7. Delivering cessation advice. Royal College of Physicians of London Tobacco Advisory Group. Doctors relevance to smoking cessation. Regular contact and opportunities for intervening The doctor knows patient’s background In a consultation the patient is more receptive to advice
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Royal College of Physicians of London
Tobacco Advisory Group
Raw M, McNeill A, West R. Smoking cessation guidelines for health professionals. A guide to effective smoking cessation interventions for the health care system. Thorax 1998;53 Suppl 5 Pt 1:S1-19. & Update in Thorax 2000 55: 987-999
should be a routine component of all health service delivery
Help should be offered to those who want to quit
Arrange follow up visits
1.What were the factors that precipitated relapse to smoking and why did it occur?
2.What was the effect of stress, social pressure or relapse to smoking etc?
3.How would you advise the person who relapsed to approach it the next time that relapse occurs, and what should be done?
Anna is a 36 year old lawyer. She decided to cut down on both smoking and drinking last year as she felt that indulging in both excessively was affecting her work. Her decision to quit smoking came after her long-term partner threatened to move out if she continued. Since then Anna has been able to refrain from drinking but as a result of a heavy workload has resumed smoking. In a visit to your surgery she explains that she often finds that smoking helps her to cope during a stressful case. In addition, many of her colleagues smoke when they socialise as a group and it helps her to fit in especially as she does not drink much alcohol any more. Anna’s partner is repulsed by the smell of smoke and often tells her that he finds it disgusting. He also vocalises his worries about her health. Despite this, Anna continues to smoke over 30 cigarettes a day and feels weak as a consequence.
Bob is a 24 year old journalist who has been smoking since he was 15. He has relapsed again for the fourth time after quitting for a month. Bob would like to give up smoking because he is aware of the health implications but finds that he can not cope with the cravings. Bob lives in a shared flat with two other smokers and he enjoys getting back from work and consuming a bottle of wine and a few cigarettes with his flatmates as it helps him to unwind. He generally smokes five cigarettes a day and mainly after work. However, he smokes more at the weekend when he goes out.
Tom is a 39 year old estate agent. Last year he stopped smoking at the same time as he stopped drinking which was after a series of drunken disorderly charges and suspension from work. He has been able to retain his sobriety until now when he comes to see you at your clinic. He states that he is bored and depressed as he has nothing to do. When he went to visit a friend who was also out of work he started to smoke again. He is ashamed when his son lectures him to stop smoking yet is now smoking 40 cigarettes a day and feels as though he is back to square one.
Janine is a nanny and a lone parent with two children aged 2 and 9. Janine smokes around 15 cigarettes a day. Although she stopped smoking during pregnancy, she has resumed smoking again because she feels as though it one of the few things in life left that she does for herself. She particularly enjoys a cigarette with a cup of coffee and after a meal. However, she is becoming increasingly worried about the health effects of passive smoking on her children, one of which is asthmatic.
1 For example: during a coffee break at work
References and and 9. Janine smokes around 15 cigarettes a day. Although she stopped smoking during pregnancy, she has resumed smoking again because she feels as though it one of the few things in life left that she does for herself. She particularly enjoys a cigarette with a cup of coffee and after a meal. However, she is becoming increasingly worried about the health effects of passive smoking on her children, one of which is asthmatic.further information
References with active links and background information for this presentation is available at