuff is a lot like
IF YOU RE SICK OF: Coughing all the time Spending your money on cigarettes Smelling like an ashtray People hassling you about smoking Hurting your health Cigarettes screwing up your life... YOU RE READY
More informationThere are many benefits to quitting for people with cancer even if the cancer diagnosis is not tobacco-related INCREASED
Stopping tobacco use reduces your risk for disease and early death. There are health benefits at any age. YOU ARE NEVER TOO OLD TO QUIT. Health benefits begin immediately. INCREASED blood oxygen levels
More informationSUPPORT FOR SMOKERS Smoker s Diary
SUPPORT FOR SMOKERS Smoker s Diary Contents - Smoker s diary Introduction Most smokers have triggers for lighting up. These could be meeting up with friends, after a meal, a pint in the pub, coffee break
More informationA Guide to Help New Mothers Stay Smoke-Free
A Guide to Help New Mothers Stay Smoke-Free 1 Welcome to motherhood! You have just been through a life-changing experience pregnancy and child birth. Having a plan to stay smoke-free is an important step.
More informationQUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP.
QUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP. WHEN YOU RE READY TO QUIT, CALL THE SOUTH DAKOTA QUITLINE 1-866-SD-QUITS. IN THE BEGINNING, it s about freedom
More informationSMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE
SMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE DAY 1: GENERAL SMOKING QUESTIONS Welcome to our online discussion! My name is Lisa and I will be moderating the session over the
More informationCancer Control Office YOUR GUIDE TO QUIT SMOKING
Cancer Control Office YOUR GUIDE TO QUIT SMOKING ARE YOU THINKING ABOUT QUITTING SMOKING? IF YOU ARE, CONGRATULATIONS FOR TAKING THIS IMPORTANT STEP! This brochure will help you: Set your own reasons to
More information12 hours. Your body has eliminates all excess carbon monoxide and your blood oxygen levels become normal.
Balance March 2018 What happens after the last cigarette? You know that smoking is one of the leading causes of preventable deaths but the process of quitting seems too daunting. After all, you ve tried
More informationWG Fresh Start manual. A guide to getting you on the road to a fresh start. P15630 Quit Manual.indd 1 03/08/ :48
WG14403 Fresh Start manual A guide to getting you on the road to a fresh start P15630 Quit Manual.indd 1 03/08/2012 09:48 Fresh Start Wales can help you become smoke free for good and reading this pack
More informationSMOKE-FREE FOR LIFE 2ND FLOOR 4TH FLOOR
SMOKE-FREE FOR LIFE So you re ready to quit smoking. You ve decided the risks to your health outweigh the pleasures. You want to regain control of your behavior. Maybe you re tired of how smoking restricts
More informationFor more information about quitting smoking, contact:
For more information about quitting smoking, contact: UAMS Patient Education Department (501) 686-8084 www.uamshealth.com/patienteducation SOS Quitline 1-800-QUIT-NOW (1-800-784-8669) 4301 West Markham
More informationClearing the Air: What You Need to Know and Do to Prepare to Quit Smoking. Getting Ready to Quit Course
Clearing the Air: What You Need to Know and Do to Prepare to Quit Smoking Getting Ready to Quit Course Sponsored by: American Lung Association of Maryland, Baltimore County Health Department & MDQuit Can
More informationCoach on Call. Thank you for your interest in learning how to get ready to quit smoking. I hope you find this tip sheet helpful.
Coach on Call It was great to talk with you. Thank you for your interest in learning how to get ready to quit smoking. I hope you find this tip sheet helpful. Please give me a call if you have more questions
More informationYOU ARE INVITED TO QUIT USING TOBACCO AND NICOTINE PRODUCTS FOR YOU & YOUR BABY!
YOU ARE INVITED TO QUIT USING TOBACCO AND NICOTINE PRODUCTS FOR YOU & YOUR BABY! QUIT FOR YOU. QUIT FOR YOUR BABY. Quit smoking guide for pregnant woman WILLING TO QUIT You CAN Quit Smoking. NOW is a Good
More informationSome tobacco users put off quitting because they re waiting for the perfect time. I ll quit when work gets less stressful...
