Staff Specialists:
Resources
Patients expect their health care provider to talk with them about smoking cessation. This page provides the basic training resources needed to complete the 3As model of care in your service.
The webpage is separated into the following sections (click to jump to section):
Care to Quit: Model of care and cheat sheet
CINSW online training lesson 3: Introducing the 3As brief intervention model
This short online lesson provides an interactive overview of the Ask Advise Act brief smoking cessation intervention
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Model of Care EH Med Oncology
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Quick guide cheat sheet including 3As and screenshots to navigate the system (referral to Quitline/pharmacotherapy and documentation)
USA Prof Graham Warren interview: Tobacco in Cancer Treatment Outcomes (1:22min; CINSW resource)
Interview with oncologist Prof Graham Warren:
Smoking in cancer patients increases mortality
Decreases chance of 1st line treatment success
Smoking decreases effectiveness of radiation and all chemotherapy for all cancers (Head & neck, lung, breast, prostate, colon)
3As:
Australian Oncologist personal opinion about smoking cessation (2:03min; C2Q resource)
Oncologist Dr Fiona Day describes her experience of patient reactions to starting a conversation around smoking cessation
Oncologist initial consultation appointment asking about smoking status (2:44min; ASK; C2Q resource)
Oncologist Dr Fiona Day has initial consultation with patient John (lung cancer) asking about his smoking status (pack hx, initiation, first cigarette, quit hx
Oncologist dispels myths about cigarettes and stress (1:22min; ADVISE; C2Q resource)
Oncologist Dr Fiona Day with John (lung cancer) provides education:
Cigarette use actually increases stress
Oncologist Act/Help discussion about Quitline, NRT and Champix/Varenicline (4:03min; ACT; C2Q resource)
Oncologist Dr Fiona Day with John (lung cancer). In-depth discussion about Quitline, NRT, & Champix/Varenicline
Oncologist suggestions with resistant patients (0:57min; C2Q resource)
Interview with oncologist Dr Fiona Day provides patients:
With an informed choice
Benefits of quitting
Flag to rediscuss smoking cessation at a later time
Patient opinion about the clinician-patient relationship if smoking cessation is discussed (2:49min; C2Q resource)
Patient Julie McCrossin:
If the health professional is authentically wanting to help the patient will listen
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The clinical case for smoking cessation in cancer care (CINSW)
Benefits of smoking cessation in cancer
Negative treatment outcomes if smoking
AAA module and further advise
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Smoking cessation in oncology (CINSW)
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Factsheet: Benefits of quitting and harms of smoking for each tumour stream Med Oncologist
Description goes here -
Smoking Cessation in Cancer Services - Training (CINSW)
How to ask patients about cessation using AAA model
Tobacco free Clinic referral:
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Eastern Health Tobacco Free Clinic
Pharmacotherapy:
Pharmacist education about the NRT options (3:17min; CINSW resource)
Pharmacist Nicolas Holton provides a summary of NRT:
Gum
Lozenges
Patch
Inhaler
Mouth spray
Contraindications/ Precautions
Oncologist education about the use of patches (2:21min; C2Q resource)
Oncologist Dr Fiona Day with patient Jessica
Administering the patch
Usage
Top-up dosage is useful if cravings persist
Care to Quit Nicotine Replacement Therapy Pharmacotherapy Training (56:38min)
Pharmacotherapy training session delivered by Dr James McLennan to the Calvary Mater Newcastle Oncology Department, on 30th Nov 2022
Care to Quit Pharmacotherapy Training 11 Questions (39:59min)
Varenicline training session delivered by Dr James McLennan to the Calvary Mater Newcastle Oncology Department, on 21st February 2023
Practical strategies and tips for smoking cessation: Final Smoking Cessation Session (53:53min; C2Q resource)
Pharmacotherapy training session delivered by Dr James McLennan to the Calvary Mater Newcastle Oncology Department, on 1st May 2023
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Nicotine replacement therapy (NRT) products. How they can help you to quit for good (Quit Victoria resource)
Nicotine replacement therapy (NRT) products brochure by Quit Victoria. (Please click below to access the brochure. Select Victoria at the top of the webpage and in Refine selection click on ‘Brochures’)
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Nicotine patches factsheet (Quit Victoria resource)
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Nicotine Gum factsheet (Quit Victoria resource)
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Nicotine Lozenges factsheet (Quit Victoria resource)
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Nicotine Inhalator factsheet (Quit Victoria resource)
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Nicotine Mouth Spray factsheet (Quit Victoria resource)
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Factsheet: Assessing nicotine dependence (Tool 3)
Questions to assess nicotine dependence
Cravings
Withdrawal symptoms
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Q & A on Varenicline with Dr Fiona Day
Description goes here
Quitline:
Oncologist education about Quitline (0:37min; ACT; C2Q resource)
Oncologist Dr Fiona Day with patient Jessica
Quitline will assist with forming new habits
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My quit plan: Tips to quit and stay quit
‘My quit plan brochure’ by Quit Victoria. (Please click below to access the brochure. Select Victoria at the top of the webpage and in Refine selection click on ‘Brochures’)
GP referral:
GPs on the oncologists’ role in smoking cessation (6:58min)
GPs Dr Nin Kiu, Dr Charles Ellis, Dr Jimmy Cheng and Dr Jo Thomas on the oncologists’ role in smoking cessation
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GP referral letter template
Template to be used as a guide, official referral would be with Eastern Health letterhead