Why is it dangerous to continue smoking while using a patch? (stated at 2:00) I was under the impression that excessive nicotine would put the patient at risk of side-effects, but nothing considerably dangerous. A clarification to this would be much appreciated. Thanks.
Old comment but thought someone else might appreciate seeing an answer to this question: It isn't. On some of the product labels they state that because of the side effect risk like you pointed out and they want to cover their butts. It's kind of like how some say you shouldn't use NRT while pregnant. Yeah nicotine isn't the best, but it's better than smoking which is pumping you full of nicotine AND all the carcinogens. You'd be correct to counsel that if someone smokes while wearing the patch they might feel additional side effects while doing so, and may want to reduce their smoking which is the point of using the patch. One good strategy for tobacco cessation is to actually have people chew nicotine gum or use lozenges/spray WHILE on the patch because a 21mg patch is often not enough for someone on >1ppd smoking habit. -Pharmacist
I can tell you never have smoked with a dumb mentality like that... its harder to cut down smoking than to quit cold turkey. Its the difference between perpetual chronic withdrawal and 3 days of withdrawal.,... i think ill take the cold turkey option
@@nn0673 That's just your opinion. Different methods work for different people. Personally for me, I cut down the ciggs with vaping. Now it's been 2 years since i've last bought a pack.
yes but youre still an acitve addict with products which may not be as safe as they claim to be.... trying to cut down cigs without feeding the addiction through other conduits (vapes/etc) is an impossible task. cold turkey give you a fighting chance to detox before you give in to withdrawal
I really enjoyed these two videos. Great examples demonstrating the process of working with the patient to achieve progress and a desire to change their lifestyle.
ANYONE MAY USE THIS VIDEO FOR EDUCATIONAL PURPOSES. YOU DO NOT NEED TO CONTACT ME FOR PERMISSION. PLEASE ACKNOWLEDGE THE GRANT FUNDING CITED ABOVE, WHICH MADE DEVELOPMENT OF THIS VIDEO POSSIBLE. THANK YOU!
ANYONE MAY USE THIS VIDEO FOR EDUCATIONAL PURPOSES. YOU DO NOT NEED TO CONTACT ME FOR PERMISSION. PLEASE ACKNOWLEDGE THE GRANT FUNDING CITED ABOVE, WHICH MADE DEVELOPMENT OF THIS VIDEO POSSIBLE. THANK YOU!
Dear. Merlo Lab: My name is Gabriela Buela, Iam family doctor from Hospital Italiano de Buenos Aires Argentina I am doing training with a health team. I am seeking your permission to use these videos, I would like to use it to show an example of motivational ineview in a couse. Thank you. Gaby
The mirroring was very helpful in this situation. The provider was helpful in letting the patient lead the conversation. The dentist helped her get to the root of why she smokes and helped her discover the true nature of her habit . She also brought the conversation full circle and asked the patient about ways she could make a change.
The provider was just combative, judgmental, and rude in this scenario. Even though the provider may have provided correct information, her behavior could certainly cause a loss in perceived credibility and consequently, turn patients away from the practice.
The provider was definitely less judgmental and more flexible in this scenario. She helped the customer/client explore possible options for products and lifestyle changes that he could implement with confidence. She tailored the response to his particular interests and made herself available for another time in the future when he may be closer to making changes.
This is another example of a provider who is not picking up on client/customer cues. Delivering information is not always enough or the most appropriate method to incite change. It has to come from within the client. The customer was honest about his intentions and the provider needed to accept his current status and attempt to match her intervention to his readiness to change.
I agree -- this a great example of motivational interviewing. There was a two-way interaction in this scenario and the provider asked the client what she thought was manageable . It was also good that she asked about her confidence level and what the perceived barriers were in the current situation, compared to what motivated her to stop smoking in the past.
Hi Tara, You are more than welcome to use the videos. Please be sure to acknowledge the grant that funded it (listed in the video description and credits). Thanks!
Hi Dr Merlo, writing from Acumentra Health, Oregon's Quality Improvement Organization (QIO)and seeking your permission to use this videoand the ineffective version as an opener for a face to face event on July 31st. We are hosting an event on "Bridging Communication Gaps in Primary Care and we think this would be a great videos to differentiate between effective and ineffective use of communication. Great video! Tara McAdoo 503-382-3935
She was able to shift the focus of the conversation to the patient, rather than dominate with her own beliefs and opinions about smoking. This gave the pt ample time to think through his statements. CB, LS
The physician often repeated back to the client what she had already verbalized, but in different words. The use of mirroring like that is important when counseling clients in need of behavior change. She also never seemed judgmental, which is essential to creating a positive relationship with a client. CB, LS
Unlike the ineffective physician, this physician does an excellent job of showing empathy. She also repeatedly uses mirroring techniques and build's confidence and self-efficacy by using the scale of 1 to 10. Excellent in helping the client build her OWN goals! BL, ND, JG
Very informative! Great illustration of how accusatory remarks do not elicit change from your patients. It makes your patient uncomfortable and want to leave the situation.
Thank you for posting this terrific set of videos. These are so well done and terrific examples of both anti-MI practice and exemplary MI practice. These videos will be a tremendous resource for individuals who are trying to learn and master MI techniques for health behavior change. Thanks again!
