Quit Plan - ANSWER-STAR
S- set a quit date
T- tell friends, family, coworkers
A- anticipate challenges to quitting
R- remove all tobacco products from environment
* alternative therapies- pharmacotherapy and community resources/ support groups
Second and Third Hand Smoke - ANSWER-harmful to everyone, especially children as they cannot
control their environment
Alternative types of tobacco - ANSWER-smokeless tobacco- dipping or chewing
waterpipe/hookah smoking
e-cigarettes
effects of smokeless tobacco - ANSWER-gum recession
oral cancers
heart disease
gastric ulcers
5 A's of smoking cessation - ANSWER-ask
advise
assess
assist-star
, arrange
ask (5 a's) - ANSWER-ask permission to discuss/ address the topic
ex. Do you or have you smoked or use tobacco products?
assess- frequency, past quit attempts, products used
advise (5 a's) - ANSWER-"quitting smoking is the number one most important thing you can do for your
health"
relate this advice to pt's health issues and make it personal
assess (5 a's) - ANSWER-how interested are you in attempting to quit?
"are you interested in quitting smoking in the next 30 days?"
capitalize on motivation and actually set a quit date
use importance ruler - 1-7 how important is it for you to stop smoking
if interested - assist with a plan
if not interested- 5 R's
assist- star (5 a's) - ANSWER-set a quit date and plan with the pt
S- set quit date (within 2 wks- 1 month)
T- tell family, friends, and coworkers (to make accountable)
A- anticipate challenges to quitting
R- remove tobacco products from environment
provide info for support like tobacco QUIT-LINE and community resources or alternative therapies such
as pharmacotherapy
arrange (5 a's) - ANSWER-arrange a follow-up after quit attempt