Check Study Program

#MyQuitBuddy_App #Smoking

Hira is a new patient to your practice, having been referred from the local maternity hospital to undertake shared maternity care with you. Hira, aged 30 years, is married, with a child aged two years, and works as an aged care attendant. Hira is pregnant with her second child at 18 weeks gestation when she first consults with you. Communication from the hospital states Hira does not currently smoke, having stopped when she discovered she was pregnant. 1.What further questions would you ask Hira about her smoking and cessation history? 2.What would you ask Hira about her mental health and other drug use? 3.Acknowledging that Hira wants to stop smoking and affirming this, what would you advise and discuss with her? 4.What help would you provide Hira to stop smoking? 5.Can Hira use nicotine replacement therapy (NRT)? 6.Should Hira try e-cigarettes? 7.What are the postnatal considerations and advice you provide to Hira? #Week14_Case3

#Craving_Urge_Surfing #Smoking

#Cravings_3Ds

Mike, aged 45 years, has made an appointment in your clinic at the behest of his partner, who attends with him. Mike’s partner has been worried because Mike has seemed really overwhelmed and stressed lately. Mike’s partner saw Mike crying the other day in the garden, which he has not done for many years. While Mike’s partner is expressing their concern, Mike is sitting quietly, mostly looking at his lap. At times Mike runs his hands over his face and sighs. 1.How do you ensure confidentiality and safety? 2.What further history would you like to obtain from Mike? 3.What questions would you like to ask Mike about his smoking? 4.What nicotine replacement therapy (NRT) options are available and what would you recommend to Mike? Why do cravings persist with a 21-mg patch? 5.What are the possible causes of Mike’s symptoms? 6.What advice would you give Mike regarding the length of treatment with NRT? 7.What advice would you give Mike regarding the management of cravings? 8.How would you approach Mike’s relapse to smoking? **#Week14_Case2

#Smoking_Brief_Advice