A4 leaflet

Flow Chart
Five A’s
sk and document tobacco use
Ex-Smoker
Non-smoker
Current Smoker
Set dental recall appropriate
to level of confi dence.
Assess motivation and confi dence to quit,
Assess - Any slips?
Advise/Assist
Advise/Assist
Advise/Assist
Affi rm decision to quit. Set a quit date and develop plan. Offer Quitine card or Quit and acknowledge their right to choose.
Assess nicotine dependence, recommend pharmacotherapy if required. appointment, QUITLINE
Follow-up appointment with GP/Pharmacist/ 131 848.
QUITLINE 131 848 and set dental recall time.
SYMPTOMS OF QUITTING
Effect on body
Coping strategy
Circulation improves, increased gingival Consider pharmacotherapy. Brief distractions eg: 4D’s: drink water, deep breathe, do some- thing else, delay urge to smoke. Ring the Worse initially, body clearing respiratory tract. Start regular exercise program. Eat sensibly, but no serious dieting until a less stressful period. Moderate alcohol consumption.
Sleep patterns altered, insomnia or tiredness. Refl ections of grief and (mainly) nicotine handle stress, eg: talk to a friend. Transient For further information go to: www.quitsa.org.au
Health Benefi ts of Quitting
Health Benefi ts of Quitting
Dental Benefi ts of Quitting
20 minutes
Blood pressure and pulse rate returns to normal.
• Improved gingival and oral tissue health.
Temperature of hands and feet increases to normal.
• Improved taste sensation after 48 hours.
Carbon monoxide and oxygen level in blood returns to • Smokers’ palate disappears shortly after cessation of Immediate risk of heart attack starts to fall.
14 days
•
• Reduced risk of periodontal disease and tooth loss.
Energy and fi tness level improves.
Lung function increases by up to 30%.
Most nicotine withdrawal symptoms disappear.
3 months
•
- Restorative and aesthetic dentistry.
Cilia regrow in lungs, increase in their ability to handle • Smokers’ melanosis in heavy smokers reverses after mucus, clean themselves and reduce infection.
a year and gingival colour returns to normal.
• Oral leukoplakia may regress or disappear following Risk of coronary heart disease is half that of smoker.
• Diminished risk of mouth, throat and oesophagus Risk of lung cancer is 30-50% that of continuing cancer to half that of a smoker after 5 years.
15 years
•
DOLLARS SAVED BY QUITTING
Risk of coronary heart disease same as a non smoker.
HELP WITH QUITTING
Advice from health professional,
pharmacotherapy and ongoing support eg
Quitline call-back program
Pharmacotherapy eg nicotine patches, gum
and Zyban ? (and ongoing support)
Advice from health professionals (at least
two sessions)
Self help ( Quit book, video)
PHARMACOTHERAPY FOR SMOKING CESSATION
SUITABLE ONLY FOR PATIENTS SMOKING 10 + CIGARETTES PER DAY TYPES OF THERAPY

Source: http://www.adelaide.edu.au/arcpoh/dperu/special/smoking/SmokingFlowchartA4.pdf