Smoking Cessation Matters in Primary Care

Description

Content: Cover Title Page Copyright Page Contents Preface About the authors 1 Smoking initiation, nicotine addiction and the smoking life-course History of tobacco use Pharmacology of nicotine Individual differences in nicotine metabolism and sensitivity to nicotine Smoking initiation in early to mid-adolescence Reflection exercise References 2 Smoking and health Statistics and supporting evidence Common diseases caused by smoking Pregnancy and childbirth Passive smoking Smoking cessation Reflection exercises References 3 Psychological and behavioural techniques Psychological and behavioural techniquesIndividual differences in efficacy Timing of interventions to maximise effect Combining with pharmacological interventions Accessibility of psychological and behavioural techniques Alternative therapies Summary of effective interventions Summary of Cochrane Tobacco Addiction Group Reviews Reflection exercise References 4 Pharmacological interventions and new medications Nicotine replacement therapy (NRT) Evidence for the efficacy of NRT Novel delivery systems Cost of NRT Withdrawal and side-effects Advising on NRT use Other medications Reflection exercisesReferences 5 Practice policies and attitudes Specialist smoking cessation services Non-smoking policies and attitudes to smokers The primary care team Reflection exercises References 6 Opportunities Ask Advise Assess Reflection exercise References 7 Interventions Assist Arrange Audit Reflection exercises Reference 8 Clinical governance and smoking cessation Components of clinical governance The challenges to delivering clinical governance Reflection exercise References 9 Draw up and apply your personal development plan Worked example of a personal development plan: the management of smoking cessationTemplate for your personal development plan References 10 Draw up and apply your practice or workplace personal and professional development plan Worked example of a practice or workplace personal and professional development plan: providing guidelines for pharmacological interventions for smoking cessation in a trust or PCO Template for your practice or workplace personal and professional development plan References Appendix 1 The stages of change Appendix 2 Carbon monoxide monitoring Appendix 3 Prescribing nicotine replacement therapyAppendix 4 A practice protocol Appendix 5 Draft workplace smoking policy (ASH) Appendix 6 Resources Index