302 ABC pathway question

The ABC pathway is a model for…

all health professionals in the health systems to refer to. It provides a systemic approach to support people who smoke

It promotes periodontal health by…

providing patients with preventive advice including smoking cessation

What is the A

Ask about and document every persons smoking status

What to ask for?

Smoking should be asked and updated routinely in a respectful manner. Ask about recent smoking behaviour because this improves the accuracy of smoking status classification (frequency, amount smoked, substance smoked).

What sort of communication approach should be used when asking?

supportive, culturally safe and responsive, person and whanau centred.

What coomunication to avoid?

Blame based or stigmatising language so people feel safe to be open and stay engaged with care support

What is B?

Brief advice about smoking regardless of their motivation to quit.

Brief advice can have a…

large impact at a population level due to the potential reach of the intervention

When giving brief advice, what should you ask for?

what smoking does for the person (stress relief, focus, connect socially)

When giving brief advice, focus on the…

benefits of stopping smoking that matter to the person, rather than only the harms

how to present brief advice…

supportive and respectful tone. Can present it in a way of protecting children from second hand smoke. Could also link smoking-related dental/medical conditions e.g. periodontal disease

How should you frame smoking?

As a behaviour, not an identity. Avoid blame, guilt and fear

What is the C?

Cessation support encouragement

For cessation support, what should you offer?

direct connection to stop smoking services e.g. quitline, rather than soley relying on advice or self-referral

When cessation encouragement, check for…

barriers to taking up support e.g. transport, cost, tx access, etc, and help address them to the best of your ability

Cessation encouragement- explain that…

cravings and withdrawals are common after stopping smoking and ccan be managed with treatment and support