This document provides information about a Smoking Cessation Clinic (Klinik Berhenti Merokok/KBM) including its objectives, KPIs, strategies using the MPOWER model, organization, algorithms, screening processes, principles of the 5As and 5Rs, patient registration including the Fagerstrom test and treatments including non-pharmacological and pharmacological options like nicotine replacement therapy and varenicline. The summaries provide an overview of the clinic's goals, metrics, evidence-based approaches and services for helping patients quit smoking.
"Some rewards of quitting include improved health, more money in your pocket, better smelling hair and clothes, role modeling healthy behavior for loved ones, and feeling proud of yourself for making such a positive change."
• 4-Roadblocks
– Identify barriers to quitting and problem-solve
ways to overcome them
• 5-Repetition
– Repeat the motivational message at each visit
"I know quitting is difficult, but staying smoke-free gets easier over time as your body heals. Let's talk through any challenges you're facing and come up with a plan."
The 5Rs help enhance motivation by focusing the discussion on personal relevance, risks, rewards, barriers, and repeating encouragement
Steps of Smoking Cessation Badr Bin Himd.pptxFayzaRayes
This document outlines the steps for smoking cessation counseling using the 5As technique. It begins by establishing smoking as a major health problem in Saudi Arabia, with prevalence rates ranging from 2.4-52.3%. The 5As technique involves asking about tobacco use, advising the patient to quit, assessing willingness to quit, assisting with a plan to quit, and arranging follow-up support. Counseling should be tailored based on a patient's stage of change and use motivational techniques. Pharmacotherapy and follow-up are important to prevent relapse among those trying to quit. The 5As approach is effective when fully implemented in clinical settings.
The presentation by Dr.M.S.Chandragupta, Chief Dental Surgeon, Dr. Gupta's Dental Specialities Centre, deals with Tobacco Cessation Methodologies.
Tobacco is the number one killer in the world and kills around 9 lakh people annually in India alone. The victims succumb to tobacco in the most productive years of their life. To curb this issue the World Health Organization has brought out a public health legal treaty called ‘Frame Work Convention on Tobacco Control (FCTC)’ which more than 176 countries have signed and ratified the same. India has signed in the year 2005 and initiated measures to bring down the demand and supply of tobacco in India as mandated by the FCTC. India has the second highest number of tobacco users in the world, at an alarming number of 274 million users (GATS Report, 2010) and it is high time we act together to make India Tobacco Free for a healthier and wealthier tomorrow
This document provides information on a presentation about tobacco. Some key points:
- Smoking remains a leading cause of preventable illness and death in Canada. Saskatchewan has high smoking rates, especially among youth.
- Secondhand and thirdhand smoke harm others exposed to tobacco smoke. Quitting tobacco can be challenging due to nicotine addiction and behavioral factors.
- Healthcare providers should use the 5 A's approach (Ask, Advise, Assess, Assist, Arrange) to counsel patients on quitting smoking. This involves discussing reasons to quit, barriers to quitting, and treatment options like nicotine replacement therapy.
- While some providers may hesitate to counsel patients due to their own smoking status,
This document provides information on how to quit smoking successfully and permanently. It details the health benefits of quitting smoking at different time periods after quitting. Within 20 minutes, heart rate drops and carbon monoxide levels return to normal. After 2 weeks to 3 months, heart attack risk begins to decrease and lung function starts improving. By 1 year after quitting, the risk of coronary heart disease is half that of a smoker. The document also outlines a 5-step plan to quit smoking, which includes getting ready, getting support, learning new skills, using medication if recommended, and being prepared for cravings. Managing withdrawal symptoms and avoiding relapse are also discussed.
This document outlines strategies for smoking cessation. It begins by defining smoking and listing the common constituents in tobacco smoke. It then discusses the various forms of smoking and their health effects, both oral and general. The stages of change model for smoking cessation is introduced. Various cessation approaches like pharmacotherapy, counseling, and alternatives to smoking are described. The 5As framework for helping patients quit is covered in detail. Motivational interviewing techniques and coping strategies while quitting are also summarized.
This document discusses the health effects of smoking and provides information on smoking cessation. Some key points:
1) Smoking significantly increases the risk of developing respiratory diseases and cancer, and over half of respiratory disease deaths are due to smoking. The risks diminish rapidly after quitting.
2) Nicotine replacement therapies like patches, gum, and lozenges can help reduce withdrawal symptoms and increase success rates for quitting. Bupropion is also used as a non-nicotine oral therapy.
3) Electronic nicotine delivery systems (ENDS) like e-cigarettes are increasingly popular but their long-term safety is still unknown. While they may contain fewer toxicants than cigarettes, health risks may
This document discusses guidelines for smoking cessation interventions and treatment. It outlines recommendations from the WHO and US Public Health Service on promoting non-smoking as the norm, prohibiting tobacco promotion, and reducing tobacco industries. The goals of smoking cessation treatment are achieving long-term abstinence, offering treatment to all tobacco users, and consistently identifying and treating tobacco use. Dental professionals can play a key role in educating patients and the community about the harms of tobacco and helping to enroll them in cessation programs. Assessment tools like the Fagerstrom Test and stages of change model are also discussed to guide treatment and counseling approaches. A variety of nicotine replacement therapies and non-nicotine medications are described for treating nic
"Some rewards of quitting include improved health, more money in your pocket, better smelling hair and clothes, role modeling healthy behavior for loved ones, and feeling proud of yourself for making such a positive change."