Arizona Smokers Helpline Step by Step Guide to Help You Quit Tobacco 1 Are You Ready to Quit? Some tobacco users put off quitting because they re waiting for the perfect time. I ll quit when work gets
More informationMy Weight (Assessment)
My Weight (Assessment) Which of the following describes you? o I know I need to lose weight but I m not quite ready to start. o I m ready to lose weight and I need some help. o I want to maintain my weight
More informationPeople with HIV or AIDS are living longer, healthier lives. But, a lot of. 60% and 70% still smoke cigarettes.
HIV and Smoking People with HIV or AIDS are living longer, healthier lives. But, a lot of people with HIV or AIDS between 60% and 70% still smoke cigarettes. If you have HIV or AIDS and you smoke, you
More informationNicotine: A Powerful Addiction
YOU CAN QUIT YOUR TOBACCO USE Learn how to get help to quit using tobacco and improve your chances of quitting. This document explains the best ways to quit tobacco use as well as new treatments to help.
More informationI don t want to be here anymore. I m really worried about Clare. She s been acting different and something s not right
I just can t take what s happening at home anymore Clare 23 mins Instagram When your friend is thinking about suicide I don t want to be here anymore... I m really worried about Clare. She s been acting
More informationCommit to Quit! /08. 1 Copyright 2008 Ceridian Corporation. All rights reserved.
Commit to Quit! 95424 3/08 1 Copyright How addicted are you? The following quiz will help you understand how addicted you are to nicotine. If you smoke, check the statements that are true for you. I smoke
More informationASK Ask ASK about tobacco use ADVISE HANDOUT
ASSISTING PATIENTS with QUITTING A Transtheoretical Model Approach CLINICAL PRACTICE GUIDELINE for TREATING TOBACCO USE and DEPENDENCE Released June 2000 Sponsored by the Agency for Healthcare Research
More informationWhy Tobacco Cessation?
Tobacco Cessation in Community Settings Introduction Hello and welcome to the Learning and Action Network event, Reaching Those in Need of Tobacco Cessation in Community Settings: Research, Recommendations
More informationQUIT FOR YOU. QUIT FOR YOUR BABY!
My quit smoking date: ( Month / Day / Year) QUIT FOR YOU. QUIT FOR YOUR BABY! My baby s due date: ( Month / Day / Year) I AM QUITTING SMOKING FOR A LITTLE REASON Self-Help Guide to Quit Smoking for Pregnant
More informationWHY SHOULD CIGARETTE SMOKERS THINK ABOUT QUITTING?
How to Help Yourself Quit Smoking WHY SHOULD CIGARETTE SMOKERS THINK ABOUT QUITTING? One in three smokers dies early because of their smoking. They die of heart disease, stroke, cancer and emphysema. At
More informationMaking Your Treatment Work Long-Term
Making Your Treatment Work Long-Term How to keep your treatment working... and why you don t want it to fail Regardless of the particular drugs you re taking, your drugs will only work when you take them.
More informationQuit Guide. Blue Care Network s Tobacco Cessation Guide Your doctor has advised you to quit using tobacco.
Quit for your family. Quit for your health. Quit for your life. Confidence comes with every card. Quit Guide Blue Care Network s Tobacco Cessation Guide Your doctor has advised you to quit using tobacco.
More informationCoach on Call. Thank you for your interest in Cutting Down to Quit Smoking During Pregnancy. I hope you find this tip sheet helpful.
Coach on Call It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your
More informationLiving Life with Persistent Pain. A guide to improving your quality of life, in spite of pain
Living Life with Persistent Pain A guide to improving your quality of life, in spite of pain Contents What is Persistent Pain? 1 The Science Bit 2 Pain & Stress 3 Coping with Stress 4 The importance of
More informationYou can quit smoking We ll teach you how
You can quit smoking We ll teach you how Welcome to the Program! Quitting is the best thing you can do for yourself and the people you love. In this program, you will learn about the 4 Essential Practices
More informationQuit Tobacco Now: Here is how to S.T.A.R.T.
