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
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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?
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.
1 For example: during a coffee break at work
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