Training for Clinicians:
Medical Oncology Department
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
Medical Oncologist
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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SWSLHD Patient journey: Medical Oncology
Description goes here
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)
Medical Oncologist
3A’s:
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
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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Quick guide to nicotine replacement therapy (Tool 5)
NRT products and dosage
Contraindications and precautions
Side-effects and how to deal with them
Considerations in pregnancy
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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
Medical Oncologist 3As referral to Quitline (1:24min; CINSW resource)
Medical Oncologist Dr Deme Karikios asks, advises about quitting and referral to Quitline
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Quitline NSW Brochure
https://www.icanquit.com.au/media/4807/quitline-brochure-quit-kit.pdf
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Smoking Cessation in Cancer Services - Training (CINSW)
Step 3: Act, NRT, and routine referral to Quitline
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QuitKit packs
To request bulk orders of Quitline materials, please complete the order at: http://icanquit.snap.com.au
To access online versions of the resources: https://www.icanquit.com.au/quitting-methods/professional-support-and-advice/quit-kit/online-quit-kit
Nursing
ASK:
Anne Mellon Patient 1 Ask -Impact of smoking on treatment (2:30min; C2Q resource)
Nurse Anne Mellon and the impact of smoking on treatment
“Everyone in the team should address smoking” (0:40min; C2Q resource)
Patient Julie McCrossin
Patient asks for advice to be given at diagnosis (0:52min; C2Q resource)
“It is a healthcare professionals duty of care to inform patients the benefits of quitting”
- Patient Julie McCrossin
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Smoking Cessation in Cancer Services - Training (CINSW)
How to ask patients about cessation using AAA model
Advise:
Anne Mellon Patient 1 Advise -Impact of smoking on treatment (2:15min; C2Q resource)
Nurse Anne Mellon and the impact of smoking on treatment
Anne Mellon Patient 1 Offering treatment options when a patient doesn’t want to quit (1:47min; C2Q resource)
Nurse Anne Mellon and options when a patient doesn’t want to quit
Patient advice about providing advice (0:52min; C2Q resource)
Patient Julie McCrossin:
Show that you care
Be genuinely interested
Patient opinion about the clinician-patient relationship if smoking cessation is discussed (0:49min; C2Q resource)
Patient Julie McCrossin:
If the health professional is authentically wanting to help the patient will listen
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Factsheet: Benefits of quitting and harms of smoking for each tumour stream
Description goes here
Assist:
Pharmacotherapy:
Discussing NRT with patients (3:32min; C2Q resource)
Nurse Anne Mellon discussing NRT (patches and spray) with a patient
Follow up appointment and side effects of NRT (2:08min; C2Q resource)
Nurse Anne Mellon discussing side effects of NRT during follow up appointments
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Quick guide to nicotine replacement therapy (Tool 5)
NRT products and dosage
Contraindications and precautions
Side-effects and how to deal with them
Considerations in pregnancy
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Nicotine replacement therapy (NRT) information booklet
Types of products: lozenges, patches, inhalators, oral spray, gum and how to use them
Side effects and dosage
Quitline:
Nurse opinion about Quitline (2:08min; C2Q resource)
Nurse Anne Mellon describes Quitline and how to make a referral
Nurse 3As referral to Quitline (1:30min; CINSW resource)
Nurse Kerry Lang provides asks, advises about quitting and referral to Quitline at a chemotherapy appointment
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Quitline NSW Brochure
https://www.icanquit.com.au/media/4807/quitline-brochure-quit-kit.pdf
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QuitKit packs
To request bulk orders of Quitline materials, please complete the order at: http://icanquit.snap.com.au
To access online versions of the resources: https://www.icanquit.com.au/quitting-methods/professional-support-and-advice/quit-kit/online-quit-kit