Four A's of Smoking Cessation

A sk

• ID all tobacco users at every visit.
• Determine exposure to environmental tobacco smoke at home/work.
• ID patients with nicotine addiction.

A dvise

• Provide a strong, clear and personalize message urging them to quit.
• Review the benefits of quitting and risks of continuing.
• Assess their willingness to quit.

A ssist

• Have the patient develop a quit plan
• Set a quit date
• ID sources of support for cessation (family and friends)
• Remove tobacco and other cues from the home and work environment
• Provide counseling, informational materials and other behavioral interventions.
• Recommend use of pharmacotherapy
• SR bupropion
• Nicotine gum
• Nicotine inhaler
• Nicotine nasal spray
• Nicotine patch

A rrange

• Provide a reminder on the quit date.
• See patient shortly after the quit date to ensure success.
• If unsuccessful, ID barriers and methods for their removal.
  

via the National Cancer Institute