#AllOurHealth - Wednesday 30th September 2020 6pm (GMT Standard Time) Smoking & Tobacco - UoP

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Hosted by WeNurses using #AllOurHealth

This chat is guest hosted by @PUNC14

Smoking & tobacco - Tweetchat 3 University of Plymouth 

   

Tweetchat participation is organised by birthday:

Group A - January to April Birthdays take place from 6:00pm - 6:30pm

Group B - May to August Birthdays take place from 6:45pm - 7:15pm

Group C - September to December Birthdays take place from 7:30pm - 8:00pm 


Smoking is not a lifestyle choice but a chronic relapsing condition needing treatment. This is recognised by the government's commitment for the NHS in England to become smokefree. Supporting smokers in contact with the healthcare system to quit is a prevention priority in the NHS Long Term Plan and every health and care professional has a role to play.

    
As a healthcare professional, you are best placed to motivate and support smokers on their quit journey. Smokers expect healthcare professionals to ask about their smoking.

   

All healthcare professionals should identify and refer smokers using the method known as Very Brief Advice (VBA) which has 3 components - 'Ask, Advise and Act':

   
1.      Ask and record smoking status: is the patient a smoker, ex-smoker or non-smoker?
2.      Advise on the best way of quitting: the best way of stopping smoking is with a combination of stop smoking aids and specialist support.
3.      Act on patient response: build confidence, give information, refer and prescribe.
    
Different approaches suit different people so if the first thing a smoker tries does not help, they should try another way. We've published guidance HERE to support you in your conversations with patients on what method to choose.

All health and care professionals should be:

   
*         aware of latest guidance and interventions on supporting people to stop smoking
*         able to access learning and development opportunities to support smokers to quit
*         able to support smokers to access local referral and care pathways to stop smoking support
*         able to provide feedback to local commissioners and providers where services are working well and where there are problems accessing support for smokers who want to quit.

  

Here are the questions that we will be exploring during this tweetchat:

  
Question 1:
Why is it important in your specific role to ask people about their smoking status?
What opportunities do you have to deliver very brief advice on smoking?

Question 2:
How are you going to increase your knowledge and confidence to talk to patients about their smoking?
[Have you completed the free NCSCT online module on providing very brief advice?]

Question 3:
Do you know how to refer smokers in your area for specialist support to quit?

Question 4:
What can we do to embed the treatment of tobacco dependency into our services?

Question 5:
What one action can you take to help your patients stop smoking following this Tweetchat?

  

Smoking and tobacco can be quite an emotive topic, especially in social media spaces.  Our top tips for engaging in sensitive topics in social media are:

  

  • Think before you post
  • Respect other people's perspectives
  • It's ok to disagree but do so professionally
  • Remember social media is a conversation and no post / comment should be taken in isolation
  • Ask for clarification / context to someone's post if needed 
  • Remember just because social media is instant this doesn't mean you have to be 





