Public Health Lect. 8 Assisting Patient with Quitting Part 1

alchemist04's version from 2016-05-29 14:32


Question Answer
What are the 5 A's?(1) Ask (2) Advise (3) Assess (4) Assist (5) Arrange
When a patient is not ready to quit, what do you do?provide motivation w/ 5 R's
5 R's are tailored, motivational messages, what are they?(1) Relevance (2) Risks (3) Rewards (4) Roadblocks (5) Repetition
When a patient is ready to quit, what do you do?design a treatment plan
When a patient recently quit, what do you do?prevent relapse, bc relapse can occur at anytime regardless of the numbers of years of quitting


Question Answer
What are the stages (1-4) of readiness to quit? (1)(1) Not ready to quit in the next month. Clinician goal is to make the patient start thinking about quiting.
What are the stages (2-4) of readiness to quit? (2)(2) Ready to quit in the next month or next 30 days. Clinician goal is to help patient achieve cessation.
What are the stages (3-4) of readiness to quit? (3)(3) Recent quitter, quit w/n past 6 months. Goal is to make pt tobacco free for 6 months
What are the stages (4-4) of readiness to quit? (4)(4) Former tobacco User, quit more than 6 months ago. Goal is to remain tobacco free for life. Ongoing relapse prevention is needed.


Question Answer
What is the point of "Not ready to quit" in the cyclical process?It is btw "Not thinking about it" and "thinking about it, not ready"
What is the point of "relapse" in the cyclical process?BTW "recent quitter" and "Former tobacco user"
What are the steps involved in "brief intervention/Counseling"?(1) Ask (2) Advise (3) Assess (4) Refer
How long does it take to achieve brief intervention?30 secs


Question Answer
3 key elements of counseling (1)(1) Assess tobacco use history like current use (types of tobacco, brand and amount), Past use (duration, recent changes), past quit attempts (#, date, lenght, methods used, complaince duration and reasons for relapse)
3 key elements of counseling (2)(2) Discuss Key Issues like triggers for tobacco use (stress, weight gain, social enablement, cold turke/ concern about withdrawal symptoms
3 key elements of counseling (3)(3) Facilitate quitting process like Cognitive coping strategies, Behavioral coping strategies


Question Answer
Compare to smokers who receive no assistant from a clinician, smokers that receive assistance from a clinician are ---- to ----- times as likely to quit successfully for ------ or months?1.7 to 2.2 times, 5 months
True or false, it is equally effective to quit w/ or w/o clinician interventions?False, it is more effective to quit with assistance from a clinician that no assistance.
True or False? Failure to address tobacco use tacitly implies that "quitting is not important"True, Smokers are excepted to be encouraged to quit by health care professionals.
True or false, typically quitting take many attempts?True


Question Answer
Withdrawal Symptoms peak ---- to ---- hours after quitting?24 - 48 hours
Withdrawal Symptoms mostly pass w/n ---- to --- weeks after quiting?2 to 4 weeks
True or false, clinicians does not have professional obligation to help their patient quit using tobacco?False, clinicians are professionally obligated
True of false? Pharmacotherapy does not help smoker to delay weight gainFalse, it helps smokers to delay weigh gain.
Cigarette craving can last a long time, true or false?True

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