-The number of pack per day:
-The number of pack years:
-Patient denies psychiatric illness, CVD, seizure disorder, and pregnancy.
-Committed to smoking cessation.
Motivational interviewing & counseling for smoking cessation performed.
-A combination of behavioral support and pharmacologic therapy discussed (as these are superior to either alone).
-Discussed tobacco cessation resources like 1-800-QUIT-NOW, 1-800 NO BUTTS,  smokefree.gov.
-Will attempt to taper smoking over several weeks to months.
-Will initiate the use of pharmacotherapy after the patient has tried the tobacco cessation resources discussed.
-Behavior counseling: Will also refer the patient to counseling for impulse control, coping skills, and alternative ways of managing stressful situations.
-The patient agrees with the plan.

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Important Points

  • Plan A = Trying above resources without prescription medications first.
  • Plan B: Pharmacotherapy.
  • Vaping and E-Cigarettes.

References

Click to access practice-manual.pdf

http://www.cdc.gov/tobacco/

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