• 4-Roadblocks
– Identify barriers to quitting and problem-solve
ways to overcome them
• 5-Repetition
– Repeat the motivational message at each visit
"I know quitting is difficult, but staying smoke-free gets easier over time as your body heals. Let's talk through any challenges you're facing and come up with a plan."
The 5Rs help enhance motivation by focusing the discussion on personal relevance, risks, rewards, barriers, and repeating encouragement
Steps of Smoking Cessation Badr Bin Himd.pptxFayzaRayes
This document outlines the steps for smoking cessation counseling using the 5As technique. It begins by establishing smoking as a major health problem in Saudi Arabia, with prevalence rates ranging from 2.4-52.3%. The 5As technique involves asking about tobacco use, advising the patient to quit, assessing willingness to quit, assisting with a plan to quit, and arranging follow-up support. Counseling should be tailored based on a patient's stage of change and use motivational techniques. Pharmacotherapy and follow-up are important to prevent relapse among those trying to quit. The 5As approach is effective when fully implemented in clinical settings.
The presentation by Dr.M.S.Chandragupta, Chief Dental Surgeon, Dr. Gupta's Dental Specialities Centre, deals with Tobacco Cessation Methodologies.
Tobacco is the number one killer in the world and kills around 9 lakh people annually in India alone. The victims succumb to tobacco in the most productive years of their life. To curb this issue the World Health Organization has brought out a public health legal treaty called ‘Frame Work Convention on Tobacco Control (FCTC)’ which more than 176 countries have signed and ratified the same. India has signed in the year 2005 and initiated measures to bring down the demand and supply of tobacco in India as mandated by the FCTC. India has the second highest number of tobacco users in the world, at an alarming number of 274 million users (GATS Report, 2010) and it is high time we act together to make India Tobacco Free for a healthier and wealthier tomorrow
This document provides information on a presentation about tobacco. Some key points:
- Smoking remains a leading cause of preventable illness and death in Canada. Saskatchewan has high smoking rates, especially among youth.
- Secondhand and thirdhand smoke harm others exposed to tobacco smoke. Quitting tobacco can be challenging due to nicotine addiction and behavioral factors.
- Healthcare providers should use the 5 A's approach (Ask, Advise, Assess, Assist, Arrange) to counsel patients on quitting smoking. This involves discussing reasons to quit, barriers to quitting, and treatment options like nicotine replacement therapy.
- While some providers may hesitate to counsel patients due to their own smoking status,
This document provides information on how to quit smoking successfully and permanently. It details the health benefits of quitting smoking at different time periods after quitting. Within 20 minutes, heart rate drops and carbon monoxide levels return to normal. After 2 weeks to 3 months, heart attack risk begins to decrease and lung function starts improving. By 1 year after quitting, the risk of coronary heart disease is half that of a smoker. The document also outlines a 5-step plan to quit smoking, which includes getting ready, getting support, learning new skills, using medication if recommended, and being prepared for cravings. Managing withdrawal symptoms and avoiding relapse are also discussed.
This document outlines strategies for smoking cessation. It begins by defining smoking and listing the common constituents in tobacco smoke. It then discusses the various forms of smoking and their health effects, both oral and general. The stages of change model for smoking cessation is introduced. Various cessation approaches like pharmacotherapy, counseling, and alternatives to smoking are described. The 5As framework for helping patients quit is covered in detail. Motivational interviewing techniques and coping strategies while quitting are also summarized.
This document discusses the health effects of smoking and provides information on smoking cessation. Some key points:
1) Smoking significantly increases the risk of developing respiratory diseases and cancer, and over half of respiratory disease deaths are due to smoking. The risks diminish rapidly after quitting.
2) Nicotine replacement therapies like patches, gum, and lozenges can help reduce withdrawal symptoms and increase success rates for quitting. Bupropion is also used as a non-nicotine oral therapy.
3) Electronic nicotine delivery systems (ENDS) like e-cigarettes are increasingly popular but their long-term safety is still unknown. While they may contain fewer toxicants than cigarettes, health risks may
This document discusses guidelines for smoking cessation interventions and treatment. It outlines recommendations from the WHO and US Public Health Service on promoting non-smoking as the norm, prohibiting tobacco promotion, and reducing tobacco industries. The goals of smoking cessation treatment are achieving long-term abstinence, offering treatment to all tobacco users, and consistently identifying and treating tobacco use. Dental professionals can play a key role in educating patients and the community about the harms of tobacco and helping to enroll them in cessation programs. Assessment tools like the Fagerstrom Test and stages of change model are also discussed to guide treatment and counseling approaches. A variety of nicotine replacement therapies and non-nicotine medications are described for treating nic
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
This document provides guidance on using the 5As method to help patients quit smoking. The 5As include: Ask about smoking status, Advise smokers to quit, Assess willingness to quit, Assist with a plan to quit, and Arrange follow-up support. Key steps involve clearly advising patients of the health risks of smoking, helping set a quit date, recommending pharmacotherapy or other assistance, and following up over the first month to prevent relapse. The overall goal is to help smokers understand smoking dangers and develop a personalized plan to quit through counseling and support.
