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Tobacco Cessation Algorithm

Tobacco Cessation Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Alcohol and Tobacco, Related


Patient Presentation
Screen for tobacco use or secondhand
exposure at every encounter (Table 1)
Current
user?
Advise to quit Yes
Is patient willing
to make a quit attempt
at this time or in the
next 30 days?
Provide motivational
intervention/health
education (5 Rs) or
motivational
interviewing**
No
** Hospitalized patients may also be
interested in pharmacotherapy to
minimize withdrawal symptoms.
Connect to or provide
treatment interventions:
1) Connection to quit line
2) Group/individual counseling
3) Pharmacotherapy
Yes
Complete follow-up contacts
beginning within the first
week after quit date or 30
days after discharge
Abstinence?
Quit
recently?
No
Secondhand
exposure?
No
Patients age > 18 years:
Reinforce tobacco-free lifestyle.
Patients age 5-17 years:
Provide education and anticipatory
guidance to prevent initiation.
No
Provide education
on health risks associated with
secondhand smoke exposure.
Provide referral to parent/
caregivers as appropriate.
Yes
Reinforce
tobacco-free
lifestyle and assess
challenges, need for
support and risk of
relapse.
Yes
Yes
No
Tobacco Use Assessment and Interventions in
Nonpregnant Adolescent and Adult Patients
Reference: UW Health Tobacco Use Assessment and
Cessation Clinical Practice Guideline
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2016CCKM@uwhealth.org