If patients are keen to quit but aren't ready for intensive interventions, then offer practical counseling interventions such as recommending that they throw away all of their ashtrays and cigarette butts on the day they decide to quit, said Dr. Jaén. Other tips include advising patients not to have cigarettes in their car, to walk instead of sitting down after a meal, and to brush their teeth when they crave a cigarette.
He emphasized the importance of social support, saying he urges patients to tell family members, friends, and coworkers about their decision to quit. “Call them up, and ask how they're doing,” he added.
Dr. Jaén said he also warns patients not to consume alcohol when they're in the early stages of quitting, “because alcohol and nicotine are synergistic. Once people start drinking, it's hard for them to stay off cigarettes, especially early on. If people have conflicted relationships, maybe they should avoid that person for a while, too.”
A package of 200 quitline referral cards is available free to AAFP members. The cost for nonmembers is $50 plus shipping. For information, call 800-944-0000 and request item number 966.
Quitlines are free, convenient, and anonymous. A lot of smokers feel guilty about their smoking. DR. SCHROEDER
'Help the patient understand you know that quitting smoking is avery difficult thing to do.' Dr. Jaén