Quit Smoking Case Study Essay

4989 Words Jul 18th, 2012 20 Pages
Case study- Quit Smoking

A young adult man met his primary care physician for the first time, during which his prior military history came to light. The young man recalled the anxiety he experienced when he received his military orders for deployment to Iraq. Prior to the notice of deployment, he smoked cigarettes only occasionally, maybe 1 or 2 cigarettes a day. As the time for deployment approached, he started smoking more cigarettes and by the time he arrived in Iraq was up to a full pack a day. Throughout the 12-month deployment, he steadily increased his smoking with peak consumption of nearly 40 cigarettes a day. The soldier suffered several significant combat-related traumas resulting in mild physical injuries.

Upon return to
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• Advise to quit through personalized messages.
• Assess willingness to quit.
• Assist with quitting.
• Arrange follow-up care and support.
Brief behavioral counseling (ie, under 10 min) and pharmacotherapy are each effective alone—although they are most effective when used together.[12]

The task force also advises clinicians to ask all pregnant women, regardless of age, about tobacco use. Those who currently smoke should receive pregnancy-tailored counseling supplemented with self-help materials.

Understanding the benefits and limitations of the available medications provides an important foundation for such a successful smoking cessation program.

Assess smoking history, level of addiction, and the health status of the patient. See the image below. After the assessment, intervene with education and advice.

[pic]Smoking cessation strategies for clinicians.
Educate patients about the benefits of smoking cessation and the cessation process. Provide a description of the expected withdrawal syndrome. Continue with a discussion of the possible cessation methods, which include counseling, nicotine replacement, antidepressant medications, behavioral training, group therapy, hypnosis, and quitting "cold turkey."

• More than 90% of patients who attempt to quit smoking stop cold turkey.
• Professional group therapy or counseling achieves a 60-100% initial cessation rate and a 1-year cessation rate of approximately 20%.
• Hypnosis and acupuncture are popular programs that