No Ifs, Ands or Butts - Continuing Medical Education
No Ifs, Ands or Butts - Continuing Medical Education
No Ifs, Ands or Butts - Continuing Medical Education
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RELAPSE PREVENTION• Early follow-up• Lack of supp<strong>or</strong>t• Negative mood• Prolonged withdrawal• Weight gain19ARRANGERecycleRelapse?ASKPrecontemplationActionStageASSISTContemplationPlanningStageADVISEASSESS20MOTIVATIONALINTERVIEWINGMOTIVATIONALINTERVIEWINGI. EXPRESS EMPATHY● Ask/Invite patient to tell about behavi<strong>or</strong>- Listen empathetically- Reflect what you hearII.ASSESS DISCREPANCY● Conviction 1-10● Confidence 1-10● Stage of readiness21III. ROLLING WITH RESISTANCE● Increase confidence- Expl<strong>or</strong>e past experience● Increase conviction- Expl<strong>or</strong>e ambivalence (pros vs. cons)IV. SUPPORT SELF EFFICACY● Build on past successes● Offer range of alternative approachesMiller and Rollnick, 200222Modified Tobacco ProductsWhat pharmacotherapies are available toASSIST in the quit attempt?By using the pharmacotherapiesfound to be effective in the PHSGuideline, you can double <strong>or</strong> tripleyour patients’ chances of abstinence.23244
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