Tobacco Treatment and Methadone Overview
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Questions and Answers

Referring smokers for treatment is not recommended if intensive treatment is unavailable.

False (B)

Providing brief advice to all smokers at every visit is considered good practice.

True (A)

Intensive tobacco dependence treatment is proven to be less effective than brief treatment.

False (B)

The ABC approach includes asking patients about their smoking status and documenting it.

<p>True (A)</p> Signup and view all the answers

Health care providers require specific training to deliver intensive clinical interventions for tobacco use disorders.

<p>True (A)</p> Signup and view all the answers

It is advised that physicians should only assist smokers who want to quit.

<p>False (B)</p> Signup and view all the answers

A minimum of two follow-up sessions is recommended within six months for smoking cessation interventions.

<p>False (B)</p> Signup and view all the answers

Methadone is classified as a stimulant drug that speeds up the nervous system.

<p>False (B)</p> Signup and view all the answers

The peak effects of Methadone occur approximately 3 hours after administration.

<p>True (A)</p> Signup and view all the answers

Methadone can only be prescribed by psychiatrists or authorized doctors.

<p>True (A)</p> Signup and view all the answers

The half-life of Methadone is estimated to be around 12 hours.

<p>False (B)</p> Signup and view all the answers

Methadone therapy aims to eliminate dependency on other opioids entirely.

<p>True (A)</p> Signup and view all the answers

The Pharmacist Officer is responsible for dispensing medication based on the patient's FBM record criteria for a duration of 1 month.

<p>False (B)</p> Signup and view all the answers

Counseling guidance is provided according to the FBM Counseling Guidelines.

<p>True (A)</p> Signup and view all the answers

The records for patients' smoking cessation visits should be noted in the FBM Patient Record Form.

<p>True (A)</p> Signup and view all the answers

The program coordinator schedules behavior therapy counseling sessions with the Medical Officer only after 4 weeks.

<p>False (B)</p> Signup and view all the answers

Vital signs such as blood pressure and weight should be recorded during the initial assessment at week 1.

<p>False (B)</p> Signup and view all the answers

The second follow-up visit is scheduled to take place at 8 weeks.

<p>True (A)</p> Signup and view all the answers

Pharmaceutical care issues must only be suggested to the Pharmacist during the initial visit.

<p>False (B)</p> Signup and view all the answers

Patients are reminded of their follow-up appointment via SMS or phone call before the Week 2 visit.

<p>True (A)</p> Signup and view all the answers

A chart is used to explain the CO levels to patients during the follow-up visit.

<p>True (A)</p> Signup and view all the answers

The FBM guidelines for smoking cessation were published in 2021.

<p>False (B)</p> Signup and view all the answers

Improved health is a potential reward for quitting smoking.

<p>True (A)</p> Signup and view all the answers

Weight gain is often considered a benefit of quitting smoking.

<p>False (B)</p> Signup and view all the answers

The 5R technique includes the components of Relevance, Risks, Rewards, Roadblocks, and Repetition.

<p>True (A)</p> Signup and view all the answers

Having healthier children is listed as a barrier to quitting smoking.

<p>False (B)</p> Signup and view all the answers

Fear of failure is a common barrier that may prevent individuals from quitting smoking.

<p>True (A)</p> Signup and view all the answers

Tobacco users are advised to ignore previous quit attempts when seeking to stop smoking.

<p>False (B)</p> Signup and view all the answers

Limited knowledge of effective treatment options is regarded as a potential reward for quitting smoking.

<p>False (B)</p> Signup and view all the answers

Setting a good example for children is a reward of quitting smoking.

<p>True (A)</p> Signup and view all the answers

Relapse prevention strategies should focus on avoiding tempting situations after quitting smoking.

<p>True (A)</p> Signup and view all the answers

The guideline for smoking cessation pharmacotherapy was published in 2019.

<p>True (A)</p> Signup and view all the answers

Pre-visit procedures for patients include only the promotion of the program.

<p>False (B)</p> Signup and view all the answers

The Transtheoretical Model (TTM) of Stage of Change consists of five stages.

<p>False (B)</p> Signup and view all the answers

Motivational Interviewing (MI) is recommended for patients in the preparation phase of smoking cessation.

<p>False (B)</p> Signup and view all the answers

The medical officer, pharmacists, and paramedics share responsibilities in the smoking cessation program.