Set a Quit Date Quit Tobacco Now: Here is how to S.T.A.R.T. Pick a date, within the next two weeks, to quit smoking. This will give you enough time to get ready. Don't set yourself up for failure avoid
More informationClear and Easy #11. Skypark Publishing. Molina Healthcare 24 Hour Nurse Advice Line (888)
Clear and Easy #11 Molina Healthcare 24 Hour Nurse Advice Line (888) 275-8750 TTY: (866) 735-2929 Molina Healthcare Línea de TeleSalud Disponible las 24 Horas (866) 648-3537 TTY: (866) 833-4703 Skypark
More informationBOOKLET 2. A Guide To Remaining Smoke Free FOR PERSONAL USE ONLY. DO NOT DUPLICATE. Smoking Urges
BOOKLET 2 TM A Guide To Remaining Smoke FOR PERSONAL USE ONLY. DO NOT DUPLICATE. Smoking Urges Contents What are Urges? Different Types of Urges How to Deal with Urges to Smoke When Will the Urges End?
More informationAND OTHER TIPS FOR SMOKERS
AND OTHER TIPS FOR SMOKERS Our ebooks are designed to provide information about the subject matter covered. They are sold with the understanding that the authors and the publisher are not engaged in rendering
More informationSmart Move! A guide to help you stop tobacco use. India Cancer Initiative
Smart Move! A guide to help you stop tobacco use Creation of this material was made possible in part by a pioneering grant from CBCC-USA. India Cancer Initiative This guide belongs to: A future ex-tobacco
More informationHOW TOBACCO AFFECTS ME
HOW TOBACCO AFFECTS ME 1. 2. 3. 4. 5. 1. 2. 3. 4. 5 Ways I Notice How Tobacco Affects My Health or Body 1. 2. 3. 4. 5. 5 Reasons Why I use Tobacco 5. 5 Reasons Why I want to be Tobacco- Free WHY I WANT
More informationDOCTOR: The last time I saw you and your 6-year old son Julio was about 2 months ago?
DOCTOR: The last time I saw you and your 6-year old son Julio was about 2 months ago? MOTHER: Um, ya, I think that was our first time here. DOCTOR: Do you remember if you got an Asthma Action Plan? MOTHER:
More informationLetter to the teachers
Letter to the teachers Hello my name is Sasha Jacombs I m 12 years old and I have had Type 1 Diabetes since I was four years old. Some of the people reading this may not know what that is, so I had better
More informationSis for. smoking and pregnancy. Don t give up giving up. textphone
Don t give up giving up. For friendly, practical advice on giving up smoking and where you can find help close to home, call the NHS Pregnancy Smoking Helpline 0800 169 9 169 textphone 0800 169 0 171 Sis
More information7 PRINCIPLES TO QUIT SMOKING FOREVER
1 7 Principles To Quit Smoking ForEVER DRANTONIOHOWELL.COM 7 PRINCIPLES TO QUIT SMOKING FOREVER WHAT YOU NEED TO KNOW? Antonio Howell, M.D. 5/1/2012 2 7 Principles To Quit Smoking ForEVER 7 PRINCIPLES
More informationDÉJALO ( ).
Massachusetts Smokers Helpline 1-800-QUIT NOW (1-800-784-8669). TTY: 1-888-229-2182 Free one-on-one support Information about local quit-smoking groups and in-person support options Advice about taking
More informationNew Hampshire Tobacco Helpline QUIT-NOW ( ) TTY:
1 New Hampshire Tobacco Helpline 1-800-QUIT-NOW (1-800-784-8669) TTY: 1-800-833-1477 Free one-on-one support Advice about taking quit-tobacco medicines Spanish available by calling 1-800-8-DÉJALO (1-800-833-5256)
More informationIs there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change?
