Do you have any comments on non-compliant patients (ie CAD, hx MI, COPD, etc) whom you are treating for their medical problems but they absolutely refuse to even consider quitting smoking?
Denial is very strongly associated with most addictive behavior. The “stages of change” concept puts these patients in “pre-contemplation.” The Public Health Service guidelines recommendation is to continue to work with them over time, try to help them understand the health risks at a personal level, puncture myths they may have about smoking or cessation, and let them know you’ll be there to help when they’re ready. A tough group.
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Do you have any comments on non-compliant patients (ie CAD, hx MI, COPD, etc) whom you are treating for their medical problems but they absolutely refuse to even consider quitting smoking?