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Wading through the “Alphabet Soup”

Wading through the “Alphabet Soup”. P- C- A- M "Stages of Change". The 5 A's. The 4 R's. The 4 A's of quiiting. The 4 Ds. How many “A’s” does it really take to get the job done?. Tobacco Use Cessation (TUC) The Five A’s. Ask Advise Assess Assist Arrange.

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Wading through the “Alphabet Soup”

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  1. Wading through the “Alphabet Soup” P- C- A- M "Stages of Change" The 5 A's The 4 R's The 4 A's of quiiting The 4 Ds

  2. How many “A’s” does it really take to get the job done?

  3. Tobacco Use Cessation (TUC)The Five A’s • Ask • Advise • Assess • Assist • Arrange

  4. American Dental Hygienists’ Association’sSmoking Cessation Initiative (SCI) 3Minutes or Less Can Save Lives www.askadviserefer.org

  5. ASK • “Do you use tobacco?” • “How much?’ • “Do you want to stop?” • “Have you tried before?”

  6. Identify all tobacco users in your healthcare setting. • Ask EVERY patient at EVERY visit about tobacco use and document tobacco-use status. http://www.shs.usf.edu/smoking-cessation.aspx

  7. Advise • In a clear, strong and personalized manner, urge every Tobacco User to quit! Well…Maybe not that strong!

  8. ADVISE • Show tobacco’s oral effects if present • Personalize the cessation message • Advise clearly the necessity of stopping now • Commend non-users

  9. Assess - willingness to quit. Is the tobacco user willing to make a quit attempt at this time?

  10. The Stages of Change Continuum… www.strangecosmos.com

  11. “Pre-contemplative Not ready to quit within 6 months. ”

  12. “Contemplative” Not ready to quit within one month, - but ready within 6 months.

  13. Preparation or Action Ready to quit or take action within one month.

  14. Maintenance

  15. Never used tobacco… With Yourself - Enjoy living a tobacco-free life! Make sure you stay that way

  16. Guiding Principles of CPG i • “We have to make cessation support as accessible (as the purchase of tobacco) for those patients who want to quit.” • 62% of active duty tobacco users want to quit in the next 6 months • Cessation support should have a range of intensity • One “size” program does not fit all

  17. ASSIST • Set a quit date • Provide self-help literature • Prescribe nicotine replacement or other meds • Provide motivating literature to the patient who is not ready to stop • For the patient willing to make a quit attempt, use counseling and pharmacotherapy to help him or her quit.

  18. ARRANGE • A 1 week follow up call to confirm quit date • A 1-2 week follow up visit after the quit date • A 1-2 month follow up contact GET THEM INTO THE PROGRAM

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