Join Now!      Login

Whole Person Wellness Program Wellness Model
Skip Navigation Links
Health Centers
Key Services
Which of the following in NOT a direct benefit of a regular walking regimen?
Reduce Stress
Improved immune function
Achieving ideal weight.
Improved sugar metabolism

 Smoking: Smoking Cessation: A Guide for Primary Care Clinicians 
Smoking kills more than 400,000 persons a year in the United States. Every office visit is an opportunity to promote smoking cessation.

This Clinician's Guide is based on the Clinical Practice Guideline on Smoking Cessation, Number 18. It was prepared by a panel of experts convened by the Agency for Health Care Policy and Research, and reflects a thorough review of evidence from clinical studies spanning 1978 to 1994.

Helping Smokers Quit

  1. Every person who smokes should be offered smoking cessation treatment at every office visit.
  2. Clinicians should ask about and record the tobacco-use status of every patient.
  3. Cessation treatment even as brief as 3 minutes a visit is effective.
  4. The more intense the treatment, the more effective it is in producing long-term abstinence from tobacco.
  5. Nicotine replacement therapy (nicotine patches or gum), social support, and skills training are effective components of smoking cessation treatment.
  6. Health care systems should be modified to routinely identify and intervene with all tobacco users at every visit.

Ask, Advise, Assist

Ask about smoking

Implement an officewide system that ensures that tobacco-use status is obtained and recorded for every patient at every office visit.

Include tobacco use in vital signs data collected. Or place tobacco-use status stickers on all patient charts or indicate smoking status using computer reminder systems.

Advise tobacco users to quit

  • In a clear, strong, and personalized manner, urge every smoker to quit.

  • Be clear. ("I think it is important for you to quit smoking now, and I will help you.")

  • Speak strongly. ("As your clinician, I need you to know that quitting smoking is the most important thing you can do to protect your current and future health.")

  • Personalize your advice. ("You've already had one heart attack.") Mention the impact of smoking on children or others in the household. ("You know your children need you.")

Assist the patient with a quit plan

Advise the smoker to:

  • Set a quit date, ideally within 2 weeks.

  • Inform friends, family, and coworkers of plans to quit, and ask for support.

  • Remove cigarettes from home, car, and workplace and avoid smoking in these places.

  • Review previous quit attempts—what helped, what led to relapse.

  • Anticipate challenges, particularly during the critical first few weeks, including nicotine withdrawal.

Give advice on successful quitting:

  • Total abstinence is essential—not even a single puff.

  • Drinking alcohol is strongly associated with relapse.

  • Having other smokers in the household hinders successful quitting.

Encourage use of nicotine replacement therapy (for more information on prescribing, precautions, and side effects, see the Clinical Practice Guideline):

CONTINUED    1  2  3  4  Next   
 Comments Add your comment 

 From Our Friends
Popular & Related Products
Popular & Featured Events
2019 National Wellness Conference
     October 1-3, 2019
     Kissimmee, FL USA
Additional Calendar Links
Dimensions of Wellness
Wellness, Self Responsibility, Love, dimension!

Home       Wellness       Health A-Z       Alternative Therapies       Wellness Inventory       Wellness Center
Healthy Kitchen       Healthy Woman       Healthy Man       Healthy Child       Healthy Aging       Nutrition Center       Fitness Center
Discount Lab Tests      First Aid      Global Health Calendar      Privacy Policy     Contact Us
Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.
Are you ready to embark on a personal wellness journey with our whole person approach?
Learn More/Subscribe
Are you looking to create or enhance a culture of wellness in your organization?
Learn More
Do you want to become a wellness coach?
Learn More
Free Webinar