patient handouts

Patient Handout: Withdrawal Symptoms

Description: 
Printable handout about tobacco withdrawal.

What Are Withdrawal Symptoms?

Nicotine is very addictive. As with drugs, when you quit smoking, withdrawal symptoms may occur. These symptoms alone show that smoking cigarettes is just as difficult to conquer as drug use. In fact, the US Surgeon General has reported that nicotine is just as addictive as heroin and cocaine.

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T-ACE

Description: 
T-ACE alcohol screening tool for pregnant women.

Brief Screening Test: T-ACE


T-ACE
is a measurement tool of four questions that are significant identifiers of risk drinking (i.e., alcohol intake sufficient to potentially damage the embryo/fetus).

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AUDIT-12

Description: 
The AUDIT- 12 is designed to assess alcohol consumption in the homeless population.

Circle the answer that BEST DESCRIBES your drinking and drug use for the LAST YEAR.

1) How often do you have a drink containing alcohol?

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Description: 
Printable PDF version of the AUDIT substance abuse screening tool (reprinted with permission from the WHO.) The purpose of AUDIT is to assess hazardous and harmful alcohol consumption within the past year. The target population is adults. It can be administered by patient interview or self report.
Source: 
World Health Organization (WHO)
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Description: 
The Clinical Screening Instrument is meant to be used as an adjunct to the AUDIT. The WHO recommends utilizing this instrument as a follow-up to the AUDIT if a clinician suspects that a patient may not be providing accurate answers to the AUDIT. Its use is also recommended in situations in which it may not be appropriate to administer the AUDIT, such as when a patient is clearly intoxicated.
Source: 
World Health Organization (WHO)
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Description: 
This brief version of the MAST is only 10 questions long and is used to measure alcohol use and abuse.
Source: 
Clinical Tools, Inc.
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Description: 
Printable PDF version of the AUDIT substance abuse screening tool with information on how many points each answer response gets.
Source: 
Reprinted with permission from the World Health Organization (WHO)
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Relapse Handout

Description: 
Questions and situations that surround relapse in tobacco cessation.

Did you quit smoking for some time but then go back to it after a while?

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Patient Handout: Varenicline (Chantix®)

Description: 
See FDA package insert for more complete information.

Warnings and side effects of Varenicline (Chantix) are included in the table below. For more information, you can refer to the FDA package insert.

 

Description

Varenicline is a quit-smoking medication approved by the Food and Drug Administration. It does not contain any nicotine. It is available as Chantix® and only by prescription. You can use it for up to 12 weeks. An additional 12 weeks may be recommended by your physician after successful cessation to help maintain abstinence.

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Patient Handout: Basics of Nicotine

Description: 
Patient handout with information on the basics of nicotine.

Nicotine is a substance found in cigarettes and other tobacco products. When you inhale a cigarette, you are inhaling nicotine, along with more than 500 other chemicals. Nicotine is the drug that makes people become addicted. When you are addicted to nicotine, you feel as if you need nicotine in order to get through your day.

Because nicotine reaches the brain within 10 seconds after being inhaled, it may cause immediate as well as long-term effects. Listed below are potential effects.



Immediate Effects

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