Smoking Cessation Overview

Objectives

• Counsel patients on smoking cessation importance
• Assess nicotine dependence using Fagerström Nicotine Dependence Scale
• Evaluate patient readiness to quit smoking
• Understand challenges faced during cessation
• Guide patients on different quitting methods

Smoking Cessation Counseling

• Perform counseling on simulated patients
• Participate actively in discussions

General Approach

• Always inquire about smoking status
• Educate on dangers and impacts of smoking
• Offer assistance for quitting

Prevalence of Smoking

• World statistics show significant percentage of smokers globally
• In Malaysia: 21.5% adult smokers
  • 46.4% male smokers
  • 8.7% adolescent smokers

Health Impacts of Smoking

• Major causes of death linked to smoking:
  • Lung cancer, ischemic heart disease, COPD
• Secondhand smoke harms children and adults alike

Benefits of Quitting Smoking

• Can add 6-8 years to life
• Reduces risks of various diseases
• Saves money, averaging RM 3,000 yearly

Withdrawal Syndromes & Challenges

• Physical and psychological symptoms during cessation: irritability, anxiety, weight gain
• Understanding nicotine addiction cycle is crucial

Strategies to Quit

• Mental preparation: identify triggers and motivations
• Methods to combat cravings: chewing gum, engaging in activities
• Consider medications: nicotine patches, bupropion, varenicline

Summary Points

• Always ask about smoking status
• Assess motivation to quit and provide appropriate support
• Follow up regularly; celebrate milestones in cessation