This document discusses smoking prevention and cessation. It notes that smoking greatly increases cancer risks and is a leading cause of cancer deaths. Nearly 4,000 children begin smoking daily in the US. Smoking is linked to numerous health conditions like heart disease and COPD. Quitting smoking promotes health by improving tolerance and reducing wrinkles. Prevention should begin in childhood and adolescence. Cessation requires an individualized multidimensional program using information, behavior modification, medications, support groups and follow up to help people quit smoking.
1. The document provides information on treating tobacco use and dependence, including psycho-behavioral therapy and pharmacotherapy like nicotine replacement therapy and antidepressants.
2. It outlines the 5 A's approach to counseling patients - Ask, Advise, Assess, Assist, and Arrange follow-up. This includes identifying tobacco users, advising them to quit, developing a cessation plan, and scheduling follow-ups.
3. Actions to address tobacco use include public education, advocacy, and regulatory approaches at community, state, and national levels to reduce tobacco-related harms.
The document discusses nicotine dependence and tobacco use. It notes that tobacco use is common worldwide and nicotine is highly addictive. It describes different types of tobacco products and the epidemiology of tobacco use. The major health consequences of tobacco are discussed. Effective interventions for tobacco cessation include brief counseling, medication like varenicline and nicotine replacement therapy, and behavioral methods. Repetitive transcranial magnetic stimulation is a newer treatment approach. Comprehensive tobacco cessation programs involve assessment, counseling, medication, and repetitive transcranial magnetic stimulation treatments.
This document provides guidelines for smoking cessation patient education. It outlines the health risks of smoking, including increased risk of cancer, heart disease, and respiratory infections. It recommends developing a plan to quit smoking that includes setting a quit date, getting social support, avoiding triggers, managing cravings, and not getting discouraged if a relapse occurs. Patients should talk to their healthcare provider about medications and nicotine replacement therapies to aid in quitting.
Brief Counseling for tobacco use Cessation Ashraf ElAdawy
The document discusses smoking cessation interventions and counseling. It covers:
- Smoking cessation is one of the most cost-effective medical interventions.
- There are different levels of smoking cessation interventions from minimal to intensive counseling and treatment.
- The 5 A's model is presented as an effective brief intervention approach which includes Ask, Advise, Assess, Assist, and Arrange.
- Stages of change are discussed from precontemplation to maintenance to explain how readiness to quit smoking changes over time. Relapse is also part of the process for many smokers.
The document discusses protecting youth from tobacco and nicotine use. It notes that the theme for World No Tobacco Day 2020 is protecting youth from industry manipulation and preventing tobacco and nicotine use. It states that for decades the tobacco industry has deliberately employed strategic tactics to attract youth to tobacco products. The global campaign aims to expose these devious tactics and empower youth to stand up against the tobacco industry. It lists some of the tactics used by the tobacco industry to market to children and adolescents, such as flavored products, social media influencers, and product placement. The document urges action to ensure a new generation is not deceived by the tobacco industry's lies and calls for empowering youth to refuse tobacco products.
This document provides information on tobacco dependence treatment. It begins with objectives and an introduction noting the global impact of tobacco use. It then describes various types of tobacco products and their significant health side effects. Signs and symptoms of nicotine dependence are outlined using the Fagerstrom Test. The benefits of quitting and roles of medical staff in treatment are discussed. Treatment methods covered include counseling, nicotine replacement therapy, medications, and support groups. Nicotine withdrawal symptoms and specifics of nicotine patches, gum, and other replacement products are also summarized.
This document discusses a presentation titled "Smoking Cessation - What’s my Role?". The objectives are to become familiar with nicotine addiction and barriers to cessation, define the respiratory therapist's role in cessation programs, and how to incorporate cessation into clinical practice. Key points include understanding nicotine's effects in the brain, the importance of motivation and ambivalence in cessation, and utilizing tools like the 5 A's and motivational interviewing to help patients quit. A variety of cessation medications are also reviewed.
This document discusses smoking cessation and tobacco use. It begins with a brief history of tobacco use and cultivation. It then covers nicotine addiction including the mechanisms of action of nicotine in the brain and body. Withdrawal symptoms and reasons for smoking are explored. The 5 A's model of smoking cessation counseling is described involving asking about smoking history, advising smokers to quit, assessing readiness, assisting with a plan, and arranging follow up. Non-pharmacological and pharmacological cessation methods are summarized.
Thoughts, Feelings And Behaviours Of Clients Attending Five Stop Smoking Clin...PRN USM
(1) The document summarizes findings from a study of smokers attending five stop-smoking clinics in Malaysia. (2) Key findings include that younger smokers and professionals made up a significant minority of attendees, and many had not seriously considered quitting prior. Health reasons were a main motivation. (3) Smokers had complex feelings about quitting - most wanted to stop but also enjoyed smoking and its perceived benefits. (4) Triggers to quit can happen unexpectedly, so smokers may act without preparation and succeed with help. Future support and interventions need flexibility to address ambivalence.
