motivational interviewing on tobacco cessation Flashcards
What are the health risks associated with smokeless tobacco?
Oral cancer, leukoplakia, gum disease, tooth decay, and tooth loss.
What oral conditions are linked to Betel Quid (Gutka) use?
foil packets/sachets and tins
Erythroplakia, leukoplakia, and oral submucous fibrosis.
What health risk is associated with kreteks?
Contain tobacco, cloves, and other additives
Increased risk of acute lung injury.
Do e-cigarettes contain fewer toxic chemicals than regular cigarettes?
Yes, but they are still not harmless!
What are oral health risk of smoking?
Esophageal, laryngeal and oral cancers
Periodontal diseases
Leukoplakia
Smokers palate
Hairy tongue
Halitosis
Teeth and restorative staining
Abrasions
Caries (sugar content in smokeless tobacco)
Increased calculus formation
What are common nicotine withdrawal symptoms?
Having urges or cravings to smoke
Feeling irritated, grouchy, or upset
Feeling jumpy and restless
Having a hard time concentrating
Having trouble sleeping
Feeling hungrier or gaining weight
Feeling anxious, sad, or depressed
What are the 5 As of tobacco cessation brief clinical intervention?
Ask, Advise, Assess, Assist, Arrange.
What does “Ask” in the 5 As stand for?
Ask about tobacco use at every visit.
What does “Advise” in the 5 As stand for?
Advise all tobacco users to quit in a clear, strong, and personalized way.
What does “Assess” in the 5 As stand for?
Assess the patient’s readiness to quit.
What does “Assist” in the 5 As stand for?
Assist the patient with a quit plan, including NRT or medication options.
What does “Arrange” in the 5 As stand for?
Arrange follow-up to provide support and track progress.
What does SBIRT stand for?
Screening, Brief Intervention, and Referral to Treatment.
What happens during the screening phase of SBIRT?
It determines the severity of substance use.
What is the focus of the brief intervention phase of SBIRT?
It builds motivation for change through a collaborative conversation.
What happens during the referral to treatment phase of SBIRT?
The patient is directly linked to the appropriate, requested services.
What health benefits can be tracked on the road to being tobacco-free?
Heart rate (HR) and blood pressure (BP) dropping, carbon monoxide levels decreasing, and nicotine being removed from the body.
How does quitting tobacco affect dependence on nicotine?
Dependence on nicotine decreases and withdrawal symptoms subside.
What are the long-term health risks reduced by quitting tobacco?
Reduced coronary and cancer risks.
What is the purpose of Nicotine Replacement Therapy (NRT)?
NRT replaces some of the nicotine from cigarettes, helping patients feel less uncomfortable after quitting.
What is the active ingredient and benefit in all FDA-approved NRTs?
Nicotine is supplied without the harmful chemicals found in cigarettes.
What are the types of over-the-counter (OTC) nicotine replacement products?
Nicotine patches, nicotine gum, and nicotine lozenges.
What are the prescription (RX) forms of nicotine replacement?
Nicotine inhaler and nicotine nasal spray.
What are two prescription medications for quitting smoking?
Bupropion (Zyban) and varenicline (Chantix).
Strategies for quitting smoking?
Cutting back
Psychosocial changes
Environment (house, car, going out)
Peers and Family
Eating healthy
Exercise, meditation, mindfulness
Practice
Recruit a friend, family member or colleague to practice with
Put your tool kit together - what resources will you have at your fingertips to give to patients
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