5A's of Tobacco Dependence Treatment - Michigan



38100403860ASKTobacco use (current, former, never) is a vital signChart or document patient response00ASKTobacco use (current, former, never) is a vital signChart or document patient responseTobacco Dependence Treatment45720153670ADVISEGive clear, strong, personalized advice to quit“Quitting tobacco is the most important thing you can do for your health. I will help”00ADVISEGive clear, strong, personalized advice to quit“Quitting tobacco is the most important thing you can do for your health. I will help”762002035175ASSISTHelp create a quit planSet a quit date within 2 weeksReview past quit attemptsAvoid other tobacco usersTell family and friends to gather supportRemove tobacco from home, work, and careAvoid alcoholRecommend or prescribe pharmacotherapyEnhance motivation to quitRelevance – Ask the patient why quitting is personally relevantRisks – Ask the patient to identify consequences of tobacco useRewards – Ask the patient to identify benefits of quittingRoadblocks – As the patient to identify barriers to quitting and ways to circumvent themRepetition – Enhance motivation at every visitRefer to a tobacco treatment counselor or a telephone quitline for help00ASSISTHelp create a quit planSet a quit date within 2 weeksReview past quit attemptsAvoid other tobacco usersTell family and friends to gather supportRemove tobacco from home, work, and careAvoid alcoholRecommend or prescribe pharmacotherapyEnhance motivation to quitRelevance – Ask the patient why quitting is personally relevantRisks – Ask the patient to identify consequences of tobacco useRewards – Ask the patient to identify benefits of quittingRoadblocks – As the patient to identify barriers to quitting and ways to circumvent themRepetition – Enhance motivation at every visitRefer to a tobacco treatment counselor or a telephone quitline for help53340732155ASSESSIs the tobacco user willing to make a quit attempt at this time?“Are you ready to try to quit tobacco?”Yes – Help the patient create a quit planNo – Enhance the patient’s motivation to quit00ASSESSIs the tobacco user willing to make a quit attempt at this time?“Are you ready to try to quit tobacco?”Yes – Help the patient create a quit planNo – Enhance the patient’s motivation to quit106680115570ARRANGE Schedule in-person or phone follow-up, offering reinforcement and encouragement00ARRANGE Schedule in-person or phone follow-up, offering reinforcement and encouragement ................
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