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the initiator of the quitting process,” said Frank M. Vitale, M.A., national director of PPTC and senior lecturer, pharmaceutical sciences, University of Pittsburgh School of Pharmacy. “Most people have no idea how to quit,” Vitale adds. “They don’t understand that it’s more than just making yourself stop. So, pharmacists’ referring is a huge intervention because it gets people thinking about actual steps to take.” Hospital and health-system pharmacists have unique opportunities to help change the tobaccorelated behaviors of patients within their care, according to Karen S. Hudmon, associate professor in the Department of Pharmacy Practice at Purdue University, Indianapolis. Hudmon, along with her colleagues at UCSF, developed the Rx for Change curriculum. “Any pharmacist who has contact with the patient has an opportunity,” she said. “Tobacco use should be addressed with all patients, including, but not limited to, cardiac patients, pulmonary patients, cancer patients, pregnant women, patients with mental illness, and patients undergoing surgery.” Hudmon noted that hearing about tobacco cessation from a pharmacist reinforces what physicians have already tried to impart. “Studies show that people are more likely to quit when they hear the message through multiple providers,” she said.
PHARMACISTS ADOPT SIMPLE, BUT POWERFU
Bottom Right Karen S. Hudmon, Dr.Ph., associate professor in the Department of Pharmacy Practice at Purdue University, Indianapolis.
oughly one in five adults in the U.S. uses tobacco products, according to the Centers for Disease Control and Prevention. That figure represents a tremendous opportunity for pharmacists to provide tobacco cessation counseling that can save lives, an opportunity not lost on the profession as a whole. Indeed, roughly 85 percent of pharmacy schools train their students in techniques to help patients stop using tobacco products through Rx for Change, a shared curriculum being disseminated by the University of California-San Francisco Schools of Pharmacy and Medicine and promoted by the ASHP-supported Pharmacy Partnership for Tobacco Cessation (PPTC). Initiating the Discussion One of the most useful techniques featured in Rx for Change is a brief intervention called Ask-Advise-
R
Refer (AAR). Using this intervention, pharmacists can ask patients about tobacco use, advise them to quit, and refer them to 1-800-QUIT NOW, a national quitline that connects to counselors located in each patient’s state. “In many cases, it’s unrealistic for pharmacists to provide comprehensive counseling, from start to finish, so we are also promoting an approach where the pharmacist is
The American Society of Health-System Pharmacists
ASHP Intersections Summer 2010
Table of Contents for the Digital Edition of ASHP Intersections Summer 2010
ASHP Intersections Summer 2010 - 1
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