Integrating Smoking Cessation 2025

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The four Ds are variously set out as: Delay: for a few minutes and the urge will pass. Drink water: sip it slowly. Deep breathe: take three slow, deep breaths. Do something else: to take your mind off smoking.
The 5 Rs: Relevance, Risks, Rewards, Roadblocks, and Repetition. are designed to motivate smokers who are unwilling to quit at this time. Smokers may be unwilling to quit due to misinformation, concern about the effects of quitting or demoralization because of previous unsuccessful quit attempts.
The clinician can motivate patients to consider a quit attempt with the 5 Rs: Relevance, Risks, Rewards, Roadblocks, and Repetition. Relevance - Encourage the patient to indicate why quitting is personally relevant.
Patients not ready to make a quit attempt may respond to a motivational intervention. The clinician can motivate patients to consider a quit attempt with the 5 Rs: Relevance, Risks, Rewards, Roadblocks, and Repetition. Relevance - Encourage the patient to indicate why quitting is personally relevant.
A good way to resist urges and cravings is to call a friend. It also can help to go on a walk with someone, go to a movie, or just talk. Let your doctor and other healthcare professionals such as dentists, counselors, pharmacists, and nurses know you are quitting so they can provide encouragement.
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Smoking remains the leading cause of preventable mortality in the US. The national clinical guideline recommends an intervention for tobacco use known as the 5-As (Ask, Advise, Assess, Assist, and Arrange).

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