The document provides tips for quitting tobacco use. It recommends making a plan to quit on a specific date and getting support. Withdrawal symptoms like cravings can occur for weeks after quitting. Nicotine replacements can help with cravings. Tips include avoiding places one used tobacco, keeping busy, and remembering the health benefits of quitting like reduced risk of heart attack and improved circulation and taste. It encourages trying again if the first attempt at quitting fails.
This document summarizes information on tobacco use and smoking cessation. It discusses the health risks of smoking like increased risk of cancer, heart disease and stroke. It also outlines nicotine withdrawal symptoms and approaches to smoking cessation like the 5 A's model and use of medications like nicotine replacement therapy, Bupropion and Varenicline. Statistics on smoking prevalence in Malaysia from several national health surveys are presented.
This document provides information on brief tobacco cessation counseling. It discusses the three-link chain of tobacco dependence, including biological, psychological, and socio-cultural factors. It describes the five stages of change in the transtheoretical model: precontemplation, contemplation, preparation, action, and maintenance. The 5 A's approach to brief counseling is explained as Ask, Advise, Assess, Assist, and Arrange. Under each step, techniques for counseling patients on quitting tobacco are outlined, including setting a quit date, developing a quit plan, and providing resources and support.
This document discusses why quitting smoking cold turkey is the best method. Some key points:
- Quitting cold turkey means stopping smoking immediately without aids like nicotine replacements. It is free and gets nicotine out of the body quickly.
- With preparation and support, cold turkey has a high success rate since willpower is the primary factor. Tips include avoiding triggers, exercising, drinking water, and getting a support system.
- Studies show cold turkey is the most effective method. While withdrawal is intense, it is usually short-lived unlike tapering off nicotine replacements. Success depends on desire to quit and healthy lifestyle changes during the process.
1) Tobacco cessation is the process of discontinuing tobacco use and is one of the most important weapons for effective tobacco control by reducing the demand for tobacco products.
2) Quitting tobacco improves health as it leads to a healthy and long life by avoiding the harmful effects of nicotine, which is highly addictive.
3) While tobacco cessation is challenging due to nicotine addiction, it is possible through increasing motivation, receiving expert counseling and medication support, and using self-help tips like delaying cravings by distracting oneself until the urge passes.
The document discusses promoting health and well-being by supporting people to reduce alcohol intake and stop smoking. It provides overviews on alcohol reduction and smoke cessation, including screening tools and approaches for brief interventions. It emphasizes the importance of addressing alcohol and smoking in healthcare settings through very brief advice and motivational discussions to encourage behavior change.
This document outlines an assessment pack for a unit on exercise, health, and lifestyle. It includes 3 assignments that assess recommendations and guidelines for physical activity, alcohol, smoking, diet, and stress. It also assesses designing a lifestyle questionnaire, using it, and analyzing an individual's lifestyle strengths and areas for improvement. The final assignment focuses on strategies to increase physical activity, decrease alcohol consumption, make dietary changes, quit smoking, manage stress, and change behaviors. The document provides content on each topic area to support learning the objectives.
This document discusses the negative health effects of smoking for those with pre-diabetes or diabetes. It notes that smoking increases risks of heart disease, stroke, cancer, and makes blood glucose control more difficult. Quitting smoking can significantly reduce health risks and help manage blood glucose levels. The document provides tips on quitting smoking such as making your home smoke-free, avoiding smoking triggers, and using nicotine replacements or medications to help quit.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
This document provides guidance on using the 5As method to help patients quit smoking. The 5As include: Ask about smoking status, Advise smokers to quit, Assess willingness to quit, Assist with a plan to quit, and Arrange follow-up support. Key steps involve clearly advising patients of the health risks of smoking, helping set a quit date, recommending pharmacotherapy or other assistance, and following up over the first month to prevent relapse. The overall goal is to help smokers understand smoking dangers and develop a personalized plan to quit through counseling and support.
This document discusses smoking prevention and cessation. It notes that smoking greatly increases cancer risks and is a leading cause of cancer deaths. Nearly 4,000 children begin smoking daily in the US. Smoking is linked to numerous health conditions like heart disease and COPD. Quitting smoking promotes health by improving tolerance and reducing wrinkles. Prevention should begin in childhood and adolescence. Cessation requires an individualized multidimensional program using information, behavior modification, medications, support groups and follow up to help people quit smoking.
1. The document provides information on treating tobacco use and dependence, including psycho-behavioral therapy and pharmacotherapy like nicotine replacement therapy and antidepressants.
2. It outlines the 5 A's approach to counseling patients - Ask, Advise, Assess, Assist, and Arrange follow-up. This includes identifying tobacco users, advising them to quit, developing a cessation plan, and scheduling follow-ups.
3. Actions to address tobacco use include public education, advocacy, and regulatory approaches at community, state, and national levels to reduce tobacco-related harms.
