Smoking Cessation Flashcards
1
Q
How is tobacco controlled in Scotland?
A
- legislative and fiscal measures
- age of purchase is 18 years
- ban on sale of 10 cigarettes
- plain packaging of tobacco
- sale of tobacco not visible
2
Q
What are the different ways in which advice on quitting smoking can be delivered?
A
- very brief advice
- opportunistic
- around 1 minute
- brief advise
- can include 3/5As model
- engaging in a more detailed conversation
- 3-10 minutes
- detailed advice
- specialist areas rather than GDP
- multiple sessions
- up to 30 minutes
3
Q
What is the 3As model of delivering advice on quitting smoking?
A
- Ask
- about smoking
- Advise
- about smoking
- Act
- offer individualised help
- refer to local stop smoking services if appropriate
4
Q
What is the 5As model of delivering advice on quitting smoking?
A
- Ask
- Advise
- Assess
- Assist
- Arrange follow up
5
Q
What questions should be included in a smoking history
A
- number of cigarettes smoked a day
- number of years smoking
- age when started smoking
- what products used
- have they tried to quit before
- how many times have they tried to quit
- what helped them in their last attempt to quit
- are they interested in trying to stop now
- would they be interested in further help and support
6
Q
What are pack years?
A
- measurement of lifetime exposure
- important for perio and potentially malignant lesions
- 1 pack year = 1 pack (20) a day
7
Q
What does referral to smoking cessation services involve?
A
- referral to pharmacy services
- greater reach
- more accessible
- referral to specialist services
- Quit Your Way (Scotland)
- greater success
- electronic referral
8
Q
What are the oral side effects of tobacco?
A
- cancer cancer
- head and neck
- oral
- kidney
- bladder
- pancreatic
- testicular
- cervical
- stomach
- lung
- periodontal disease
- gingivitis
- increased risk for dental treatments
- implants
- increased failure rate - extractions
- longer healing
- implants
- staining of teeth, restorations and dentures
- halitosis
- nicotinic stomatitis
- smokers palate
- smokers melanosis
- pigmentation
- black hairy tongue
- stroke
- emphysema
- COPD
- heart disease
- narrowed, blocked arteries
9
Q
Why is the floor of the mouth a high risk place for oral cancer in smokers?
A
- tobacco components pool in floor of the mouth
- increased exposure
10
Q
What is the link between smoking and periodontal disease?
A
- increased rates of alveolar bone loss, attachment loss and pocket formation
- smoking masks gingival symptoms of inflammation
- bleeding
- treatment less successful in smokers
11
Q
What are the possible withdrawal effects of quitting smoking?
A
- nicotine cravings
- sweating
- nausea
- headaches
- coughing
- sore throat
- insomnia
- difficulty concentrating
- anxiety
- irritability
- depression
- weight gain
- tingling in hands and feet
- increase in aphthous mouth ulcers
12
Q
Why do people smoke?
A
- enjoyment
- weight
- cigarettes act as appetite suppressant
- concentration
- boredom
- social
- stress relief
- avoid discomfort from withdrawal symptoms
13
Q
What is nicotine?
A
- addictive element in tobacco and e-cigarettes
- harmful as causes addiction
- no negative effect on health
14
Q
What is smokeless tobacco?
A
- variation in administration and components
- snus, skoal bandits
- banned in UK, possession not illegal - placed under lip
- can cause recession
- snus, skoal bandits
- higher negative side effects
- TSNA (tobacco specific nitrosamines) higher
15
Q
What is shisha?
A
- scented tobacco crumbles into bole and steam filtered through
- 45 mins of use equivalent to 10 cigarettes
- double carbon monoxide
- triple nicotine
- other health risks
- TB
- hepatitis A
- helicobacter pylori
- pulmonary aspergillosis
