Thursday 25 April 2013

5R's Strategies To Counsel Patient Who Deny To Quit Smoking | Relevance, Risks, Rewards, Roadblocks, Repetition

5R Strategies of Counselling

Relevance

Relevance would simply means that explaining or informing the patients regarding their personal relevance of smoking effect to their life, as specific as possible to persuade them. It has the greatest impact if it is most relevant to patient's disease status, health risk, family or social environment. For instance, for patients having cardiovascular disease that would be seriously affected by smoking, having children exposed to danger of second hand smoke, and financial problems.

Risks

Health care provider should ask the patient to identify potential adverse consequences of smoking which are most relevant to them. It must be emphasized to patient that the use of other form of tobacco or smoking low tar or nicotine content does not eliminate the risk.
The example for acute risks would be suffering of shortness of breath, reduced stamina, exacerbation of asthma, impotence and infertility.
Long term risks include increase frequency and chances of heart attack and strokes, high risk of contracting lung cancers, exaggerating COPD (Chronic Obstructive Pulmonary Disease).
Environmental risk would be posing health danger to family members, such as increasing risk of lung cancer and respirator infection.

Rewards

Rewards would be the opposite of Risks. Ask the patient to identify the potential benifit if he or she success in quit smoking, and highlight those most relevant to patient. Examples are as follows
  • Improved health condition, lower risk of cardiovascular disease
  • Improved sense of smell and taste
  • Save money
  • Healthier lifestyle to self as well as family
  • Feel better physically and mentally

Roadblocks

Roadblocks refer to the potential barriers or predicament that impede or deter the process to quit smoking. Typical barriers are withdrawal symptoms, weight gain, lack of support, addiction to enjoyment of tobacco, and depression.

Repetition

Repetition means expose the patient repeatedly toward the motivational intervention and the awareness every time patient visiting the clinic. Patient should know that many of the successful quitters does not make it at only first few attempts.

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