The document discusses nicotine dependence and tobacco use. It notes that tobacco use is common worldwide and nicotine is highly addictive. It describes different types of tobacco products and the epidemiology of tobacco use. The major health consequences of tobacco are discussed. Effective interventions for tobacco cessation include brief counseling, medication like varenicline and nicotine replacement therapy, and behavioral methods. Repetitive transcranial magnetic stimulation is a newer treatment approach. Comprehensive tobacco cessation programs involve assessment, counseling, medication, and repetitive transcranial magnetic stimulation treatments.
This document provides guidelines for smoking cessation patient education. It outlines the health risks of smoking, including increased risk of cancer, heart disease, and respiratory infections. It recommends developing a plan to quit smoking that includes setting a quit date, getting social support, avoiding triggers, managing cravings, and not getting discouraged if a relapse occurs. Patients should talk to their healthcare provider about medications and nicotine replacement therapies to aid in quitting.
Brief Counseling for tobacco use Cessation Ashraf ElAdawy
The document discusses smoking cessation interventions and counseling. It covers:
- Smoking cessation is one of the most cost-effective medical interventions.
- There are different levels of smoking cessation interventions from minimal to intensive counseling and treatment.
- The 5 A's model is presented as an effective brief intervention approach which includes Ask, Advise, Assess, Assist, and Arrange.
- Stages of change are discussed from precontemplation to maintenance to explain how readiness to quit smoking changes over time. Relapse is also part of the process for many smokers.
The document discusses protecting youth from tobacco and nicotine use. It notes that the theme for World No Tobacco Day 2020 is protecting youth from industry manipulation and preventing tobacco and nicotine use. It states that for decades the tobacco industry has deliberately employed strategic tactics to attract youth to tobacco products. The global campaign aims to expose these devious tactics and empower youth to stand up against the tobacco industry. It lists some of the tactics used by the tobacco industry to market to children and adolescents, such as flavored products, social media influencers, and product placement. The document urges action to ensure a new generation is not deceived by the tobacco industry's lies and calls for empowering youth to refuse tobacco products.
This document provides information on tobacco dependence treatment. It begins with objectives and an introduction noting the global impact of tobacco use. It then describes various types of tobacco products and their significant health side effects. Signs and symptoms of nicotine dependence are outlined using the Fagerstrom Test. The benefits of quitting and roles of medical staff in treatment are discussed. Treatment methods covered include counseling, nicotine replacement therapy, medications, and support groups. Nicotine withdrawal symptoms and specifics of nicotine patches, gum, and other replacement products are also summarized.
This document discusses a presentation titled "Smoking Cessation - What’s my Role?". The objectives are to become familiar with nicotine addiction and barriers to cessation, define the respiratory therapist's role in cessation programs, and how to incorporate cessation into clinical practice. Key points include understanding nicotine's effects in the brain, the importance of motivation and ambivalence in cessation, and utilizing tools like the 5 A's and motivational interviewing to help patients quit. A variety of cessation medications are also reviewed.
This document discusses smoking cessation and tobacco use. It begins with a brief history of tobacco use and cultivation. It then covers nicotine addiction including the mechanisms of action of nicotine in the brain and body. Withdrawal symptoms and reasons for smoking are explored. The 5 A's model of smoking cessation counseling is described involving asking about smoking history, advising smokers to quit, assessing readiness, assisting with a plan, and arranging follow up. Non-pharmacological and pharmacological cessation methods are summarized.
Thoughts, Feelings And Behaviours Of Clients Attending Five Stop Smoking Clin...PRN USM
(1) The document summarizes findings from a study of smokers attending five stop-smoking clinics in Malaysia. (2) Key findings include that younger smokers and professionals made up a significant minority of attendees, and many had not seriously considered quitting prior. Health reasons were a main motivation. (3) Smokers had complex feelings about quitting - most wanted to stop but also enjoyed smoking and its perceived benefits. (4) Triggers to quit can happen unexpectedly, so smokers may act without preparation and succeed with help. Future support and interventions need flexibility to address ambivalence.
The document provides tips for quitting tobacco use. It recommends making a plan to quit on a specific date and getting support. Withdrawal symptoms like cravings can occur for weeks after quitting. Nicotine replacements can help with cravings. Tips include avoiding places one used tobacco, keeping busy, and remembering the health benefits of quitting like reduced risk of heart attack and improved circulation and taste. It encourages trying again if the first attempt at quitting fails.
This document summarizes information on tobacco use and smoking cessation. It discusses the health risks of smoking like increased risk of cancer, heart disease and stroke. It also outlines nicotine withdrawal symptoms and approaches to smoking cessation like the 5 A's model and use of medications like nicotine replacement therapy, Bupropion and Varenicline. Statistics on smoking prevalence in Malaysia from several national health surveys are presented.
This document provides information on brief tobacco cessation counseling. It discusses the three-link chain of tobacco dependence, including biological, psychological, and socio-cultural factors. It describes the five stages of change in the transtheoretical model: precontemplation, contemplation, preparation, action, and maintenance. The 5 A's approach to brief counseling is explained as Ask, Advise, Assess, Assist, and Arrange. Under each step, techniques for counseling patients on quitting tobacco are outlined, including setting a quit date, developing a quit plan, and providing resources and support.
