Algorithm 1: Assessment and Treatment

Algorithm 1 Algorithm 2

 

Person encountering the health care delivery system [A] Table 1: Strategies for Tobacco Use Cessation
Ask about tobacco use [B]
Is person a current tobacco user? Initiate therapy in the most intense setting the patient is willing to use/attend and consider patient education materials
Box 3 no to tox 15 Advise to quit [C]
Assess willingness to quit [D]
Is person willing to quit? Educate patient about treatment options. Arrive at shared decision for choice of treatment. Determine and document treatment plan [E]
Promote motivation to quit [L] Relevance, risks, rewards, roadblocks, repetition Assist tobacco user to quit: (see table) [F]
Set a quit date, initiate counseling [G]
Initiate pharmacotherapy [H]
Offer self-help material [I]
Address individual conditions for special populations [Q1-6]
Box 13 to box 14 Arrange follow-up. Contact in 1 to 2 weeks after quitting date. Assess effectiveness of therapy. Assess abstinence at completiong of treatment [J]
Is person still using tobacco? box 10 yes to box 11
Prevention of Tobacco Use (see page 2) Reassess willingness to quit and follow up Congratulate and intiate/reinforce relapse prevention [K]. Follow up in 1-3 months Consider additional/alternative medication and/or refer to intensive TUC program