Addiction Flashcards
What are the 5 A’s for treating tobacco use
Ask- about current tobacco use
Advise- to quit
Assess- willingness to make a quit attempt
Assist- the quit attempt
Arrange- a follow up appointment
Stages of change for quitting smoking
Precontemplation
Contemplation
Preparation
Action
Maintenance
Precontimplation
Current smokers who are NOT planning on quitting smoking in the next 6 months
COntemplation
Current smokers who are planning on quitting smoking in the next 6 months but have NOT made a quit attempt in the past year
“I want” statements
Preparation
Current smokers who are definitely planning to quit within the next 30 days and have made a quit attempt in the past year
Action
Individuals who are not currently smoking and have stopped smoking within the past 6 months
Maintenance
Individuals who are not currently smoking and have stopped smoking for longer than 6 months but less than 5 years ago
The 5 R’s for quitting smoking
For those who are unwilling to quit at this time
Relevance
Risks
Rewards
Roadblocks
Repetition
Relevance
Help the person to identify reasons for quitting that are relevant to them
Risks
Help the person to identify short and long term negative consequences of smoking
Rewards
Help the person to identify rewards or benefits to self and loved ones from smoking cessation
Roadworks
Help the person identify barriers to quitting
Repetition
Ensure that people who have quit previously know that it usually takes more than one quit attempt to succeed
What are some typical barriers to quitting
Withdrawl symptoms
fear of failure
weight gain
lack of support
depression
enjoyment of tobacco
Acute risks to smoking
shortness of breath, exacerbation of asthma to bronchitis, increased risk for respiratory infections, harm to pregnancy, impotenance, infertility
Long term risks for smoking
Heart attacks and strokes, lung and other cancers, COPD, osteoporosis, long term disability, need for extended care
E-cigarettes
POTENTIAL benefit to adult smokers who are NOT pregnant if used as a complete substitution to cigarettes
While it can benefit some it is harmful to others!!!!
If you are not a smoker and have never smokes, don’t start using e-cigs
Popcorn lung
Caused by Dactyl, found in 75%+ flavored e-cigs
First appeared in workers who inhaled artificial butter flavor in microwave popcorn
Bupropion
Long term controller
Norepinephrine used most for major depressive disorder, and aid in smoking cessation
Causes insomnia and dry mouth
Not recommend for seizur4e disorder individuals
Long term controllers to quitting
Nicotine patches, chantix and Bupropion
Supresses the craving for tobaccoo
P:Easy to manage
Can be used in combo with other nicotine replacement therapies
C:Not recommended for dermatologic conditions, people must be monitored for neuropsychiatric symptoms
Quick relievers to quitting
Nicotine gum, inhaler, nasal spray, basically anything nicotine
P:can be titrated to manage withdrawals, can be used in combo with other FDA agents
C:Frequent dosing can compromise adherence, nasal irritation, can be problematic with dental work
Nonmedical options to quitting
Acupunture, cold turkey, behavioral treatment
How long does it take a smoker to go a full yet without cogarettes
30+ attempts
Withdrawl symptoms and longativity
Cravings, chesty cough & poor concentration-2 weeks
Increased appetite- 10 weeks
Disturbed sleep- 1 week
Light headed- 2 days
Depression, restlessness, irritability and anger- 4 weeks