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 #AllOurHealth transcript

 
@PUNC19Laura
30 September 2020 18:58
I am an ex smoker & understand the addiction, I also have seen what smoking can do to people- my dad died of a throat cancer in 2018. Even then it took me a few months to #stubitout This is an emotive subject for me, so bare with! #AllOurHealth https://t.co/1V0eUQiigW
@PUNC19Laura
30 September 2020 18:59
#punc19 #allourhealth #Stoptober #punc20
@PUNC14
30 September 2020 19:20
10 minutes until todays #AllOurHealth Tweetchat on Smoking & Tobacco starts https://t.co/UuOdd2lTNI
@becksreynolds
30 September 2020 19:22
Not long to go! looking forward to chatting with our #NRS503 #PUNC19 any #PUNC20 joining us? #AllOurHealth https://twitter.com/punc14/status/1311370241591697408
@PUNC14
30 September 2020 19:30
Hello and welcome to today's #AllOurHealth tweetchat on Smoking & Tobacco Let's get started straight away with QUESTION 1 Why is it important in your specific role to ask people about their smoking status? https://t.co/MQSTaEKrXg
@mrsmarshall_
30 September 2020 19:32
@PUNC14 To provide evidence based care to support people to stop smoking #AllOurHealth
@hannahlames1
30 September 2020 19:34
RT @PUNC14: Hello and welcome to today's #AllOurHealth tweetchat on Smoking & Tobacco Let's get started straight away with QUESTION 1 W…
@CathLabNQN
30 September 2020 19:34
@PUNC14 To determine the impact of them smoking on their condition and offer Very Brief Advice (VBA) on Smoking to inform them of the dangers and ways of stopping. #AllOurHealth
@HelenPopham4
30 September 2020 19:35
#AllOurHealth This is important as we need to support smokers to access help to quit if they feel ready to do so. They can be guided on the correct pathway to help them succeed!
@WePunc
30 September 2020 19:37
Meriel is on the WePunc account this eve as Jack has other responsibilities...I will be dipping into the #AllOurHealth health tweetchat if any of you want to join in... Just type the hashtag into your Twitter search and click on latest tweets to see a tweetcgat in action
@PUNC14
30 September 2020 19:38
@AliceNiamhPUNC Nicely said ... smoking has such a big impact on health that we do need to be aware in order to help people #AllOurHealth
@PUNC14
30 September 2020 19:38
RT @mrsmarshall_: @PUNC14 To provide evidence based care to support people to stop smoking #AllOurHealth
@PUNC14
30 September 2020 19:39
Yes absolutely - and it's worth knowing the local services around you that you can direct them to too #AllOurHealth https://twitter.com/HelenPopham4/status/1311374003349655552
@PUNC_ctrout
30 September 2020 19:39
@PUNC14 People are more likely to attempt to quit if they have these conversations with healthcare professionals as we are also able to signpost them to services to get the ball rolling for them #AllOurHealth
@WePunc
30 September 2020 19:40
RT @PUNC14: Yes absolutely - and it's worth knowing the local services around you that you can direct them to too #AllOurHealth
@PUNC14
30 September 2020 19:40
QUESTION 2 How are you going to increase your knowledge and confidence to talk to patients about their smoking? #AllOurHealth https://t.co/D8hguVf8bJ
@ClareeceW
30 September 2020 19:40
@PUNC14 We that we are able to determine the impact it may have on their health, whether it relates to a patients condition and offer them some additional advice if they want any #AllOurHealth
@WePunc
30 September 2020 19:40
RT @PUNC14: Hello and welcome to today's #AllOurHealth tweetchat on Smoking & Tobacco Let's get started straight away with QUESTION 1 W…
@becksreynolds
30 September 2020 19:40
@HelenPopham4 Key point here IF they are ready. We have to be ready to inform and support at the right time for them #AllOurHealth
@WePunc
30 September 2020 19:41
RT @PUNC14: QUESTION 2 How are you going to increase your knowledge and confidence to talk to patients about their smoking? #AllOurHealth…
@becksreynolds
30 September 2020 19:41
@mrsmarshall_ @PUNC14 Absolutely it evidence based but it about the timing as well #AllOurHealth
@punc19marisa
30 September 2020 19:41
@PUNC14 Smoking affects health very badly, therefore the need to raise awareness of these effects to patient smokers and encourage them to positive lifestyle behaviours to improve health and wellbeing #AllOurHealth #Punc19
@PUNC14
30 September 2020 19:41
They absolutely are ... and the evidence points to the fact that people want health & care professionals to ask them #AllOurHealth https://twitter.com/PUNC_ctrout/status/1311375239385960451
@HelenPopham4
30 September 2020 19:41
#AllOurHealth As healthcare professionals we can access learning and development courses to support smokers to quit for good!!
@ClareeceW
30 September 2020 19:42
@PUNC14 Making sure that I have knowledge around smoking and have read the provisions and help available for that geographic area #AllOurHealth