This document discusses why quitting smoking cold turkey is the best method. Some key points:
- Quitting cold turkey means stopping smoking immediately without aids like nicotine replacements. It is free and gets nicotine out of the body quickly.
- With preparation and support, cold turkey has a high success rate since willpower is the primary factor. Tips include avoiding triggers, exercising, drinking water, and getting a support system.
- Studies show cold turkey is the most effective method. While withdrawal is intense, it is usually short-lived unlike tapering off nicotine replacements. Success depends on desire to quit and healthy lifestyle changes during the process.
1) Tobacco cessation is the process of discontinuing tobacco use and is one of the most important weapons for effective tobacco control by reducing the demand for tobacco products.
2) Quitting tobacco improves health as it leads to a healthy and long life by avoiding the harmful effects of nicotine, which is highly addictive.
3) While tobacco cessation is challenging due to nicotine addiction, it is possible through increasing motivation, receiving expert counseling and medication support, and using self-help tips like delaying cravings by distracting oneself until the urge passes.
The document discusses promoting health and well-being by supporting people to reduce alcohol intake and stop smoking. It provides overviews on alcohol reduction and smoke cessation, including screening tools and approaches for brief interventions. It emphasizes the importance of addressing alcohol and smoking in healthcare settings through very brief advice and motivational discussions to encourage behavior change.
This document outlines an assessment pack for a unit on exercise, health, and lifestyle. It includes 3 assignments that assess recommendations and guidelines for physical activity, alcohol, smoking, diet, and stress. It also assesses designing a lifestyle questionnaire, using it, and analyzing an individual's lifestyle strengths and areas for improvement. The final assignment focuses on strategies to increase physical activity, decrease alcohol consumption, make dietary changes, quit smoking, manage stress, and change behaviors. The document provides content on each topic area to support learning the objectives.
This document discusses the negative health effects of smoking for those with pre-diabetes or diabetes. It notes that smoking increases risks of heart disease, stroke, cancer, and makes blood glucose control more difficult. Quitting smoking can significantly reduce health risks and help manage blood glucose levels. The document provides tips on quitting smoking such as making your home smoke-free, avoiding smoking triggers, and using nicotine replacements or medications to help quit.
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Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
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Co-Chairs, Val J. Lowe, MD, and Cyrus A. Raji, MD, PhD, prepared useful Practice Aids pertaining to Alzheimer’s disease for this CME/AAPA activity titled “Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neuroradiology in Diagnosis and Treatment.” For the full presentation, downloadable Practice Aids, and complete CME/AAPA information, and to apply for credit, please visit us at https://bit.ly/3PvVY25. CME/AAPA credit will be available until June 28, 2025.
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klinikberhentimerokok-181128222715.pdf
1. KLINIK BERHENTI
MEROKOK (KBM)
Presented by:
Dr. Muhammad Iqbal B. Mukhti,
Peg. Perubatan UD44,
Klinik Kesihatan Tanah Merah
perkhidmatan promosi & klinikal membantu pelanggan
klinik yg merokok berhenti merokok
3. Objektif
• Umum
masyarakat bebas ketagihan rokok dgn amalkan
gaya hidup sihat ke arah kesihatan optima
• Spesifik
beri kesedaran dan pengetahuan bahaya/kesan
negatif rokok kepada perokok
perokok mengikuti teknik-teknik berhenti merokok
perokok berhenti merokok secara teratur & terancang
perokok yg berhenti kekalkan status tidak merokok
galakkan masyarakat yg tak merokok untuk terus tak
merokok
4. Kadar Berjaya Berhenti Merokok PKD 2015
(Kohort Jan-Jun 2015)
Daerah
Bil Klien Daftar KBM
(Jan-Jun 2015)
Bil Berhenti Merokok
Selepas 6 bulan
(July-Dis 2015)
Kadar Berhenti (%)
Kota Bharu 15 2 13.3
Bachok 42 2 4.7
Pasir Mas 34 1 2.9
Pasir Puteh 46 1 2.1
Tanah Merah 43 0 0
Jeli 11 0 0
Machang 23 0 0
Kuala Krai 10 0 0
Gua Musang 14 0 0
Tumpat 15 0 0
JUMLAH 253 6 2.3%
5. Sasaran KBM
KPI
1) Sekurang-kurangnya:
3 klien/bulan/klinik didaftarkan Atau
36 klien/ tahun/ KK
36 Pesakit/T @
3Pesakit /M
2) Peratus klien berhenti merokok
selama 6 bulan setelah menjalani
rawatan KBM
*Bahagian Pembangunan Kesihatan
Keluarga
≥30%
Untuk mencapai kadar berhenti merokok
20% (WHO)
7. WHA78
TOWARDS THE END GAME OF TOBACCO
↓ by 30% (baseline 2011)
NATIONAL SMOKING PREVALANCE
<5%
2025 2045
WHO NCD Global Target The END Game
8. PELAN DIBENTUK BERPANDUKAN STRATEGI
MPOWER
Strategi yang telah dicadangkan oleh WHO - 6 strategi utama
Regional Action Plan
For The Tobacco Free Initiative
in The Western Pacific
14. PRINSIP 3A
1. Ask - Tanya dan dokumenkan penggunaan
tembakau
2. Advise - Nasihatkan tentang bahaya merokok
dan faedah berhenti merokok.
