Medically Fit For Exams
Medically Fit For Exams

Full smoking history

  • Wash hands and introduce yourself
  • Check the patient’s name and DOB
  • Ask the patient if it’s okay to have a chat about smoking

 

Smoking behaviour

  • Are you currently smoking?
  • What do you smoke?
  • When do you smoke? Socially or personally?
  • How long have you been smoking?
  • What made you start?
  • How many cigarettes do you smoke in an average day?
  • Have you always smoked at this level?
  • Has your smoking increased/decreased?
  • Is there anything that makes you smoke more?
  • How much are you spending on smoking in a week?
  • Have you tried to stop smoking before?
    • If yes, why were you unsuccessful?
    • If no, have you ever wanted to stop? And what stopped you trying?
    • Would you be interested in trying to stop?

 

Dependence

  • If you don’t have a cigarette for a while, do you get any physical symptoms? Shaking, sweating, headache
  • Psychological symptoms? Irritability, anxiety, anger, sadness

 

Effect on health

  • Have you ever had any health problems from smoking?
    • Cough
    • Asthma
    • COPD
    • Pneumonia
    • Chest infection
    • Cancer
    • Breathlessness

 

Social

  • Who do you live with, do they smoke?
    • Children? Do they have asthma?
  • Are you working? Do you have to take extra breaks from work to smoke?
  • Have you ever had any problems with work related to your smoking?
  • How much alcohol do you drink?

 

Summary

  • Ask if they have any questions or concerns
  • Offer your opinion that they should cut down and try to stop, offer to refer to a stop smoking service
  • Ask if there is anything that they think you haven’t asked about
  • Thank the patient for talking to you
Full smoking history.docx
Microsoft Word document [15.4 KB]

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