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Tobacco Education E-Newsletter
Smoking Cessation in Patients with Chronic Health Issues
September 2013, Issue 4
 
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In This Issue
Take Our Survey!
Smoking Cessation and Chronic Health Issues
Materials from CCDPH
Online Resources
Take Our Survey!

The Cook County Department of Public Health, Illinois Academy of Family Physicians, and the Illinois Chapter of the American Academy of Pediatrics want to help you make the most of smoking cessation programs in your practice!  Please help us by taking this brief survey, so that we may better serve you.
 
Smoking Cessation and Chronic Health Issues - Tailoring Your Approach

Generally, it is recommended that physicians use the same practices and therapies to help patients with chronic health issues on their path with smoking cessation as they would with the healthy patient.  Tobacco use, however, can exacerbate chronic health issues in these patients. Illinois Academy of Family Physicians President, Dr. Carrie Nelson, MD, MS, FAAFP, "spends more time and attention on encouraging smoking cessation and discussing the treatment options" in her patients with chronic disease.  Dr. Nelson usually encourages the use of pharmacotherapies for all of her patients who smoke, but she "may spend more time on the topic with those that have health conditions that are exacerbated by smoking."

In today's busy practices, physicians have a great deal to address in the limited time they have with all patients, but particularly those with chronic health problems.  Dr. Nelson states that "it is increasingly difficult to address all health issues and recommendations in the space of a patient visit.  This is just another example as to why we need more team-based care."

It has been proven that the same type of treatments work in healthy patients and those with chronic illness.  The potential health consequences that all patients may face with continued tobacco use could have a much more rapid onset than in the healthy patient.  Dr Nelson is "more inclined to have them come back within a shorter interval to continue to support their smoking cessation efforts."


Further Reading:

American Diabetes Association - Smoking and Diabetes
American Lung Association - Smoking and Lung Disease
National Center for Biotechnology Information - Intervention Study for Smoking Cessation in Diabetic PatientsEffective Smoking Cessation Interventions for COPD Patients
World Health Organization - COPD Management
 
Illinois Tobacco Quitline
Refer your patients to the Illinois Tobacco Quitline, a free resource, funded by the Illinois Department of Public Health, for people who want to quit for good. 

Registered nurses, respiratory therapists, and certified tobacco-treatment counselors are on call 7 days a week, 7am-11pm, to answer all of your patients' tobacco-related questions.  

The Quitline serves a diverse client base, with Spanish-speaking counselors and live translation services in over 200 languages! 

Refer your patients today by using the Illinois Tobacco Quitline fax referral form in English or Spanish.

If you want more information about the Illinois Tobacco Quitline, or for free promotional materials (brochures, tear off pads, posters, etc.), please contact the Illinois Tobacco Quitline at 217-787-5864.

Printed Materials Available from CCDPH
The Cook County Department of Public Health has printed materials available in packets of 25 available to providers in Suburban Cook County.  

ETR Associates - http://www.etr.org
1) Tobacco Self-Test - Pamphlet, H260

Channing Bete Company - http://www.channing-bete.com
1) How To Stop Smoking - Booklet - Item 12419


American Academy of Pediatrics - http://www.AAP.org
1) "Tobacco: Straight Talk for Teens" - Item #: HE50088

2) "The Dangers of Secondhand Smoke" - Item #: HE50168

3) "The Risks of Tobacco Use" - Item #: HE50065


In addition, to the above printed materials, CCDPH can also provide Adult Quit Kits (limited quantities available) to physician offices.


For more information regarding the Quit Kits, visit http://www.cookcountypublichealth.org/chronic-disease/individual/tobacco-use/smoking-cessation-resources#

To order the materials, please contact Claudius Isfan, Public Health Educator II, at cisfan@cookcountyhhs.org or 708.653.8337.

Online Resources
 
American Academy of Family Physicians
  • An article from the March 2012 issue of American Family Physician with many tips for helping your adult patients with smoking cessation. 
  • List of office resources - A list of materials to use in your practice to promote smoking
    cessation.       
  • An article including practical steps for smoking cessation in the recovering alcoholic.

American Lung Association 
  • Freedom from Smoking - Resources to build a group clinic (also available online) that includes eight sessions and features a step-by-step plan for quitting smoking.    
Centers for Disease Control & Prevention
  • The CDC website provides a list of smoking cessation materials.  
     
  • This resource focuses on smoking cessation in the mentally ill.

Illinois Department of Public Health
  • The Burden of Tobacco In Illinois; Prevalence, Impact and Cost (2013) has been published and is now available on the Illinois Department of Public Health website. Access the report here. 

National Cancer Institute, US Department of Health and Human Services, and National Institutes of Health - SmokeFree Teen Program
  • A comprehensive listing of the harm of smoking and health benefits of quitting.
  • A listing of resources to help patients quit smoking.      
US Department of Health and Human Services
  • A list of Surgeon General Reports on a variety of smoking-related topics.

US Preventative Services Task Force 
  • Access the U.S. Preventive Services Task Force (USPSTF) recommendations on counseling to prevent tobacco use in adults and pregnant women here.

 

"Become an EX" Smoking Cessation Program  

 

  • An evidence-based program, designed to help the smoker "re-learn" how they think and feel about their nicotine addiction.
About this Newsletter

The IAFP is pleased to continue the 2013 e-newsletter series regarding smoking prevention and cessation. Each newsletter, will contain updates, links to resources, and strategies for you to implement in your practice.

This newsletter was created by the Illinois Academy of Family Physicians and is made possible by the Cook County Department of Public Health through funds received from the Illinois Department of Public Health.

Do you have questions regarding smoking cessation? Do you have a success story that you would like to share in an upcoming issue? Contact Sara Gadberry, IAFP Education and Accreditation Manager, at sgadberry@iafp.com.