smoking presentation Flashcards
- evidence-based approaches to motivate clients to reduce-quit tobacco use
- based on RNAO BPG
brief interventions
4 A’s of smoking cessation
- ask: all clients about tobacco use (determine readiness to quit)
- advise: al clients of importance of quitting in a non-judgmental and unambiguous manner
- assist: according to readiness to change
- arrange: for follow-up or referral to resources
RNAO best practice guideline recommendations for PRACTICE
- assessment: use of brief intervention to screen ALL client for all forms of tobacco and initiate interventions as appropriate
- planning: develop client-centered tobacco intervention plan
- implementation: provide clients with, or refer them to, intensive interventions on the use of pharmacotherapy
- evaluation:evaluate the effectiveness of the intervention plan until client’s goals are met
-COPD (emphysema, chronic bronchitis, asthma aggravation) coronary heart disease heart attacks cancer stroke peripheral vascular disease pregnancy complications impotence
health consequences of smoking
cocktail of toxin that linger in carpets, sofas, clothes and other material hours or days after a cigarette is put out. children and pets are at high risk
third-hand smoke
used to help users gradually withdraw from smoking by using specific amounts of nicotine that decrease over time (comes in the form of a patch, gum, lozenge, spray, inhaler)
nicotine replacement therapy (NRT)
an anti-depressant prescription drug
can combine with NRT
doesnt contain nicotine but reduces withdrawal and cravings
side effects include dry mouth, shakiness, poor sleep
bupropion hydrochloride (wellbutrin)
- a prescription drug
- binds nicotine to receptors in brain
- block sense of pleasure form smoking
- prevent nicotine withdrawal symptoms
- dont combine with NRT
- side effects include vomiting, nausea, vivid dreams, constipation
- contraindications: hypersensitivity
varenicline (champix)