3. Action - Dokumen status merokok di kad
pesakit. Membuat rujukan ke KBM
16. PRINSIP 5A
1. Ask - Tanya dan dokumenkan penggunaan tembakau
2. Advise - Nasihatkan tentang bahaya merokok dan
faedah berhenti merokok.
3. Assess - Nilai tahap ketagihan dan kesediaan klien
berhenti merokok.
4. Assist - Bantu klien berhenti merokok.
5. Arrange - Buat persiapan untuk klien berhenti
merokok seperti tetapkan tarikh berhenti, maklumkan
kepada keluarga/rakan, fokus teknik-teknik atasi
ketagihan/keinginan merokok, bincang keperluan
rawatan farmakologikal serta cari punca kegagalan
percubaan berhenti merokok sebelum ini.
21. PRINSIP 5R
1. Relevance – Kaitkan kepentingan peribadi klien
sekiranya beliau berhenti merokok eg; hendak
mendapat anak dll.
2. Risks – Kesan negatif penggunaan tembakau
risiko jangka masa panjang, pendek dan risiko
kepada orang sekeliling.
3. Rewards – Ganjaran/kelebihan jika berhenti
merokok.
4. Roadblocks - Kenalpasti halangan klien utk
berhenti
5. Repetition - Motivasi ini diulang beberapa kali
untuk tingkatkan keyakinan dan beri galakan
untuk terus mencuba walaupun pernah gagal
22. Relevance
• Lebih spesifik & relevan dgn pesakit eg;
- related to pt’s current disease, age, gender
- family & social situation (eg; having children
at home)
23. Dari perspektif Islam, Fatwa merokok adalah haram.
Mufti Mesir, Arab Saudi,Pakistan dan lain2
Majlis Fatwa Kebangsaan Malaysia melalui muzakarah yang ke-37
(23 Mac 1995)
Tapi, hanya beberapa negeri Selangor, Kedah, Pulau pinang
mewartakannya.
DECREE (FATWA) ON SMOKING
“Dan belanjalah pada jalan Allah, dan janganlah
mencampakkan diri ke jalan kebinasaan, dan
berbuat baiklah sesungguhnya Allah sangat suka
mereka yang melakukan kebaikan” (Al Baqarah :
195)
24.
25. Risks
• Acute risk;
- SOB, AEBA, risk chest infection, harm to
pregnancy, infertile, impotence
• Long term;
- heart attacks, stroke, lung other Ca, COPD,
osteoporosis, long term disability
• Environmental risk;
- spouse-related lung & other Ca, sudden infant
death, risk for LBW, resp infection & asthma in
children
28. 20
M
• Degupan jantung, BP, denyut nadi kembali normal
8 J • CO mulai keluar dari tubuh, lebih banyak oksigen dibawa masuk
12 J • Paras toksik CO turun & kembali ke tahap seperti tidak merokok
24 J • Risiko serangan jantung menurun
36 J • Urat saraf yang rosak kesan toksik rokok mulai tumbuh kembali
48 J • Deria bau & rasa semakin pulih dan tajam seperti bukan perokok
72 J • Paru-paru telah pulih dan anda menyedut lebih banyak oksigen
14 H • Peredaran darah bertambah baik
3 B • Sistem pertahanan makin kuat, tahap kesuburan meningkat
9 B • Pernafasan terus membaik, risiko sesak nafas berkurang
1 T • Risiko serangan jantung ↓50%
5 T • Risiko kanser esophagus, prostate ↓50%. Kanser servikal & stroke juga ↓
10 T • Risiko kematian kanser ↓50%, risiko kanser paru-paru seperti bukan perokok
15 T • Risiko penyakit jantung ↓ seperti bukan perokok
29. Smoking Finances: Premium brands
1 pack/ day 2 packs/ day
1 day RM 17.00 RM 34.00
1 week RM 119.00 RM 238.00
1 month RM510.00 RM1,020.00
1 year RM6,205.00 RM12,410.00
30. Roadblocks
• Withdrawal symptoms
• Takut gagal berhenti
• Berat naik
• Kurang support
• Depression
• Enjoyment of tobacco
• Bersama org merokok disekeliling
• Kurang pengetahuan treatment option
Withdrawal symptoms
-Insomnia
-Increase appetite
-Easily irritable
-Fatigue
-Loss focus
-Headache
-Constipation
-Numbness limbs
31. Bagaimana menangani keinginan
untuk merokok
1. Melengahkan masa
2. Membasuh muka /Tangan /Mandi kerap
kali
3. Mengunyah sesuatu
4. Menarik nafas dalam
5. Meminum banyak air (Elak Minuman
Bercaffein/Alkohol)
6. Mengalih perhatian
7. Membuat aktiviti senaman
8. Menjauhi daripada perokok
9. Menyibukkan diri dengan aktiviti lain
10. Meditasi (eg; solat, doa, yoga)
D.E.A.D Strategy
D – DELAY
E – ESCAPE
A – AVOID
D - DISTRACT
32. Repetition
• Sentiasa ulang, ulang dan ulang untuk
meningkatkan motivasi berhenti merokok
• MOTIVASI:
“..Kebanyakan mereka berulang kali BERUSAHA
untuk berhenti merokok sebelum betul-betul
berjaya..”
