This occurs most consistently when there are systems in place, such as question on intake form, chart stickers, or electronic prompts on electronic medical records. Chart stickers are available.
Clinicians should urge all tobacco users to quit.
Even brief advice to quit by a clinician results in greater
quit rates. Smokers cite a clinician's advice to quit as an
important motivator for attempting to stop smoking.
Advice should be:
Specific to the individual 's own situation (e.g. oral health
condition, family status, costs of tobacco).
ADVISE cont. “ I can’t see what tobacco is doing to your heart, lungs, brain and other organs, but I would like to show you some changes in your mouth .” Gingival recession Gingivitis Leukoplakia Oral Cancer Periodontitis, Stained teeth Nicotine Stomatitis “Smoker’s Palate” Black, hairy tongue
"Are you willing to try to quit at this time?"
What if they are not willing?
Provide patient with “Think About It” brochure from The TRUTH Network.
Provide patient with “Welcome Guide” brochure from The TRUTH Network.
Discuss the quitting process.
Set a quit date.
Tell family and friends.
Review past quit attempt experiences.
Remove tobacco products.
Use the Pharmacotherapy Guide from The TRUTH
Many medications have been approved by the FDA for smoking cessation and have been shown to significantly improve abstinence rates.
They work to reduce cravings and other withdrawal symptoms.
“Would you like the Utah Tobacco Quit Line to help you quit?”
Have patient fill out the Utah Tobacco Quit Line Fax Referral Form.
1. Clinician writes name on item 1 of the form.
2. Patient fills out items 2-12.
3. The client must sign the form.
ASSIST cont. NO If the patient does not want to fill out the form, give the patient the Quit Line's toll free telephone number (1-888-567-TRUTH) or offer a Utah Tobacco Quit Line card so that the patient can contact the Quit Line when they are ready.
UTAH TOBACCO QUIT LINE 1-888-567-TRUTH (8788)
The Quit Line triple or quadruples quitting rates of Utah tobacco users.
Free Cessation Services:
Nicotine Replacement Therapy (NRT) if eligible and appropriate
UTAH QUITNET http://utahquitnet.com
All Utah QuitNet services are available to all
Utahns free of charge.
Personalized quitting plans
Pharmaceutical product support
5. ARRANGE FOLLOW-UP
Fax the form to the Utah Tobacco Quit Line's toll
free fax number:
The Utah Tobacco Quit Line faxes your clinic so
that you know what type of services your patients
Provide “Welcome Guide” brochure & Fax Referral Form
Brief discussion of quitting process
Fax referral form to Utah Tobacco Quit Line
American Dental Hygienists’ Association’s Smoking Cessation Initiative
Goal: 50% of dental hygienists screen their clients regarding tobacco use by 2006
The Current Trend
Utah Dental Hygientists’ Association Gold Card Program Goal: One referral to Utah Tobacco Quit Line for each hygienist.
Tobacco Cessation Websites for Health Care Providers
1. Tobacco Cessation Guideline Publications:
Dr. Fiore's course in the 5 A's: http://www.cme.wisc.edu/online/ctri/index.htm
Utah Department of Health, Tobacco Prevention & Control Program