<p>True (A)</p> Signup and view all the answers

Patients who are ready to quit smoking are referred to registration without further assessment.

<p>False (B)</p> Signup and view all the answers

The program includes a maximum of one pre-visit to conduct screenings and registrations.

<p>False (B)</p> Signup and view all the answers

The smoking cessation guideline is managed solely by the Ministry of Health Malaysia.

<p>False (B)</p> Signup and view all the answers

The pharmacotherapy guideline's second edition focuses on a single approach for quitting smoking.

<p>False (B)</p> Signup and view all the answers

The screening process includes gathering smoking history and nicotine product usage.

<p>True (A)</p> Signup and view all the answers

Flashcards

Documenting Smoking Status

Regularly asking patients if they smoke and noting it in their medical records.

Brief Advice for Smoking Cessation

Giving brief advice to all smokers during every medical visit, encouraging them to quit.

Smoking Cessation Interventions

Providing support and resources for quitting smoking, including individual counseling, group sessions, telephone support, and a minimum of 6-8 follow-up sessions in six months.

ABC Approach for Smoking Cessation

A framework for helping smokers quit, involving three steps: asking about smoking status, providing brief advice, and offering evidence-based cessation treatment or referral.

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Offering Assistance to All Smokers

Doctors are more successful in promoting smoking cessation when they offer assistance to all smokers, rather than only those who express interest in quitting.

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Intensive Tobacco Dependence Treatment

More intensive treatment involving longer sessions, multiple sessions, and specialized behavior therapies is more effective than brief interventions for smoking cessation.

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Who Can Provide Intensive Treatment

Intensive treatment can be provided by trained healthcare professionals who have the resources and expertise to deliver specialized interventions for smokers.

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Rewards of quitting smoking

The benefits of quitting smoking, such as improved health, better sense of smell, and saving money.

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Roadblocks to quitting smoking

Obstacles that prevent someone from quitting smoking, like withdrawal symptoms, weight gain, or fear of failure.

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Repetition in smoking cessation

Repeating motivational interventions to help patients overcome their reluctance to quit smoking.

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5R Technique

A motivational strategy that uses five key components: Relevance, Risks, Rewards, Roadblocks, and Repetition. It aims to help smokers understand why quitting is important for them and offers strategies to overcome barriers.

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Motivational Intervention

A brief, motivational conversation with a patient, aiming to increase their willingness to quit smoking.

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Relapse Prevention

The process of helping a smoker who has recently quit to avoid relapsing back to smoking.

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Tempting Situations

Situations or triggers that make a smoker more likely to relapse, such as being around other smokers, stress, or boredom.

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Smoking Cues

Any cue or signal that can prompt a smoker to crave cigarettes, like a certain smell, place, or activity.

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Tobacco Dependence Management Guidelines

A set of recommendations for the management of tobacco dependence, designed to guide healthcare professionals in providing evidence-based smoking cessation interventions.

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What is Methadone?

Methadone is a medication used to treat opioid addiction by replacing the addictive opioid with a longer-acting and less euphoric alternative. It reduces cravings and withdrawal symptoms, allowing individuals to stabilize and regain control over their lives.

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Who starts Methadone treatment?

Methadone treatment is initiated by a psychiatrist or a doctor authorized to prescribe medications. Pharmacists dispense the prescribed dosage of methadone syrup to patients.

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What happens when someone stops using heroin?

The initial period after stopping heroin use can be challenging. Regular meetings with a counselor can provide support and help individuals cope.

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How does Methadone work?

Methadone is an opioid that slows down the nervous system. It has a longer effect than heroin, which wears off in a few hours. Methadone's effects last for about 24 hours.

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What are the goals of Methadone treatment?

Methadone therapy aims to eliminate dependence on illicit opioids. It helps patients feel comfortable and free from cravings. It also blocks the effects of illegally obtained opioids.

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Initial Patient Assessment

First step in a patient's smoking cessation journey where their current smoking status, motivation to quit, and readiness for change are assessed.

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Pharmacist's Role in Medication Dispensing

Pharmacist's role in providing medication to support a patient's smoking cessation journey.

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Pharmacist Counseling

The pharmacist guides the patient on how to use smoking cessation medications effectively.

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Patient Record Documentation

Recording all important patient information related to their smoking cessation journey in a designated patient record.

