By vgreene, 8 November, 2016 Rewards: improved health, food tastes better, sense of smell improves, saving money, etc
By vgreene, 8 November, 2016 Risks: acute risks (asthma, URIs, dyspnea); long-term risks (MI, CVA, lung CA, laryngeal CA, etc); environmental risks (spousal risk, low birthweight infant, SIDS, asthma, OM, etc)
By vgreene, 8 November, 2016 Relevance: why quitting is personally relevant (dz state/risk, family, or social situation, health concerns, etc)
By vgreene, 8 November, 2016 Support self-efficacy: Help pt identify and build upon past successes; offer options for achievable, small steps toward change
By vgreene, 8 November, 2016 Roll w/ resistance: Back off and use reflection when pt expresses resistance; express empathy; ask permission to provide info
By vgreene, 8 November, 2016 Develop discrepancy: Highlight discrepancy btwn pt’s present behavior and stated priorities, values, goals; reinforce “change talk” and “commitment” language; build and deepen commitment to change
By vgreene, 8 November, 2016 Express empathy: Use open-ended questions to explore concerns/benefits of quitting; use reflective listening to seek shared understanding; normalize feelings and concerns; support pt’s autonomy and right to choose
By vgreene, 8 November, 2016 2nd-line options: clonidine9 and nortriptyline10 for pts where 1st-line meds are contraindicated/not helpful
