Smoking Cessation Matters in Primary Care

Content: Cover
 Title Page
 Copyright Page
 Contents
 Preface
 About the authors
 1 Smoking initiation, nicotine addiction and the smoking life-course
 History of tobacco use
 Pharmacology of nicotine
 Individual differences in nicotine metabolism and sensitivity to nicotine
 Smoking initiation in early to mid-adolescence
 Reflection exercise
 References
 2 Smoking and health
 Statistics and supporting evidence
 Common diseases caused by smoking
 Pregnancy and childbirth
 Passive smoking
 Smoking cessation
 Reflection exercises
 References
 3 Psychological and behavioural techniques Psychological and behavioural techniquesIndividual differences in efficacy
 Timing of interventions to maximise effect
 Combining with pharmacological interventions
 Accessibility of psychological and behavioural techniques
 Alternative therapies
 Summary of effective interventions
 Summary of Cochrane Tobacco Addiction Group Reviews
 Reflection exercise
 References
 4 Pharmacological interventions and new medications
 Nicotine replacement therapy (NRT)
 Evidence for the efficacy of NRT
 Novel delivery systems
 Cost of NRT
 Withdrawal and side-effects
 Advising on NRT use
 Other medications Reflection exercisesReferences
 5 Practice policies and attitudes
 Specialist smoking cessation services
 Non-smoking policies and attitudes to smokers
 The primary care team
 Reflection exercises
 References
 6 Opportunities
 Ask
 Advise
 Assess
 Reflection exercise
 References
 7 Interventions
 Assist
 Arrange
 Audit
 Reflection exercises
 Reference
 8 Clinical governance and smoking cessation
 Components of clinical governance
 The challenges to delivering clinical governance
 Reflection exercise
 References
 9 Draw up and apply your personal development plan Worked example of a personal development plan: the management of smoking cessationTemplate for your personal development plan
 References
 10 Draw up and apply your practice or workplace personal and professional development plan
 Worked example of a practice or workplace personal and professional development plan: providing guidelines for pharmacological interventions for smoking cessation in a trust or PCO
 Template for your practice or workplace personal and professional development plan
 References
 Appendix 1 The stages of change
 Appendix 2 Carbon monoxide monitoring Appendix 3 Prescribing nicotine replacement therapyAppendix 4 A practice protocol
 Appendix 5 Draft workplace smoking policy (ASH)
 Appendix 6 Resources
 Index