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It
Can't Hurt to Ask Most
Physicians Want to Know .... Here
Are Some Answers: 1. JUST ASK: Would one of these questions be appropriate during a physical examination? "So how are you feeling about your smoking these days?" "Are you interested in getting ready to stop smoking or talking about cutting back?" "What are some of the things you learned when you stopped smoking in the past?" 2. Listen with Understanding: Listen for your patients' concerns - you might hear:
3. OFFER TO HELP: Provide advice to stop smoking that fits with your patients' needs. Make a genuine offer to help with a specific suggestion for next steps, e.g., "I'm here and ready to help when you want to talk about stopping smoking." "I strongly recommended that you stop smoking and I want to help." "You might want to consider the pharmacologic aids that are available." "Reading or accessing community programs has helped many of my patients." "Try keeping track of your smoking and try to understand your triggers." Key Research Findings 1. Almost 70% of smokers began to smoke before the age of 18. (1) 2. 3000 adolescents begin to smoke every day and at least 750 of them will die pre-maturely of a smoking related disease. (2) 3. Parental smoking is often associated with smoking among young people. (3) 4. Exposure of children to environmental tobacco smoke is associated with increased rates of lower respiratory illness and increased rates of middle ear infections. (4) References 1. Fiore MC, Bailey WC, Cohen SJ, et al. Smoking Cessation. Clinical Practice Guideline Number 18. Rockville, MD: US Dept of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, AHCPR Publication No. 96-0692. April 1996. 2. Epps RP, Manley MW. Clinical interventions to prevent tobacco use by children and adolescents. In: How to Help Your Patients Stop Smoking. US Department of Health and Human Services; 1997:63. NIH Publication No. 97-3064. 3. Bauman KE, Foshee VA, Linzer MA, Koch GG. Effect of parental smoking classification on the association between parental and adolescent smoking. Addict Behav. 1990;15:413-422. 4. Committee on Environmental Health. Environmental tobacco smoke: a hazard to children. Pediatrics. 99(4):639-642. ADDITIONAL PROVIDER RESOURCES CONTINUING EDUCATION PROGRAMS: How to Help Your Patients Stop Smoking; A National Cancer Institute Manual for Physicians. Thomas J. Glynn and March W. Manley. Bethesda, Md.: National Cancer Institute, Sept. 1997, p. 77. American Academy of Family Physicians Stop Smoking Kit. Kansas City, Mo.: American Academy of Family Physicians, 1993. Guide Your Patients to a Smoke-Free Future; A Program of the Canadian Council on Smoking and Health. Ottawa, Ontario: Canadian Council on Smoking and Health, 1992, p. 40. Implementing Effective Smoking Cessation Strategies: An Instruction Guide Based on Smoking Cessation. Clinical Practice Guideline 18, Agency for Health Care Policy and Research (AHCPR) Pub. No. 96-0692, April 1996. Prepared by Medical Information Services Inc. in consultation with Dr. Michael D. Fiore and Dr. Timothy Baker. ©Copyright 1997 by MIS. All rights reserved. Web Sites: Healthcare Education Learning And Information Exchange (HELIX) http://www.helix.com/helix/coned/shared/nicotine/index.htm American Academy of Family Physicians AGING PEOPLE
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