-The number of pack per day:
-The number of pack years:
-Patient denies psychiatric illness, CVD, seizure disorder, and pregnancy.
-Committed to smoking cessation.
–Motivational interviewing & counseling for smoking cessation performed.
-A combination of behavioral support and pharmacologic therapy discussed (as these are superior to either alone).
-Discussed tobacco cessation resources like 1-800-QUIT-NOW, 1-800 NO BUTTS, smokefree.gov.
-Will attempt to taper smoking over several weeks to months.
-Will initiate the use of pharmacotherapy after the patient has tried the tobacco cessation resources discussed.
-Behavior counseling: Will also refer the patient to counseling for impulse control, coping skills, and alternative ways of managing stressful situations.
-The patient agrees with the plan.
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Important Points
- Plan A = Trying above resources without prescription medications first.
- Plan B: Pharmacotherapy.
- Vaping and E-Cigarettes.
References
Click to access practice-manual.pdf
http://www.cdc.gov/tobacco/