Canadian Smoking Cessation Clinical Practice Guideline

CANADIAN SMOKING CESSATION GUIDELINEHOSPITAL-BASED POPULATIONSSUMMARY STATEMENT #1All patients should be made aware of hospitalsmoke-free policies.GRADE*: 1CSUMMARY STATEMENT #2All elective patients who smoke should bedirected to resources to assist them to quitsmoking prior to hospital admission orsurgery, where possible.GRADE*: 1BSUMMARY STATEMENT #3All hospitals should have systems in place to:a) identify all smokers;GRADE*: 1Ab) manage nicotine withdrawal duringhospitalization;GRADE*: 1Cc) promote attempts toward long-termcessation and;MENTAL HEALTH AND/OR OTHERADDICTION(S)SUMMARY STATEMENT #1Health care providers should screen personswith mental illness and/or addictions fortobacco use.GRADE*: 1ASUMMARY STATEMENT #2Health care providers should offercounselling and pharmacotherapy treatmentto persons who smoke and have a mentalillness and/or addiction to other substances.GRADE*: 1ASUMMARY STATEMENT #3While reducing smoking or abstaining(quitting), health care providers shouldmonitor the patients’/clients’ psychiatriccondition(s) (mental health status and/orother addiction(s)). Medication dosage shouldbe monitored and adjusted as necessary.GRADE*: 1AGRADE*: 1Ad) provide patients with follow-up supportpost-hospitalization.GRADE*: 1ASUMMARY STATEMENT #4Pharmacotherapy should be considered:a) to assist patients to manage nicotinewithdrawal in hospital;GRADE*: 1Cb) for use in-hospital and posthospitalizationto promote long termcessation.GRADE*: 1Bvi