How motivated are you to become tobacco-free at this time

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a. How motivated are you to become tobacco-free at this time? b. How confident are you in your ability to become tobacco-free at this time? c. How effective do you believe your skills are for becoming tobacco-free? d. How much effort are you willing to put into becoming tobacco-free at this time? Looking forward and looking back What does your life look like in one year from now if you quit? Where do you see yourself in 5 years if you don't quit? If you decide to quit, how will you do it? What would it take for you to be more interested in quitting? Help me see through your eyes why you are not interested in quitting Willing to try just one thing now to be closer to quitting? Does the patient history include previous or current substance misuse: Even if no, explain to the subject why this information would be important for us to know(as stated above) regarding the subject's tobacco use - explain what impact substance misuse has on quitting and document your explanation here: words FE *Educate the patient regarding our need to collect this information. Previous success with quitting other substances can be useful in understanding the behavior changes needed in quitting tobacco. Quitting tobacco can enhance the ability to abstain from other substances. Here please give example questions and answer and educate for the e-cigarette smoker Please check any of the following that could have implications for this patient regarding the tobacco e-cigarettes product use: Asthma Allergies Sinus problems Shortness of breath Emphysema Persistent cough )Chest pain Bronchitis COPD Diabetes Coronary heart disease Heart attack Heart murmur High blood pressure High cholesterol Stroke Arthritis Ear/hearing problems Eye/vision problems Peripheral vascular disease Ulcers. Gastric reflux/GERD Osteoporosis PMS/Menopause Infertility Erectile Dysfunction Pregnancy/lactation Eating disorder (anorexia, bulimia) Cancer Chronic pain

Reference no: EM133565226

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