Best Practice 6

Best Practice 6

Tobacco Cessation Clinic

Objectives

  •  Screening and assessment of tobacco dependence

  • Tobacco cessation counseling and/orbehavioral counseling in management for tobacco dependence

  • Organizing public awareness programs on tobacco use and its ill effects

  • Organizing  screening camps in the communitywith awareness talks in tobacco-related cancer

  • Organizing tobacco cessation workshop and training programs for healthprofessionals to train them in counseling and cessation services.  

Context

PMS College of Dental Science and Research started the tobacco cessation clinic service long before Dental Council of India  mandated its formation owing to the social commitment of the institute towards society.  Apart from imparting its service the clinic also imparts the need of tobacco control and cessation counseling  practice among dental students so that the future doctors will have the skills to offer tobacco cessation to their patients using the five ‘A’s (Ask, Advise, Assess, Assist, Arrange) and the five ‘R’s (Relevance, Risks, Rewards, Roadblocks, Repetition).

Practice

Since the institution has a Comprehensive clinic system which  provides a one stop clinic for  all dental needs of patients; the tobacco use is assessed by interns posted in the clinics followed by detailed case history on the use of any form of tobacco. Patients are given appointment in TCC for further intervention, counseling, behavioral modification. CO monitor is used to estimate the level for CO in expired air which helps to assess patient cooperation, motivation to quit , and make them understand the harmful effects of tobacco use.Patients are provided nicotine replacement therapy, pharmacotherapy and behavioral counseling.

Evidence of Success

Acceptance of behavioral therapy by patients and more individuals accepting the treatment option provide motivation to counselors and students involved in the process.  

Problems Encountered and Resources Required

Limited number of tobacco users accessing the clinics and very low proportion of tobacco users from rural areas aware of these services are the major problems encountered. Resources required include manpower, trained personnel and more access to rural areas for education and intervention.

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