As such, every patient who uses tobacco should be offered a treatment shown to be effective. A sk patients if they use tobacco, and include tobacco-use status as a vital sign. An officewide system can be implemented to ensure that all patients are queried regarding their tobacco use. A ssess willingness to make a quit attempt in the next 30 days. Provide a motivational intervention for those unwilling to quit at this time.
Total abstinence is the key objective.
Patients should limit alcohol use and anticipate and plan for challenges and triggers. A rrange follow-up within the first week after the quit date to prevent relapse. Have patients indicate why quitting is personally relevant. Discuss potential negative consequences of tobacco use, including acute and long-term health effects and environmental risks. Repeat the motivational intervention at every visit of the reluctant patient.