Brief Smoking Cessation Interventions in a Hospital Setting
A. Key Findings B. Behavior Change Strategies (5As & 5Rs)
A. Identification B. Advice C. Motivation
A. Brief Education B. Simple Motivational Intervention C. Resources (Patients and Providers)
A successful Quit Plan is like a 3-legged stool: one leg is SUPPORT, one leg is MEDICATION and one leg is COPING SKILLS. To be reliable, the stool must be stable and capable of “holding” you. That is best accomplished by building a stool (plan) with all three legs. If you can’t do that, it needs to have at least two legs – and these need to be extra large. For instance, if your stool (plan) doesn’t have a MEDICATION leg, be sure you have plenty of SUPPORT and find as many ways as you can to learn COPING SKILLS.
SMOKING CESSATION PLAN MEDICATION COPING SKILLS
QUITTING TAKES HARD WORK AND A LOT OF EFFORT, BUT—
A PERSONALIZED QUIT PLAN FOR:
Quitting is hard, but don’t give up.
Many people try 2 or 3 times before they quit for good.
Each time you try to quit, the more likely you will be to succeed.
You will live longer and live healthier.
The people you live with, especially your children, will be healthier.
You will have more energy and breathe easier.
You will lower your risk of heart attack, stroke, or cancer.
Get rid of ALL cigarettes and ashtrays in your home, car, orworkplace.
Ask your family, friends, and coworkers for support.
Breathe in deeply when you feel the urge to smoke.
At $3.00 per pack, if you smoke 1 pack per day, you will save $1,100each year and $11,000 in 10 years. U.S. Department of Health and Human Services Public Health Service 1. GET READY. 1. YOUR QUIT DATE:
Set a quit date and stick to it—not even a single puff!
Think about past quit attempts. What worked and what did not?
2. GET SUPPORT AND ENCOURAGEMENT. 2. WHO CAN HELP YOU:
Tell your family, friends, and coworkers you arequitting.
Talk to your doctor or other health care provider.
Get group, individual, or telephone counseling. 3. LEARN NEW SKILLS AND BEHAVIORS. 3. SKILLS AND BEHAVIORS
When you first try to quit, change your routine. YOU CAN USE:
Distract yourself from urges to smoke.
Plan something enjoyable to do every day.
Drink a lot of water and other fluids. 4. GET MEDICATION AND USE IT CORRECTLY. 4. YOUR MEDICATION PLAN:
Talk with your health care provider about
Bupropion SR—available by prescription.
Nicotine gum—available over-the-counter.
Nicotine inhaler—available by prescription.
Nicotine nasal spray—available by prescription.
Nictone patch—available over-the-counter. 5. BE PREPARED FOR RELAPSE OR 5. HOW WILL YOU PREPARE? DIFFICULT SITUATIONS.
Improve your mood in ways other than smoking. Quitting smoking is hard. Be prepared for challenges, especially in the first few weeks. Your hospital visit is a great time to quit smoking. Why should I quit now?
Smoking may slow your recovery from surgery andillness. it may also slow bone and wound healing.
All hospitals in the United States are smoke free. You will be told NOT to smoke during yourhospital stay – now is a great time to quit!
How do I quit in the hospital?
Talk to your doctor or other hospital staff about a plan for quitting. Ask for help right away.
Your doctor may give you medicine to help you handle withdrawal while in the hospital and beyond. Helpful hints to stay quit
Ask your friends and family for support.
Continue your quit plan after your hospital stay.
Make sure you leave the hospital with the right medicines or prescriptions.
If you “slip” and smoke, don’t give up. Set a new date to get back on track.
For help in quitting smoking, call the National Cancer Institute’s Smoking Quitline toll free: 1-877-44U-QUIT. U.S. Department of Health and Human Services
SMOKING CESSATION RESOURCES FOR PATIENTS
TOLL-FREE TELEPHONE ASSISTANCE Virginia Smoke-Free Virginia Helpline: 1-877-856-5177
Recorded message and mailed material (free Quit Kit with booklet and audiotape/CD)
American Lung Association of Virginia: 1-800-LUNG USA
Callers without Internet access can find out about local cessation programs in Virginia
National Great Start: 1-866-66-START (667-8278) – For Pregnant Women English & Spanish, free phone counseling by a trained facilitator and information NCI Smoking Cessation Helpline: 1-877-44U-QUIT
(1-877-448-7848) National Cancer Institute "Live Help"
American Lung Association Call Center: 1-800-548-8252
Call Center staffed by Registered Nurse/Respiratory Therapist
Cancer Information Service: 1-800-4-CANCER
(1-800-422-6237; TTY 1-800-332-8615) “Live Help,” English & Spanish
American Cancer Society: 1-800-227-2345
"Live Help" 24 hours a day, 7 days a week
Circle of Friends: 1-800-243-7000
American Legacy Foundation "Live Help," especially for women
FREE ONLINE ASSISTANCE Freedom From Smoking
American Lung Association’s smoking cessation program
www.lungusa.org/ffs Federal Online Program
USDHHS (NIH, CDC, NCI) sponsored online cessation program
www.smokefree.gov Smoke-Free Virginia Resource Website
Provides a directory of local programs (by city) and links to numerous resources
Chloroquine to Prevent Malaria Where is Chloroquine used? Chloroquine (trade names include Nivaquine and Avloclor) is used to prevent malaria in areas where resistance has not developed to its effectiveness. It is now only considered effective in Argentina and Paraguay in South America, Central American regions north of the Panama Canal, the island of Hispaniola (Haiti and the Dominican R
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. The Health Insurance Portability & Accountability Act of 1996 (HIPAA) requires all health care records and other individually identifiable health information (protected health information) used o