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Follow-up Appointment Scheduling

Scheduling follow-up appointments with a dedicated program coordinator to monitor progress and provide ongoing support.

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Program Coordinator's Role

Ongoing support and guidance provided by a dedicated program coordinator to help patients stay on track with their quitting goals.

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Behavioral Therapy Session

A specialized behavioral therapy session designed to help patients develop coping mechanisms and strategies to overcome smoking urges.

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Follow-up Visits

Regular check-ins at set intervals to monitor the patient's progress, assess their current status, and provide ongoing support.

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Recording Vital Signs

Recording vital signs (such as blood pressure and weight) and carbon monoxide levels in a designated patient record.

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Reminder SMS or Phone Call

Communicating with the patient before their scheduled follow-up visit to remind them about the appointment.

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Pre-contemplation Stage

The stage where an individual is aware of the problem but not yet ready to make changes.

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Contemplation Stage

The stage where an individual is considering making a change within the next 6 months.

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Preparation Stage

The stage where an individual is actively planning to make a change in the next 30 days.

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Action Stage

The stage where an individual is actively making changes and has maintained new behaviors for less than 6 months.

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Maintenance Stage

The stage where an individual has maintained new behaviors for more than 6 months.

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Motivational Interviewing (MI)

A counseling technique that helps to motivate individuals to make changes in their behavior.

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Transtheoretical Model of Stage of Change (TTM)

A framework for understanding and changing behavior that considers the stages of change.

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Pharmacotherapy Smoking Cessation Program

A program to help people quit smoking that provides pharmacotherapy and counseling.

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Pharmacotherapies for Smoking Cessation

Medications used to help people quit smoking, such as nicotine replacement therapy (NRT) or varenicline.

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Pharmacotherapy Smoking Cessation Guidelines

A set of guidelines that outlines the best practices for providing pharmacotherapy for smoking cessation.

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Study Notes

Clinical Practice Guidelines for Treatment of Tobacco Use Disorder

  • There are two types of clinical intervention: brief and intensive interventions
  • Brief clinical interventions are vital to increase quit rates effectively, especially for all smokers
  • The 5 A's (ask, advice, assess, assist, arrange/refer) are used for brief intervention
  • Brief interventions are designed to be brief and require minimal provider time
  • Interventions aim to increase smoker's motivation to quit improving the success rate of quitting and increase overall tobacco abstinence
  • Asking about tobacco smoking should be documented for all patients
  • Smoking status should be checked at every visit to prevent relapse.
  • Advice should be given clearly to all patients regarding quitting
  • Assess patient willingness to make a quit attempt
  • Assist patients in quit attempt with brief advice and self-help materials

Setting a Quit Date and Follow-up

  • Quit date should be within 2 weeks of the assessment to quit
  • Individual, group, or telephone counseling approaches are effective for smoking cessation, particularly in multiple approaches
  • Delivering brief advice and self-help materials are effective approaches, especially if delivered in multiple formats (such as individual, group or telephone)
  • The follow-up visits should happen within the first week of the quit date
  • Weekly follow-ups for the first month, then bi-weekly, then monthly, is recommended up to 6 months

Patients Who Are Unwilling to Quit

  • Motivational interviewing (MI) techniques may assist when patients are unwilling to quit
  • Reasons for unwillingness may include lack of information about tobacco or relapse, feeling demoralized, lack of financial resources, and fears about quitting

Relapse Prevention

  • Interventions for relapse focus on identifying and resolving situations/triggers that may lead to relapse
  • Patients should be encouraged to report difficulties promptly
  • Techniques such as delaying the act of lighting up, avoiding situations that induce smoking, distracting from any intentions to smoke, and avoiding situations that might cause re-engagement are useful

Pharmacological Treatment

  • Use of approved pharmacotherapies, when indicated, is recommended to reduce withdrawal symptoms and increase smoking cessation success
  • Explanation of how medications can reduce withdrawal symptoms and increase smoking success should be given
  • Provide additional/supplementary materials to patients as necessary

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Clinical Practice Guidelines: Treatment of Tobacco Use Disorder PDF

Description

This quiz covers key concepts related to tobacco treatment practices and the use of Methadone in addiction recovery. It includes guidelines for healthcare providers, the effectiveness of brief versus intensive treatments, and essential facts about Methadone therapy. Test your knowledge on these important aspects of addiction management.

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