This material has been prepared by the Massachusetts Smoker's Quitline, a program of the American Cancer Society. STAGES OF CHANGE Research on addiction and behavior change done by Prochaska and DiClemente,
More informationFOREVER FREE STOP SMOKING FOR GOOD. Stop Smoking. For Good. Smoking, Stress, & Mood
B O O K L E T 6 Stop Smoking For Good Smoking, Stress, & Mood Contents What Causes Stress? 2 What is Stress? 4 How is Stress Related to Smoking? 4 So, Why Not Smoke When Stressed? 6 Better Ways to Deal
More informationFOREVER FREE STOP SMOKING FOR GOOD B O O K L E T. StopSmoking. For Good. Quitting Smoking: An Overview
B O O K L E T 1 StopSmoking For Good Quitting Smoking: An Overview Contents About Forever Free 2 Seven Facts About Smoking 3 and Quitting The Stages of Quitting 6 Getting Ready to Quit 8 Risky Situations
More informationSMART STEPS to help make it easier
HELPING SOMEONE QUIT SMOKING SMART STEPS to help make it easier Ready to help someone quit? Kudos on wanting to help someone in your life quit smoking. Friends, family, colleagues and significant others
More informationThinking About Stopping Smoking? Pick up the phone and call:
7 out of 10 teen smokers have made at least one attempt to quit. Here are some of THEIR STORIES... Amanda (17)- In the beginning of the year I had a smoking habit. It was very hard to stop and it took
More informationControlling Worries and Habits
THINK GOOD FEEL GOOD Controlling Worries and Habits We often have obsessional thoughts that go round and round in our heads. Sometimes these thoughts keep happening and are about worrying things like germs,
More informationThe first section of this booklet will help you think about what alcohol can do to your health.
6 5 4 3 2 Your doctor or health worker has advised you that you are drinking at a level which can cause problems. Do you think your health or any part of your life may suffer because of your drinking?
More informationTAKE THE FIRST STEP FOR YOUR BABY
TAKE THE FIRST STEP FOR YOUR BABY 1 TAKE THE FIRST STEP FOR YOUR BABY Making a plan to avoid secondhand smoke is an important step in helping your baby have a healthy start. This workbook was written by
More informationTOBACCO CESSATION SUPPORT PROGRAMME
TOBACCO CESSATION SUPPORT PROGRAMME Day MOVING 7ON 2 Day KEEP 6GOING 5 SUPPORT 2 PLAN 3QUIT 4 COPING TOBACCO CESSATION SUPPORT PROGRAMME The Tobacco Cessation Support Programme is a structured behavioural
More informationASSISTING PATIENTS with QUITTING EFFECTS OF CLINICIAN INTERVENTIONS. The 5 A s. The 5 A s (cont d)
ASSISTING PATIENTS with QUITTING CLINICAL PRACTICE GUIDELINE for TREATING TOBACCO USE and DEPENDENCE Released June 2000 Sponsored by the AHRQ (Agency for Healthcare Research and Quality) of the USPHS (US
More informationHere are a few ideas to help you cope and get through this learning period:
Coping with Diabetes When you have diabetes you may feel unwell and have to deal with the fact that you have a life long disease. You also have to learn about taking care of yourself. You play an active
More informationWest R, Shiffman S. Fast facts smoking cessation. Oxford: Health Press Limited, 2004.
Research shows that smokers who use licensed nicotine replacement therapy and receive specialist stop smoking support are four times more likely to quit smoking for good. West R, Shiffman S. Fast facts
More informationClassroom Workbook. Let s get started. Get the most out of Ready2Quit by registering at. UCanQuit2.org/Ready2Quit
Classroom Workbook Let s get started. at computer, at fromfrom your your computer, smartphone tablet. smartphone oror tablet. Take the Tobacco Quiz Fagerström Assessment 1. How soon after you wake up do
More informationTobacco Cessation Toolkit
You notice physical s, like moments of dizziness, sweating, hands trembling or a mild headache. When using tobacco, nicotine increases your heart rate (by about 10 20 beats per minute) and blood pressure.
