Reducing Pulmonary Disease: The Pharmacist’s Role in Smoking Cessation

2001 ◽  
Vol 14 (2) ◽  
pp. 143-159 ◽  
Author(s):  
Karen Suchanek Hudmon ◽  
Robin L. Corelli ◽  
Lisa A. Kroon ◽  
Marilyn Standifer Shreve ◽  
Alexander V. Prokhorov
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
Clinical Practice ◽  
Health Service ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Public Health Service ◽  
Smoking Cessation Counseling ◽  
Quitting Smoking ◽  
The U.S

As an important interface with the healthcare system for many patients, pharmacists are in a unique position to assist patients with quitting smoking, thereby improving patients’ pulmonary health. Because nicotine replacement therapy products and bupropion are available to patients largely via pharmacies, the pharmacist has become a logical candidate for providing smoking cessation assistance. Furthermore, research has shown that when pharmacists counsel patients on medications for quitting smoking, their intervention positively impacts smoking cessation rates. This article provides a review of methods for cessation and provides pharmacists with feasible and effective smoking cessation counseling strategies for implementation into everyday practice. The intervention approach draws heavily upon the U.S. Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence.

A Clinical Practice Guideline for Treating Tobacco Use and Dependence: A US Public Health Service Report

JAMA ◽  
2000 ◽  
Vol 283 (24) ◽  
pp. 3244-3254 ◽  
Author(s):  
The Tobacco Use and Dependence Clinical Practice Guideline Panel, Staff, and Consortium Representatives
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Health Service ◽  
Tobacco Use ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Public Health Service

scholarly journals Physician smoking cessation counseling and adherence to the Clinical Practice Guideline

2014 ◽  
Vol 2 (4) ◽  
pp. 477 ◽  
Author(s):  
Sofie Champassak ◽  
Delwyn Catley ◽  
Sarah Finocchario-Kessler ◽  
Maghen Farris ◽  
Maniza Ehtesham ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Autonomy Support ◽  
Clinical Guideline ◽  
Public Health Service ◽  
Smoking Cessation Counseling ◽  
Usual Practice ◽  
Quit Smoking ◽  
Physician Smoking

Objective: The U.S. Public Health Service Clinical Practice Guideline recommends that physicians provide tobacco cessation interventions to their patients at every visit. While many studies have examined the extent to which physicians implement the guideline’s “5 A’s”, few studies have examined the extent to which physicians implement the guideline’s “5 R’s” which are to be used in a Motivational Interviewing (MI) consistent style with smokers not ready to quit. This study examined the extent to which physicians in usual practice and without specific training administered the 5 R’s including the use of an MI style.Methods: Thirty-eight physicians were audio recorded during their routine clinical practice conversations with smokers.Recordings were coded by independent raters on the implementation of each of the 5 A’s, 5 R’s and MI counseling style.Results: Results revealed that for patients not ready to quit smoking, physicians most frequently discussed the patient’s personal relevance for quitting and the risks of smoking. Roadblocks and rewards were discussed relatively infrequently. MI skill code analyses revealed that physicians, on average, had moderate scores for acceptance and autonomy support, a low to moderate score for collaboration and low scores for empathy and evocation.Conclusion: Results suggest that for the Clinical Guideline to be implemented appropriately physicians will need specialized training or will need to be able to refer patients to counselors with the necessary expertise of counseling efforts could increase providers’ willingness to implement guideline recommendations.

MEDICAL ASPECTS OF CHILDHOOD LEAD POISONING

PEDIATRICS ◽  
1971 ◽  
Vol 48 (3) ◽  
pp. 464-468
Keyword(s):  
Public Health ◽  
Health Service ◽  
Lead Poisoning ◽  
Public Health Service ◽  
Policy Statement ◽  
Local Conditions ◽  
Surgeon General ◽  
Screening Programs ◽  
Lead Hazards ◽  
The U.S

Jesse L. Steinfeld, M.D., Surgeon General of the U.S. Public Health Service has approved the following policy statement and has designated the Bureau of Community Environmental Management as the activity within the Department of Health, Education, and Welfare to assist in the development and implementation of programs for the control of lead poisoning in children. The U.S. Public Health Service recommends that screening programs for the prevention and treatment of lead poisoning (plumbism) in children include all those who are 1 to 6 years of age and living in old, poorly maintained houses. Children exposed to other special local conditions involving lead hazards also should be screened. Lead-based paint was commonly used for interior purposes until the 1940's when it was largely replaced by titanium-based paint; therefore, children living in dilapidated or obviously deteriorating houses built prior to that time are to be given particular attention. Children who frequently visit such neighborhoods–homes of baby sitters, relatives, and playmates–also should be included in screening programs.1 Today lead-based paint is still used to some extent for the exteriors of dwellings, and this potential source of exposure to lead should not be overlooked. Children at risk should be screened periodically during the years 1 to 6, and longer if indicated. The prime goal of screening programs is the prevention of lead poisoning. The prevention of plumbism can be achieved through the early detection of children with undue absorption of lead, followed immediately by remedial action before the state of overt poisoning is reached. Consequently, screening programs should not be limited to the detection and treatment of children with lead poisoning.

United States Public Health Service Nurses: Deployment in Global Crisis

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Michelle Brown-Stephenson
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
United States Public Health ◽  
Full Time ◽  
Highly Qualified ◽  
Response Effort ◽  
Public Health Professionals ◽  
The World ◽  
The U.S

Nurses serving in the uniformed forces are often first responders to medical crises throughout the world. The U.S. Public Health Service Commissioned Corps is an elite team of full-time, well-trained, highly qualified public health professionals who respond to public health crises at home and abroad. This article briefly describes responsibilities and roles of nurses during deployments; offers an exemplar of deployment to West Africa for Ebola response; and reviews the outcomes of the response effort. The author then offers reflections about her deployment experiences.

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