Threw you smoke, if ...

According to several researchers, most smokers identify medical advice to quit smoking as a major motivation for the formation of a complete smoking cessation. In addition, with the advent of available nicotine medications has become possible to conduct short courses of treatment that patients who do not want to quit smoking, can easily withstand and reduce smoking intensity without the appearance of withdrawal symptoms. Thus, physicians have a unique opportunity to identify and treat patients who use tobacco. Unfortunately, not all doctors involved in treatment of smoking patients. Over a third of smokers to constantly point out that the doctors never asked them about the harmful habit and do not give advice to quit smoking. The first step in treating tobacco dependence is the identification of tobacco smoking, the assessment of this risk factor and the degree of tobacco dependence, as well as degree of motivation to quit smoking, ie, assessment of smoking status. The result of this step is the assignment of patients to one of 4 groups: 1. Continuing smokers, patients strongly wish to quit smoking. 2. Constantly smoking patients who do not want to quit, but do not reject such a possibility in the future. 3. Constantly smoking patients who reject the possibility of quitting. 4. Patients who smoke regularly. Evaluation of smoking status include: 1. Assessment of risk of diseases due to smoking. 2. Assess the degree of nicotine dependence. 3. Assess the degree of motivation to quit smoking. 4. Assessment of smoking motivation. 1.1. Evaluation of smoking as a risk factor for disease assessment of smoking as a risk factor for disease, is the lead in assessing the smoking status and plays an important role in motivating patients to quit smoking. Assessment is based on the index of a smoker (IR), which is calculated by the following formula: IR = (number of cigarettes smoked per day) x 12 IR> 140 indicates that the risk of developing chronic obstructive pulmonary disease is extremely high. Calculation of IR should be carried out every smoker patient who comes to the doctor or hospital admission, and the outcome of the assessment record in the history of the disease and inform the patient. 1.2. Assessment of the degree of nicotine dependence Assessment of nicotine dependence is carried out using test Fagerstrema (Table 1). The degree of nicotine dependence measured by total score: 0-2 very weak dependence. 4.3 weak dependence. 5 medium dependence. 6.7 High dependence. 8.10 is very high dependence. 1.3. Assessment of the degree of motivation to quit smoking Assessing motivation to stop smoking can be done with the help of two very simple questions (answers in points): 1. Cast would you smoke if it were easy? Definitely not - 0 Most likely, no - 1 Probably yes - 2 Most likely, yes - 3 Definitely yes - 4 2. How much you want to quit smoking? I do not want at all - 0 Weak desire - 1 medium - 2 Longing - 3 definitely want to quit smoking - 4 Sum scores on individual questions determines the patient's motivation to quit smoking.