More informationTobacco Cessation Resource Guide Aetna Resources For Living SM
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Tobacco Cessation Resource Guide Aetna Resources For Living SM 44.05.901.1-ARFL (2/13) Table of Contents You
More informationThe 3 Things NOT To Do When You Quit Smoking
The 3 Things NOT To Do When You Quit Smoking Here are the 3 common mistakes people make when they try to quit smoking: 1. They think quitting will be hard not true 2. They think they have no willpower
More informationStaying Quit. Notice the Changes that Occur Over Time
Staying Quit Session 5 includes resources and reminders of the changes over time that will help you maintain your action plan and stay smoke free! Notice the Changes that Occur Over Time Within 20 minutes:
More informationF O R Y O U R H E A L T H. Nicotine and Your Health. Vocabulary Emphysema Addicted Toxic Secondhand smoke
Do you have a family member or a friend who smokes cigarettes or chews tobacco? Have you heard that person say, I am OK... I have been smoking for 20 Vocabulary Emphysema Addicted Toxic Secondhand smoke
More informationSMART STEPS towards a tobacco-free life
SMART STEPS towards a tobacco-free life Ready to Quit Smoking? You decide when. We ll show you how. Smart steps... Ready to Put Tobacco Behind You? Congratulations on deciding to quit! Quitting tobacco
More informationOn the Road to Quitting. Guide to becoming a non-smoker
On the Road to Quitting Guide to becoming a non-smoker Our mission is to help the people of Canada maintain and improve their health. Health Canada Published by authority of the Minister of Health Health
More informationAll information is based on scientific research about what will give you the best chances of quitting.
You Can Quit Smoking Consumer Guide Learn how to get help to quit smoking and improve your chances of quitting. This document explains the best ways for you to quit as well as new treatments to help. It
More informationBOOKLET 1. A Guide To Remaining Smoke Free FOR PERSONAL USE ONLY. DO NOT DUPLICATE. An Overview
BOOKLET 1 TM A Guide To Remaining Smoke An Overview Contents About Forever 2 Seven Facts About Smoking 3 and Quitting The Stages of Quitting 6 Risky Situations for Ex-smokers 8 How to Handle Urges to Smoke
More informationExamples of what to say when intervening with smoking clients. Do you smoke cigarettes or tobacco at all, or have you ever smoked regularly?
Manual of Smoking Cessation Andy McEwen, Peter Hajek, Hayden McRobbie & Robert West 2006 by McEwen, Hajek, McRobbie and West Appendix 5 Examples of what to say when intervening with smoking clients Below
More informationSession 1: Days 1-3. Session 4: Days Session 2: Days 4-7. Session 5: Days Session 3: Days Day 21: Quit Day!
Tobacco cessation overview calendar 21-Day Countdown to Quitting Session 1: Days 1-3 List health benefits of quitting. List expectations of overcoming your habits and addictions. List your top three Schedule
More informationSmoking Cessation Self-Management Plan and Care Plan
Smoking Cessation Self-Management Plan and Care Plan I understand the following items will be beneficial to the treatment of my tobacco abuse, have discussed this with my provider and I agree to implement
More informationThinking about giving up. Booklet 2
Thinking about giving up Booklet 2 This booklet is written for people who are trying to make up their mind about giving up smoking. A lot of people who smoke have done so for a long time, and like smoking.
More informationSmoking Patient Education Module
Smoking Patient Education Module Quitting smoking is difficult but is important for your health. This packet has information to help you learn the reasons to quit smoking, advice on how to quit smoking
More informationWhat am I Smoking/ Vaping?
What am I Smoking/ Vaping? What s in a cigarette? What s in an e cigarette? Page Image source: http://www.huffingtonpost.com/0//0/effects of quitting smoking_n_.html Page Support for Changing Your Tobacco
More informationTop 10 things to avoid when discussing tobacco cessation
What NOT To Do Top 10 things to avoid when discussing tobacco cessation We re human. We ve all had those moments when we ve tried to convince someone to make a positive change, but the only change that
More informationSmoking Cessation Strategies for the 21st Century
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/lipid-luminations/smoking-cessation-strategies-for-the-21stcentury/3862/
More information