Laminated pocket-card versions of the 4 A's are available. For information, send email to Beth Ewy . Provide self-help materials and referrals. Risks -Ask patient to identify negative consequences of smoking. Rewards -Ask patient to identify benefits of quitting.
Repetition -Repeat every visit.
Congratulate, encourage maintenance. Review benefits from cessation. Review successes during quit attempt. Review problems encountered, offer possible solutions. Remind patient to use lapse as a learning experience.