Saturday, November 5, 2011

smokers to reduce and stop and SELF THERAPY novel concept in treatment of many diseases

Hi this post comes after long time. I will not give any reasons....
as the title suggest this was very goods instance I would like to share with you guys.
It is about quitting smoking......
when any patient visits stroke prevention clinic,
we advise them to stop smoking and there is stepwise guidance
to change to medication like nicotine patches, and others....
but usually the most important factors turns out to be motivation.
If person is very motivated he has walked in the clinic with prior thought that he has to quit.
These kind of men and women are few.
Most are hesitant.
We had tried a different option for young lady who was smoker for many years and had tried three times to stop smoking with drugs/medication and was unsuccessful.
We (our team of Pharmicist, Clinic Nurse) advised her not to start any medication, that proposition was not acceptable to her, but to reduce her frequency of smoking.
This was quite agreeable to her.
This information may not be new.
but it helped us gain the patient confidence.
Quitting may not be a option for many, as they fear the side-effects like headache, hypertension etc due to withdrawal.
But reducing the number or spacing them such to not cause side effects empowers the patient.
this takes to totally new concept
SELF THERAPY
that is giving the patient his rightful power to treat himself or herself.
this way they can control themselves.
The role of the clinician and team is more as as facilitator, which changed from dictatorial approach which has been prevalent for more than 4 centuries.
This form of therapy particularly works for life style modification, weight loss, epilepsy, diabetes, hypertension, headache, back pain, depression, addictions, like wise smoking cessation.
Which brings us back to our initial topic of smoking cessation.
The term should be changed to smoking reduction and cessation.
In next few posts we would talk more about self therapy and its implementation

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