SMOKING

Notes

• Pre-contemplative phase. Does this patient really want to stop smoking? If not - help them in a way which makes it likely they will move to seriously contemplate stopping.
• Contemplative phase. They are seriously considering stopping - explore their health beliefs - help to coincide with them. Accept several attempts may be needed.
• Made up their mind to stop. They have decided what help they need to stop - provide it as far as possible.

Danger signs

• Pregnancy contra-indications in use of nicotine replacement.
• Smoking "cessation" aid addicts. Some may smoke and use patches/ gum.

Notes for children

• Nicotine replacement contraindicated below age 18, but note that most smokers in this country start before age 11!

General advice

• Advice backed by a leaflet increases effectiveness
• Leave "door open" for smoker to return. Most need 8 attempts to stop.
• Passive effects on children ma motivate adults to stop.

Therapy

• Nicotine support - chewing gum
• Non-nicotine support course

More Information