Walking the Talk: Assisting Patients and Staff with Tobacco Cessation. Presenters. Steve Riddle, BS Pharm, BCPS Quality Improvement Pharmacist Harborview Medical Center Clinical Assistant Professor UW School of Pharmacy [email protected] Jeff Mero Executive Director
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SAMMEC, CDC, 2002
Trends in cigarette current smoking among persons aged 18 or older, by sex
22.5% of adults are current smokers
Graph provided by the Centers for Disease Control and Prevention. 1955 Current Population Survey; 1965–2001 NHIS. Estimates since 1992 include some-day smoking.
Arousal, appetite suppression
Arousal, cognitive enhancement
Learning, memory enhancement
Mood modulation, appetite suppression
Reduction of anxiety and tension
Reduction of anxiety and tensionNeurochemical and Related Effects of Nicotine
Benowitz.Nicotine & Tobacco Research 1999;1(suppl):S159–S163.
Decreased heart rate
Increased appetite or weight gainTop 10 NicotineWithdrawal Symptoms
Not ready to quit
Thinking about quitting
Ready to quit
“MRS. JONES, I understand that you are not ready to quit smoking right now. As your _______ (nurse, doctor, etc) I just want to share with you that giving up smoking is probably the single most important thing you can do for your health. It is especially important now that you have/had a _____________ (heart attack, angina, CHF, stroke, etc) as smoking greatly increases the risk this condition will worsen or that other problems will arise. If you ever have questions about quitting there are a lot of resources available and I/we would like very much to help you with this. Do you have any questions for me at this time?”
Take a walk-through!
Screen All Patients For Tobacco Use
Identify Current &
DocumentationHMC Tobacco Cessation Overview
Make identification of smoking status and cessation counseling routine
Tobacco cessation intervention included…
Strong quit message and advice provided.
Written tobacco cessation materials provided.
Smoking Cessation Counseling provided, counselor notified or referral arranged to outpatient counseling.
Nicotine Replacement Therapy (NRT)
Please fill out the evaluation.