Motivational interviewing a doctor should ...

A doctor should be seen. What reasons prevent the patient to decide to stop smoking: possible withdrawal symptoms, fear of failure, weight gain, lack of knowledge about possible treatment, fear of the onset of depression, getting pleasure from smoking. Motivational interviewing a doctor should be carried out at each visit the patient. During the conversation the doctor must support its decision to reduce the intensity of smoking and convince the patient that quitting smoking is very important for his health. Special support should receive patients who had previously tried to quit and attempt failed because of severe withdrawal symptoms. The physician should explain that most smokers require multiple attempts to complete smoking cessation, and that NRT minimizes or even eliminates withdrawal symptoms. The frequency of visits, with a short treatment program coincides with the frequency of visits for long-term treatment program (Section 2.1). Short treatment program lasts at least a month, then at the request of the patient. Often its end coincides with the abolition of the basic therapy. The greatest efficiency of the short treatment program is observed by its application in medical hospitals, nursing homes, dispensaries, as part of rehabilitation programs. 3.2. Behavioral strategy patient behavior strategy developed in conjunction with a doctor patient based on assessment of motivation for smoking (section 1.4) and the results of interviews. Basic principles for the development strategies of the patient are the same as for long-term treatment program (Section 2.2). The main purpose of changing the behavior of the patient to avoid a collision with the factors that cause the desire to smoke, and cigarette smoking to find an adequate replacement. 3.3. Nicotine replacement therapy nicotine replacement therapy goal short of a treatment program exception or the maximum reduction in the symptoms of withdrawal. As with long-term treatment program, it consists of basic and complementary therapies, and prevention of exacerbations of chronic bronchitis (section 2.3).. Treatment lasts at least 1 month and often ends with the end of basic therapy. 4. Program to reduce the intensity of smoking reduction program of the intensity of smoking is for patients who do not want to quit, but are willing to reduce the intensity of smoking. The essence of the program lies in the fact that the patient continues to receive nicotine on the usual level for him, combining cigarette smoking with reception CNP, but it reduces the number of cigarettes smoked per day. With this program receive IPV should continue to keep on a par with smoking. During the month, the intensity of smoking can reduce the average of 1.52 times, ie patient reduces the uptake of harmful substances in cigarette smoke that is undoubtedly a positive result of treatment. However, in contrast to the short treatment program entry of nicotine into the blood is reduced only slightly, due to the fact that the patient receives the nicotine from cigarette smoke, and with the help IPV. A large positive result of this program is that the patient gradually becomes accustomed to live without cigarettes and increased his motivation to quit smoking.