Short-course treatment of tobacco ...

Each smoking patients the physician should offer one of the following treatments: patients who wish to quit smoking, your doctor should make individual long-term treatment program, which aims to complete cessation of smoking, patients who do not have enough motivation to stop smoking, your doctor should make a short therapeutic course to reduce tobacco use and increased motivation for patients who do not want to quit, the physician should offer a program to reduce the intensity of smoking. 4. Short course of treatment for tobacco dependence is effective, can reduce tobacco consumption and increase motivation to quit smoking. Even a failed attempt to quit, usually leads to a significant reduction in tobacco consumption. 5. The treatment program should include intensive discussions between doctor and patient. 6. In the treatment program should include pharmacotherapy using nicotine products (NSP): nicotine gum, nicotine inhaler. 7. The program of treatment for each patient's smoking should be included identification and treatment of chronic bronchitis, smoker. Structure of Management Structure of this Guide reflects the basic building blocks of the algorithm of treatment for tobacco dependence (Fig. 1): Fig. 1. Algorithm for treatment of tobacco dependence 1. Chatting physician to determine, whether the patient smokes and if he wants to quit smoking. 2. An evaluation of the desire to quit smoking and talking to strengthen the motivation of patients who have not made that decision yet. 3. Drawing up a treatment program: for patients wishing to quit smoking long treatment program in order to complete smoking cessation, for patients who do not want to quit, but do not exclude this possibility, the short treatment program to increase motivation and reduce the intensity of smoking. for patients who do not want to quit, and reject this possibility, the program will reduce the intensity of smoking. 4. Carrying out a treatment program, the evaluation with the patient and correction of its effectiveness. 5. In case of failure of a treatment program run longer repeated conversations with the patient, analysis of the causes of failure and its preparation for a new attempt to quit smoking. 6. For patients with successfully completed a short medical program to re-interview in order to identify the motivation to quit smoking and repeated offers of long-term treatment program. 7. For patients who do not want to completely quit smoking after successful completion of a short treatment course, and patients with a program to reduce smoking intensity to determine the long-term maintenance program to maintain the intensity of smoking made a low level. Re-invite the patient to complete smoking cessation. 1. Evaluation of smoking status Around 80% of smokers annually meet with doctors of various specialties (internists, pulmonologists, cardiologists, gastroenterologists, dentists, etc.). As shown by many studies, over 70% of them would like to quit smoking. Many even once tried to quit on their own, but the withdrawal symptoms occur, with whom the patient heavily to cope on their own, lead to failure.