37. • Markah:
0-2 ketagihan sangat rendah 3-4 ketagihan rendah
5 ketagihan sederhana 6-7 ketagihan tinggi
8-10 ketagihan sangat tinggi
• < 5: “Tahap ketagihan rendah. Bertindak sekarang sebelum
ketagihan meningkat.”
• 5-7: “Tahap sederhana. Jika tak berhenti segera, tahap
ketagihan akan meningkat sehingga mungkin ketagihan
serius. Bertindak sekarang! ”
• >7: “Tahap ketagihan tinggi. Anda tidak dapat mengawal
tabiat merokok anda! Apabila anda membuat keputusan
untuk berhenti, mungkin anda mahu bertanya kepada
doktor anda mengenai terapi penggantian nikotin atau ubat-
ubatan lain untuk membantu”
43. Nicotine Gum
• 1st line pharmacotherapy
• 2 strength: 2mg & 4mg
2mg: <20 cig/day
4mg: ≥20cig/day
• Tidak dibenarkan
makan/minum 15 min
sebelum/semasa/selepas
mengunyah gula getah
• SE (mild, transient): jaw
ache, mouth soreness,
hiccups, dyspepsia
• 3 months : 8-12 gum/day
*NOT MORE THAN
24 gums/day
• DO NOT take double dose
if forget to use (chew only
1 gum at 1 time)
• NOT for pregnant,
breastfeeding, smoker
<18y.o
44.
45. Nicotine Patch
• 1st line pharmacotherapy
• Membekalkan nikotin
selama 16 jam sewaktu
berjaga
• 2 strength; 10mg, 15mg
• <15 btg sehari:
15mg/day for 2 months
then, 10mg/day for 1
month
• ≥ 15 btg sehari:
25mg/day for 2 months
then, 15mg/day for 2 weeks
then, 10mg/day for 2 weeks
• Cara-cara;
- guna sebaik saja bangun dari
tidur
- tanggal patch sebelum tidur
- tampal tempat berlainan utk
elak kerengsaan kulit
- clean, dry, hairless location
(eg; shoulder, upper arm, hip)
- rest previous site at least 1
week
- remove after 16H
- basuh tangan sebelum guna
-
46.
47. Nicotine Patch
• SE:
- skin itchiness (~50%;
self limiting, treat with
HCT)
- insomnia
- headache
• Smokers with time-to-
first cigarette (TTFC) of
within 30min, benefit of
putting patch before
sleeping, so plasma
nicotine level is highest
upon waking up 6-8H
post patch application
48.
49. Varenicline
• 1st line pharmacotherapy
• Ambil utk 12 week
• Pt should SET DATE TO
QUIT
• Start 1-2 weeks before quit
date
• Tidak boleh diambil oleh
perokok:
- bawah umur 18 tahun
• Special precaution:
- Renal failure
- Hemodialysis
- U/L serious Psychiatic
disorder
• Swallowed with water taken
with or without food
50. Varenicline
• SE:
- nauseated
- giddiness
- insomnia
- abnormal dream
- GIT upset
- increase appetite
- fatigue
• At the end of
treatment, SE-related to
stop varenicline:
- irritability
- urge to smoke
- depression
- insomnia
TEMPOH DOS
1st & 2nd Week
(Starter Pack)
Hari 1-3 0.5mg OD
Hari 4-7 0.5mg BD
Hari 8-14 1mg BD
3rd – 12th Week
(Maintainance
Pack)
Hari 15
seterusnya
1mg BD
51. Varenicline
• Mild to mod renal
impairment (30-80
mL/min): NO DOSAGE
ADJUSTMENT
• Mod renal impairment
not tolerable with
adverse effect : 1mg OD
• Severe renal impairment
(<30mL/min) : 0.5mg OD
x 3/7, then 1mg OD
• Liver impairment : NO
DOSAGE ADJUSTMENT
• Elderly: NO DOSAGE
ADJUSTMENT
52. Follow up
• 1st month : every week
• 2nd & 3rd month : every 2 week
• 4th – 6th month : every 4 week
• Up to 1 year : every 12 week
55. Kejayaan KBM
• QUITTER - successfully quit smoking if
abstinent without even a single puff of
cigarette for at least six months from the last
cigarette (which is also his Quit Date).
56. Reference
1. CPG on Treatment of Tobacco Use Disorder 2016
by Ministry of Health Malaysia
2. Garis Panduan Perkhidmatan Berhenti Merokok
Di Klinik Kesihatan by Bahagian Pembangunan
Kesihatan Keluarga Kementerian Kesihatan
Malaysia Julai 2011
3. Quick Reference Guide Perkhidmatan Berhenti
Merokok Di Fasiliti Kesihatan