Smoking Cessation Flashcards

1
Q

what type of intervention should we carry out as the dentist?

A

brief intervention (10 mins)

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2
Q

what are the oral side effects of smoking? (6)

A

Increases oral cancer risk

Risk for periodontal disease

Limits healing and success for extractions/implants etc

Stains the teeth
Tooth loss
Halitosis

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3
Q

what are the models for smoking cessation? (2)

A

3 A’s or 5 A’s

Ask:
Establish and record smoking status

Advise:
Personal benefits - use what you’ve found in the mouth to provide supporting evidence

Act:
Offer to help and signpost services

5:
Ask:
Advise:
Assess:
Assist:
Arrange follow up:
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4
Q

what should we ask the patient about in regards to smoking? (10)

A
Carried out once a year and updated in notes to provide evidence;
Do they smoke/are they an ex smoker
Number per day 
Number of years a smoker 
Age when patient started 
What products do they use 
Quitting history: 
Have you tried quitting before? 
How many attempts have you had?
What helped you?
Are you interested now? 
Would you be interested in the future?
If getting positive response  - proceed with advice and referral.
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5
Q

where can we refer smokers who want to quit for support? (3)

A

Phone trained advisor that will provide advice
Specialist services - greater success
Pharmacy services - greater reach

Always note outcome in patients record!!!

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6
Q

why do people smoke? (7)

A

Addicted - cant stop
Enjoyment
Help concentrate
Relieve stress
Socialise - peer bonding (all of family/friends smoke etc)
Keep weight down - nicotine is an appetite suppressor.
Managing withdrawal symptoms

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7
Q

describe the effects of shish in comparison to smoking.

A

45 mins of use = doubles the carbon monoxide and triples the nicotine exposure (same as 10 cigarettes in a row)

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8
Q

what form of tobacco has the highest levels of carbon monoxide?

A

Shisha

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9
Q

what are the health risks associated with shisha? (4)

A

Health risks such as TB, Hep A, helicobacter pylori and pulmonary aspergillosis

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10
Q

what is NRT used to manage?

A

withdrawals from cigarettes - increases likelihood of quitting

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11
Q

name examples of NRT’s (4)

A

Patches, gum, nasal spray, lozerngers, oral strips etc
Champix
Zyban
e cigarettes

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12
Q

list the types of second hand/environmental smoke. (3)

A

Mainstream smoke - inhaled by the smoker

Side stream smoke - (fills the room) Contains more carcinogens

Third hand smoke - Carcinogen laden residue on surfaces.

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13
Q

what are the benefits of E cigarettes?

A

Less toxic/safer than cigarettes - but long term effects not known! (NHS)

95% less harmful but still 5% harmful.

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14
Q

who uses E cigs? (3)

A

Ex smokers are the highest percentage of users

Some current smokers are using them (17.4% use together)

Low numbers of non-smokers

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15
Q

why do people use E cigs? (6)

A

Ex smokers - helping them to quit
Current smokers - harm reduction by lowering the amount of cigarettes they’re smoking
Less toxic
Cheaper
Psychosocial aspect of addiction maintained
Socialisation

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16
Q

what are the disadvantages of E cigs from a public health point of view? (2)

A

Renormalising smoking

Gateway or pathway - particularly for young individuals

17
Q

what should be the driving force behind the use of E cigs?

A

Helping people to quit completely

18
Q

what are the advantages of E cigs from a public health point of view? (1)

A

E cigs are said to be less harmful than cigarettes therefore they are helping to reduce the Public health costs of smoking.

19
Q

describe the triangle of addiction (3)

A

emotional attachment

habit

chemical addiction

20
Q

what are the smoking withdrawal symptoms? (10)

A
Craving 
Depression 
Headaches 
Disturbed sleep 
Wreath gain - slower metabolism
Irritability
Mouth ulcers - chemicals in the lining of the mouth change 
Dizziness 
Constipated 
Lack of concentration
21
Q

what are the benefits of stopping smoking. (5)

A

Carbon monoxide levels return to normal within 48 hours
Nicotine leaves body within 24 hours
Breathing improves between 2 weeks and 3 months
Financial benefits
Risk of heart attack and stroke decreases

22
Q

list the general health risks for smoking (4)

A

reduces fertility

increases risk of cancer throughout the whole body

narrows vessels = increased risk of stroke

ages the skin