Term
2. Common diagnoses of Smoking Cessation counselling patients |
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Definition
2. Angina for angioplasty, COPD, PNeumonia, HTN, DM and breastfeeding mother. |
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Term
4. Give an example of the smoking habit? |
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Definition
4. 40 cigarettes/day for 20 years (Scenario A) or recently reduced from 30 to 20/day (Scenario B) |
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Term
7. Why is it important to discuss smoking cessation |
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Definition
7. Smoking increases cardiovascular risks and can affect angioplasty outcomes 8. |
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Term
8. What might patient say about their health? |
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Definition
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Term
9. What approach should you use when discussing smoking cessation? |
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Definition
9. GRIPS approach (Greet, Rapport, Information, Provide options, Summarize) |
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Term
10. What opening statement could you use to begin the consultation? |
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Definition
1. "I understand you had a heart attack and are scheduled for angioplasty. How are you feeling?" |
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Term
11. What questions should you ask about Jennifer's understanding of her heart condition? |
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Definition
0 11. "What do you know about heart attack?" "Has this happened before?" "Were you told smoking increases risk?" |
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Term
12. How would you introduce the topic of smoking? |
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Definition
12. "I'd like to discuss an important aspect of your lifestyle. Do you smoke?" |
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Term
13. What specific questions should you ask about Jennifer's smoking habits? |
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Definition
13. "How many cigarettes/day?" "How long have you smoked?" "When do you typically smoke?" |
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Term
14. How would you assess patients's motivation to quit smoking? |
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Definition
14. "How important is quitting for you?" "Have you tried before?" "What makes it difficult?" |
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Term
15. What questions would help understand Jennifer's smoking triggers? |
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Definition
15. "What's the main reason you smoke?" "Which cigarette would be hardest to give up?" "Who do you smoke with?" |
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Term
16. How would you address Jennifer's statement "I really love smoking"? |
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Definition
16. "What do you think could make you as happy as smoking?" "Do you think you could enjoy life without it?" |
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Term
17. How would you respond to "I smoke with my friends"? |
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Definition
17. "Perhaps you could suggest smoke-free activities with your friends?" "Many social activities don't require smoking" |
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Term
18. How would you address the concern "It's my little reward to myself"? |
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Definition
18. "We could help you find other rewarding activities that are healthier for your heart" |
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Term
19. What would you say about electronic cigarettes if Jennifer thinks they look stupid? |
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Definition
19. "There are discrete options available, and the health benefits outweigh any appearance concerns" |
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Term
20. How would you respond to "My grandfather is 90 and still smokes and is fine"? |
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Definition
20. "Smoking affects people differently. With your heart condition, continuing increases your risks significantly" |
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Term
21. What are the health risks of continuing to smoke that you should mention? |
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Definition
21. Increased risk of heart attack, stroke, lung disease, cancer, and poorer surgical outcomes |
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Term
22. How does smoking affect angioplasty outcomes? |
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Definition
22. "Continuing to smoke may make the angioplasty less effective and you might need repeat procedures" |
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Term
23. What support can you offer for smoking cessation? 2 |
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Definition
23. Smoking cessation clinic, nicotine replacement therapy (patches, gums, pills), support groups 2 |
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Term
4. How would you address weight gain concerns after quitting? |
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Definition
4. "Any weight gain can be managed with healthy eating and exercise, and the health benefits outweigh this" |
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Term
25. How would you respond to concerns about depression after quitting? |
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Definition
25. "There are healthy ways to manage stress, and support groups can help with the transition" |
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Term
26. What practical steps can Jennifer take to quit smoking? 2 |
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Definition
26. Set a quit date, use NRT, avoid triggers, join support groups, use distraction techniques |
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Term
7. What should you do at the end of the consultation? |
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Definition
27. Provide a smoking cessation leaflet and reinforce support availability |
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Term
28. What would you say if Jennifer is resistant to quitting completely? |
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Definition
28. "Would you consider cutting down further as a first step toward eventually quitting?" |
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Term
29. How would you emphasize the benefits of quitting smoking? 3 |
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Definition
29. "Quitting reduces heart disease and cancer risks, improves surgery outcomes, and saves money" |
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Term
0. What should you remember about patient autonomy in smoking cessation |
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Definition
30. Ultimately it's the patient's decision - we provide information and support but don't force them |
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