Smoking Cessation

HISTORY:

Presents for smoking cessation

Smoking history: ‍ pack-years

Previous attempts to quit: ‍yesno, ‍ ‍successfulunsuccessful

Motivation to quit: ‍health concernsfamilycostpregnancyother

Triggers for smoking: ‍stressalcoholcoffeeafter mealssocial settingsother

‍cough, ‍non-productiveproductive

‍sputum, ‍clearcolored

‍shortness of breath

‍wheezing

‍chest pain

‍fatigue

‍increased sputum production

‍throat irritation

‍hoarseness



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Neck: ‍normallymphadenopathy

Heart: ‍RRR, ‍normal S1 and S2

Lungs: ‍clearabnormal sounds, ‍retractions



ASSESSMENT:

‍Desire to stop smoking ‍likelysuspectedpossible



PLAN:

- Lung function tests

- Chest X-ray

- Lung cancer screening

- Education on smoking risks, coping strategies, and environmental modifications

- ‍Nicotine replacement therapy (NRT)

- ‍Prescription medications

- Behavioral therapy

- Support group

- Smoking cessation programs

- Helplines and online resources provided

- Follow-up in ‍ ‍weeksmonths