Navigation Links
Smokers with lung disease need more than 'brief' intervention
Date:4/1/2008

Smokers with lung disease require more than brief smoking cessation interventions to successfully quit, researchers in the Oregon Health & Science University Smoking Cessation Center report.

Their recommendations were published Tuesday, April 1, in the online edition of Pulmonary and Critical Care Update, a publication of the American College of Physicians.

Although effective treatments for smoking cessation exist, and research has shown that patients who receive smoking cessation treatment are twice as likely to quit -- limited insurance coverage, poor adherence to practice guidelines, lack of clinician training in smoking cessation, time constraints and inadequate clinic systems to easily identify and treat smokers have limited the availability and quality of smoking cessation treatment.

Most clinicians who treat their patients for smoking cessation provide only brief interventions, often just three short steps: asking about tobacco at every visit, advising all smokers to quit and referring them to other resources, such as quit lines for assistance and follow-up, said David Gonzales, Ph.D., lead author and co-director of the OHSU Smoking Cessation Center in the OHSU School of Medicine. When we reviewed the data, we found that brief intervention is often insufficient for the more dependent, high-risk patients with pulmonary disease.

Patients with respiratory disease have more difficulty quitting, are more nicotine-dependent and need more intensive treatment, Gonzales and colleagues explained. They may require higher doses of medications, longer periods of treatment and more frequent follow-up than smokers in general. And, although most try to quit on their own without assistance from their health care provider, 95 percent fail, and patients with respiratory disease have even poorer success.

To help clinicians improve tobacco cessation treatment for these patients, the OHSU research team reviewed current evidence-based treatment guidelines for smoking cessation medication and behavioral support and OHSUs own programs for treating patients in the hospitals and clinics. They advise that when consistent, evidence-based smoking cessation treatment is tailored to the needs of patients and integrated into ongoing respiratory care, smokers can significantly improve their odds of quitting. And the key to accomplishing this, they advise, is to distribute the responsibility for enhanced treatment among several clinic staff members.

Beginning with new patient intake and continuing with review of vital signs, review of systems, treatment planning and check-out, the researchers recommend nurses, medical assistants, clinicians and clinic support staff all have roles in helping the patient stop smoking. Including tobacco cessation treatment in each part of the clinic visit reduces demands on any one member of the clinic staff, they explained. This approach makes it easier for busy clinics to provide effective treatment.

Providing patients with pulmonary disease with ongoing smoking cessation treatment as part of their regular respiratory care will greatly improve their odds of quitting, said Gonzales.


'/>"/>

Contact: Tamara Hargens-Bradley
hargenst@ohsu.edu
503-494-8231
Oregon Health & Science University
Source:Eurekalert

Related medicine news :

1. New National Public Health Program Shows Smokers How to Become an EX
2. Smokers at Increased Risk of Aneurysm Recurrence
3. Smokers treated for brain aneurysm with coils at higher risk of recurrence
4. Magnesium May Lower Risk for Some Strokes in Male Smokers
5. Certain vitamin supplements may increase lung cancer risk, especially in smokers
6. Earlier Colon Cancer Screens Urged for Smokers
7. Older Smokers More Likely to Deny Habit
8. Smokers might benefit from earlier colon cancer screening
9. Smokers Sleep Less Soundly
10. Number of Russian women smokers has doubled since Soviet collapse
11. Famed Attorney Willie Gary Files $10.6 Billion in Lawsuits against Big Tobacco Companies on Behalf of Florida Smokers and their Families
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/22/2017)... (PRWEB) , ... February 22, 2017 , ... ... its certification exam and eligibility requirements effective with the April 2017 testing period. ... 1995. , “The Care Manager Certified (CMC) exam is periodically re-calibrated to ...
(Date:2/22/2017)... ... February 22, 2017 , ... In a ... skipping doses or not filling a prescription because they could not afford to ... problems getting medications were 30-60%*. At the same time, hospitals, pharmacies, ...
(Date:2/22/2017)... Colorado (PRWEB) , ... February ... ... the availability of their newest advanced absorption cannabidiol (CBD) serum, “NANOCALM 300” ... delivery system®, which provides instant absorption from the mouth into the bloodstream. ...
(Date:2/22/2017)... WV (PRWEB) , ... February 22, 2017 , ... ... awarded a contract to Quality Insights to help small practices in Delaware, New ... Payment Program, established by the Medicare Access and CHIP Reauthorization Act of 2015 ...
(Date:2/22/2017)... ... February 22, 2017 , ... Michael ... new media platform connecting healthcare technology professionals and other key stakeholders with an ... quarterly publication starting on March 1, announced Michael J. Hennessy, Jr., president of ...
Breaking Medicine News(10 mins):
(Date:2/22/2017)... -- Andre, DiMino, CEO of ADM Tronics Unlimited, Inc. (OTCQB: ... and products, commented on ADMT,s third quarter fiscal year ... the Company,s quarterly report on Form 10Q available at ... stated "During the quarter ended December 31, 2016 we ... portion of our engineering efforts into the development of ...
(Date:2/22/2017)... , Feb. 22, 2017 Summary ... infarction partnering deals and agreements entered into by ... full report: http://www.reportlinker.com/p03605670-summary/view-report.html Description The ... understanding and access to partnering deals and agreements ... - Trends in partnering deals ...
(Date:2/22/2017)... 22, 2017 Summary Provides ... partnering deals and agreements entered into by the ... report: http://www.reportlinker.com/p03605673-summary/view-report.html Description The Global ... understanding and access to partnering deals and agreements ... - Trends in partnering deals ...
Breaking Medicine Technology: