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15 Cards in this Set
- Front
- Back
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Ask |
Identify their current smoking status, history and motivation. |
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Assess |
Level of nicotine dependence: Low - 1 hr, <10 Low-moderate - Doesn't in the first 30 mins, 10-20 Moderate - 30 mins, 20-30 High - First 5 mins, >30 Barriers to quitting, nicotine dependence, quitting history. |
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Advise |
Clear, brief, non-judgemental advice. Address the 3 domains - dependence, habit and psychological aspects of smoking. |
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Assist |
Quit services. Pharmacotherapy. Address barriers to quitting like stress, weight gain, lack of support. |
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Arrange |
Arrange a meet up and support. |
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Gum |
6-10 4mg (4-8 weeks taper use to 2mg, then reduce use over another 4 weeks)OR 8-12 2 mg |
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Lozenges |
Weeks 1-6: 1 lozenges every 1-2 hr, 24 a day Weeks 6-9: 1 lozenge every 2-4 hrs Weeks 10-12: 1 lozenge every 4-8 hrs Weeks 12-24: As needed. |
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Films |
Each film is 2.5mg, 15 films a day |
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Risks of NRT and stopping smoking |
Catecholamines can affect carbohydrate metabolism and vasoconstriction may reduce insulin absorption. Smoking reduces insulin absorption, therefore stopping smoking can cause increased absorption and risk of hypoglycaemia! Increased risk of adverse effects in hepatic conditions. Stopping smoking speeds up metabolism of warfarin, clozapine etc. |
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4Ds |
Delay Deep breath Drink water Do something else to distract |
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Precontemplation |
Identify barriers to change, listen with empathy, effective questioning.What would stop you form having more fibre? |
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Contemplation |
Get them to talk about the differences between what they want and what they're doing. Provide education, emotional and social support. |
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Preparation |
Praise!! Discuss a plan of action and identify pitfalls. |
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Action |
Empowering them! In the middle of action - help them keep it up. |
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Maintenance |
Encourage positive changes, focus on issues that might cause relapse. |
