1 / 9

Brief Intervention Smoking Cessation Kit (BrISCK)

+. =. BrISCK. Patient using tobacco. Happy, healthy, tobacco-free patient. Brief Intervention Smoking Cessation Kit (BrISCK).

andrew
Download Presentation

Brief Intervention Smoking Cessation Kit (BrISCK)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. + = BrISCK Patient using tobacco Happy, healthy, tobacco-free patient Brief Intervention Smoking Cessation Kit (BrISCK)

  2. Minimal interventions (<3min) and low intensity interventions (3-10min) increase overall tobacco abstinence rates [OR(95%CI): 1.3(1.01-1.6); 1.6(1.2-2.0)] with a strong dose-response relation between the session length and counseling therapies. Quick Facts • Death • Cigarette smoking is #1 cause of preventable death in U.S. • In U.S., tobacco kills more a Americans than auto accidents, homicide, AIDS, durgs, and fires combine • 137,979 CV related deaths/year • 101,454 respiratory disease deaths/year including pneumonia, bronchitis, emphysema • 123,836 airway cancer death/year including lung, trachea, and bronchus cancer • Every 6.5 seconds, someone in the world dies from a smoking–related disease • Smoking during pregnancy results in 900 infant deaths/year • Cigarettes will leave 12,000 kids motherless/year (33 mothers/day) • Secondhand Smoke • 50,000 deaths/year from secondhand smoke-related diseases • 3000 deaths/year from secondhand smoke-related lung cancer • Quitting • 63% of high school smokers say they want to quit • 61.4% of people below the poverty level want to quit • 47.3% of women who have ever smoked have quit • 70% of smokers say they want to quit • Each year 41% of smokers quit for at least a day

  3. 5 A’s Tobacco Intervention ASK(about tobacco use at every visit) - ensure that tobacco use status is asked during your interview - ensure that tobacco use is documented on every chart - cigarettes: pack years = #ppd x years - cigars: # per day, years - smokeless tobacco: amount/day, years

  4. 5 A’s Tobacco Intervention ADVISE(all tobacco users to quit) - “I strongly advise you to quit smoking and I can help you”

  5. 5 A’s Tobacco Intervention ASSESS (readiness to quit) - ask every tobacco user if s/he is willing to make a quit attempt at this time Yes: provide assistance No: provide motivational intervention - Calculator, Changes, Resources

  6. 5 A’s Tobacco Intervention ASSIST(tobacco users in quitting) 1. Provide brief counseling: - reasons to quit, especially contribution to patient’s health or morbidity, and effect on family and friends - barriers to quitting - lessons from previous quit attempts, or other overcoming other lifetime adversities - set a definitive quit date, if ready - enlist social support (family, friends, support network) 2. Recommend use of pharmacotherapy or alternative therapies - Pharmacotherapy, Contraindications, Resources 3. Provide supplementary educational materials - Resources,Changes

  7. 5 A’s Tobacco Intervention ARRANGE(follow-up) - Refer using Resources - On subsequent visit, review progress. Congratulate Success. Encourage maintenance. - If tobacco use has occurred: ask for recommitment, review circumstances, use lapse as learning experience, assess proper therapy - Consider referral using Resources - Fill out Patient Information with every intervention and mail when complete (please, please, please!)

  8. In Review • Ask about smoking with every interview • Advise all tobacco users to quit • Assess readiness to quit; utilizing Calculator, Changes, and Resources for encouragement • Assist in finding appropriate therapies (Pharmacotherapy/Contraindications) and educational services (Resources) • Arrange referral (Resources) • Fill-out Patient Information with every intervention and mail when complete • Hand out the Resources and Changes to every patient, DO NOT HAND OUT THE NEONSTICKERS

  9. ?Questions? THANK YOU!! Acknowledgements C. Everett Koop Institute - Dr. C. Everett Koop, Susan Wills, Holly Johnson, Kate Van Brunt DCARE - Dr. Seddon Savage, Mary Batchelder DMS - Lonnie Larrow, Dr. Joe Odonnell, Dr. Don West, Noah Hoffman ACS - Rick Wold

More Related