Wednesday, 6 April 2011

If the duration of the nicotine ...

patient

The patient must be prepared to the fact that quitting smoking leads to some change in behaviors, and fundamental for the period of smoking cessation should be the slogan: Learn to live a radically different way. 2. Long-term treatment program for patients wishing to quit smoking Prolonged treatment program designed for patients with a strong desire to quit smoking (the degree of motivation more than 6 points). The program lasts from 6 months to 1 year and consists of periodic interviews with the patient the doctor is more frequent in the first 2 months of smoking cessation, and patient acceptance of nicotine medications (NSP). The duration of supplementation is individual and depends on the degree of nicotine dependence in patients. From the first days of quitting the patient should change his behavior so as to give up bad habit ki. Thus, long-term treatment program consists of three components: meeting the doctor, the patient's behavioral strategy, nicotine replacement therapy (NRT). The fourth required component identification and treatment of chronic bronchitis, preventing its possible escalation in the first two weeks of quitting. 2.1. Conversations Conversations medical doctor explaining the need for a patient to quit smoking, encouragement, and challenging him to further actions that should occur at each visit. Duration of long-term treatment program from 6 months to 1 year. The frequency of meetings between doctor and patient, and their actions at the 6-month program are shown in Table. 2: If the duration of nicotine therapy in a patient exceeded 4-5 months and more, the medical program be extended to 1 year. The physician should give the patient feel that the whole therapeutic period, he will be with him, support him, assess his condition, adjust the assigned therapy. Conversations doctor with the patient should be carried out in a clear, reasoned, meant for the patient manner: 1. I think this is very important for you to quit smoking and I can help you with this. Quit smoking now, while you are not seriously ill. 2. As your doctor, I must say that the most important for you to maintain your health in the future is the need to quit. I will help you with this. 3.? Cigarette smoking harms your children, and all home. Moreover, this additional financial and social spending ?. 2.2. Behavioral strategy for each patient, the patient must be a strategy for his behavior. One important factor in the successful treatment of tobacco dependence will have the desire and ability of the patient to change their behavior in order to completely eliminate smoking. Basis for drawing up a plan of conduct is to assess the motivation to smoke. The basic principle to construct their behavior so as not to deal with factors that cause the desire to smoke, and cigarette smoking to find an adequate replacement. 1. The physician must help the patient in drawing up a plan to quit. 2. The physician should encourage the patient to set a date for quitting. 3. The patient must notify his family, friends, the usual partner for smoking that he quit smoking and asking for their support and assistance. 4.

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