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Brief Intervention Smoking Cessation Kit (BrISCK)

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Cigarette smoking is #1 cause of ... 137,979 CV related deaths/year ... Cigarettes will leave 12,000 kids motherless/year (33 mothers/day) Secondhand Smoke ... – PowerPoint PPT presentation

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Title: Brief Intervention Smoking Cessation Kit (BrISCK)


1
Brief Intervention Smoking Cessation Kit (BrISCK)
2
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 smokingrelated 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 As 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 As Tobacco Intervention
  • ADVISE (all tobacco users to quit)
  • - I strongly advise you to quit smoking and I
    can help you

5
5 As 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 As Tobacco Intervention
  • ASSIST (tobacco users in quitting)
  • 1. Provide brief counseling
  • - reasons to quit, especially contribution to
    patients 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 As 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 NEON STICKERS

9
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
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