Cessation of Smoking

Question 1

What are the health risks of smoking?

Answer 1

• GREATLY increases risk of developing cancer, COPD, Cardiovascular disease
• Cause of morbidity
• On average smokers lose 7.5 years of life
• Half of smokers will die because of smoking.
• Compromises wound healing

Question 2

What are the health benefits of stopping smoking?

Answer 2

• Increased longevity,
• Stabilisation of lung cancer risk
• heart disease risk decreases
• Accelerated decline in lung function reduce,
• Improved reproductive health
• Improved recovery from surgery.
• Risk of rheumatoid arthritis decreased
• Risk of bone loss, hip fracture and periodontal disease reduced.
• Aortic aneurysm
• PAD

Question 3

What is the stage model of behavior change

Answer 3

• Precontemplation - Lack of interest to change.
• Contemplation - Increased awareness of neg aspects of smoking and has intentions to quit in 6 months.
• Preparation - Small behavioral changes nut intent to quit within a month.
• Action - Individual implemented plan to stop but adjusting to change.
• Maintenance - Long term adjustment as non-smoker or relapse

Question 4

What are the 4 A’s of smoking cessation

Answer 4

1) Ask about tobacco use.
2) Advice to quit (Assess willingness to quit).
3) Assist in quit attempt
4) Arrange follow ups.

Question 5

Describe what advise you give in order to help patients quit smoking?

Answer 5

Clear, strong and personalized advice quit.

“My best advice for you to quit”. Discuss the personal impact

Question 6

Describe what would you do to assist them with cessation.

Answer 6

Suggest and encourage the use skills for smoking cessation. Provide social support and self-help materials

Question 7

Describe the how you would arrange follow up?

Answer 7

Follow up to monitor progress and provide support, express willingness, discuss concerns.

Question 8

Describe the 5R’s to smoking cessation

Answer 8

1) Relevance
2) Risks
3) Reward
4) Roadblocks
5) Repetition

Question 9

Describe what is meant by relevance

Answer 9

Ask patient to identify why quitting might be personally relevant.

Question 10

What is mean’t by Risk?

Answer 10

• Ask what they know about smoking and reiterate benefits to stop

Question 11

What is meant by rewards?

Answer 11

• More oxygen after 1 day
• More money
• Food will taste better
• More energy
• Better smelling

Question 12

What is meant by rpadblocks?

Answer 12

• Negative moods,
• Being around other smokers
• Triggers and cravings
• Time pressures.

Question 13

Describe how you overcome roadblocks?

Answer 13

• Suck on hard candy
• Exercise
• Ask for support
• Ask friend of family for support
• Distract yourself with nice activities.
• Change lifestyle to reduce stress

Question 14

What are some negatives beliefs held by GPs about smoking?

Answer 14

Discussions too time consuming, ineffective, lacked confidence in cessation advice, and they find the discussions unpleasant.

Question 15

What is the average time to get over smoking?

Answer 15

3 attempts over 5 years