TQM 1 Clinical Presentation-Another FINAL

TREATMENT FOR TOBACCO DEPENDENCEFor Clinicians & Their Patients : 

TREATMENT FOR TOBACCO DEPENDENCEFor Clinicians & Their Patients 1. Help you to optimize care to your patients who smoke 2. Present findings & recommendations for evidence-based treatment 3. Offer a brief overview of how The Quit Method® works THE PURPOSE: Lisa Lawn Tobacco Treatment Specialist “If we did all that we are capable of, we would literally astound ourselves.” Thomas Edison

NEGATIVE EMOTIONSassociated with quitting : 

NEGATIVE EMOTIONSassociated with quitting GUILT ANXIETY UNCERTAINTY DEFENSIVENESS SHAME FEAR DENIAL

POSITIVE MINDSETassociated with success : 

POSITIVE MINDSETassociated with success COURAGE COMMITMENT MOTIVATION CONFIDENCE DETERMINATION ENTHUSIASM WILLPOWER Evidence-Based Tobacco Intervention

THE CONFLICTBreaking Up Is Hard To Do : 

THE CONFLICTBreaking Up Is Hard To Do “I know I should quit” “I want to quit” But... “I enjoy smoking” “Smoking relaxes me” “I can’t imagine my life without cigarettes” “I want more energy and health”

Slide 5: 

PROFFESIONAL GUIDANCE ACCOUNTABILITY Key Component: PREPARATION “If given 8 hours to chop down a tree; use 6 hours to sharpen the axe.” Abraham Lincoln STRUCTURE Evidence-Based Tobacco Intervention

Treating Tobacco Use and Dependence:Clinical Practice Guideline : 

• Agency for Healthcare Research and Quality (AHRQ) • Centers for Disease Control and Prevention (CDC) • National Cancer Institute (NCI) • National Heart, Lung, and Blood Institute (NHLBI) • National Institute on Drug Abuse (NIDA) • American Legacy Foundation • Robert Wood Johnson Foundation • University of Wisconsin Center for Tobacco Research and Intervention Treating Tobacco Use and Dependence:Clinical Practice Guideline National Public Health Service sponsored publication CITATION Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service

KEY FINDING #1 : 

BRIEF INTERVENTION BY CLINICIANS Significantly increases participation in smoking cessation programs KEY FINDING #1

KEY FINDING # 2 : 

MEDICATION + COUNSELING Results in the highest abstinence rates when used in combination KEY FINDING # 2

2 Key findings by theNational Public Health Services : 

#1 BRIEF INTERVENTION BY CLINICIANS… increases participation in smoking cessation programs #2 MEDICATION + COUNSELING… highest abstinence rates when used in combination 2 Key findings by theNational Public Health Services

THE GUIDELINEFor Brief Intervention : 

• ASK if patient uses tobacco • ADVISE patient of need to quit • ASSESS patients readiness • ASSIST patient in receiving medication & counseling • ARRANGE follow-up THE GUIDELINEFor Brief Intervention The 5 A’s

ASKabout tobacco use at every visit : 

ASKabout tobacco use at every visit VITAL SIGNS Blood Pressure:__________________________________________ Pulse: __________________   Weight: __________________ Temperature: ____________________________________________ Respiratory Rate: ________________________________________ Tobacco Use:        Current        Former        Never        (circle one) Implement a system in your clinic that ensures that tobacco-use status is obtained and recorded at every patient visit.

7 First-line MEDICATIONSRecommended for use by the Guideline Panel : 

7 First-line MEDICATIONSRecommended for use by the Guideline Panel Nicotine Replacement Medication Nicotine Gum Nicotine Inhaler Nicotine Lozenge Nicotine Nasal Spray Nicotine Patch Non-Nicotine Medication Bupropion SR Varenicline/Chantix

Slide 13: 

ADVISE of importance of quitting. Yes Yes No No Yes No ARRANGE Follow Up And The Five A’s of Clinical Practice Brief Tobacco Intervention * See Treatment Program ** See Motivational Interviewing *** See Treatment Program ARRANGE Follow Up

Evidence-Based Tobacco Treatment Program : 

Evidence-Based Tobacco Treatment Program • INTENSIVE TQM® works in 3 Phases: Prepare – Quit – Prevent Relapse • PROFESSIONALLY STRUCTURED TQM® systematically weakens triggers & associations • COMPREHENSIVE TQM® tackles the physical addiction and the mental addiction • HIGH LEVEL SUPPORT TQM® is personally facilitated by a tobacco treatment specialist • RELAPSE PREVENTION TQM® 1 year support keeps you on track for life!

A RESOURCE:For Clinicians & Their Patients : 

A RESOURCE:For Clinicians & Their Patients • Clinicians can positively influence the health risk status of their patients • Effective evidence-based tobacco treatment programs are available • The Quit Method® is a resource for physicians to help as many people as possible move toward drastically improving health, longevity and well-being. Please contact me, Lisa Lawn, to learn how The Quit Method’s program can help your patients who smoke. lisa@thequitmethod.com 949-637-1558