@AgencyNurse
30 September 2020 19:42
I think that #AllOurHealth resources go a long way to increasing knowledge and confidence .... certainly a great place to start. Would also say get to know your local area and what is available https://twitter.com/PUNC14/status/1311375270180524035
@CathLabNQN
30 September 2020 19:43
@PUNC14 Upskill! The NCSCT offer online information and training on how to provide VBA on Smoking. Speaking to colleagues for advice about how they talk about smoking may help give some ideas too! #AllOurHealth
@PUNC_ctrout
30 September 2020 19:44
@PUNC14 Ensuring I have the knowledge about why and how to stop smoking so I can provide evidence-based advice. Also keeping up to date with stop smoking services in the area! #AllOurHealth
@becksreynolds
30 September 2020 19:46
@punc19marisa @PUNC14 Yes we always have to be careful how we approach this to maintain the relationship as well #AllOurHealth
@PUNC14
30 September 2020 19:47
They absolutely do ... and it's a fantastic resource #AllOurHealth https://twitter.com/AliceNiamhPUNC/status/1311376256613715969
@PuncphoebeE
30 September 2020 19:47
RT @becksreynolds: Tonight we have #AllOurHealth #PUNC19 tweetchat on smoking and tobacco. This is a great example of how we support learni…
@becksreynolds
30 September 2020 19:48
@HelenPopham4 Yes information giving alone does not help. We need to consider the multitude of factors that influence smoking behaviour #AllOurHealth
@CathLabNQN
30 September 2020 19:48
@PUNC19Laura @PUNC14 #AllOurHealth
@AgencyNurse
30 September 2020 19:48
@becksreynolds @punc19marisa @PUNC14 at the same time don't let this put you off asking ... just be sensitive and be led by the patient #AllOurhealth
@PUNC14
30 September 2020 19:50
QUESTION 3 What can we do to embed the treatment of tobacco dependency into our services? #AllOurHealth https://t.co/TWl67HJFpw
@WePunc
30 September 2020 19:50
RT @PUNC14: QUESTION 3 What can we do to embed the treatment of tobacco dependency into our services? #AllOurHealth https://t.co/TWl67HJF…
@punc19marisa
30 September 2020 19:50
@PUNC14 Attend regular trainings, be aware of updated guidance on smoking cessation interventions, working in partnership with the patient. Reflect on own practises, to recognise strengthens and weaknesses, to work and develop these #AllOurHealth #Punc19
@EDNurseKitty
30 September 2020 19:51
@PUNC14 Constantly seek opportunities to extend my knowledge- ask others, explore, read, e-learning etc. #AllOurHealth (always forget to hashtag)!
@CathLabNQN
30 September 2020 19:51
@PUNC19Laura @PUNC14 That is a huge thing isn't it, not being able to smoke on site hasn't really encouraged cessation however it does make a safer environment for other hospital visitors! #AllOurHealth
@becksreynolds
30 September 2020 19:51
A really important thought, the brief intervention approach may work for some but not all, we have to have a range or approaches in our tool kit and the app is another excellent intervention that work is in a very different way #AllOurHealth https://twitter.com/punc19laura/status/1311376990881095688
@EDNurseKitty
30 September 2020 19:52
@PUNC14 Make the conversation around smoking open & warm not judgemental & limited. Assess it from all angles & remits there’s so many factors why people smoke it’s important to remember that #allourhealth
@student_nurseEm
30 September 2020 19:52
By researching what services are available in the local area. However it’s also worth noting that there may be specific reasons why the person is smoking so it could be helpful to acknowledge these and signpost the person for relevant help in other areas. #AllOurHealth
@EDNurseKitty
30 September 2020 19:53
@WePunc @PUNC14 Apologies! #AllOurHealth
@HelenPopham4
30 September 2020 19:53
#AllOurHealth Ensure that patients have access to local support and pathways to enable them to quit with success!!
@CathLabNQN
30 September 2020 19:53
@PUNC14 Ensure smoking status is discussed at every opportunity - based on the Make Every Contact Count (MECC) approach. This ensures that smoking cessation advice can be provided (if the patient is open to quitting) at every opportunity and at any contact with the patient #AllOurHealth
@AgencyNurse
30 September 2020 19:54
Love this tweet .... very eloquently said #AllOurHealth https://twitter.com/PUNC19Kitty/status/1311378425458888708
@WePunc
30 September 2020 19:54
RT @HelenPopham4: #AllOurHealth Ensure that patients have access to local support and pathways to enable them to quit with success!!
@becksreynolds
30 September 2020 19:55
Some really good points here, you just can’t over simplify the challenge #AllOurHealth https://twitter.com/punc19kitty/status/1311378425458888708
@PUNC14
30 September 2020 19:56
RT @becksreynolds: Some really good points here, you just can’t over simplify the challenge #AllOurHealth https://twitter.com/punc19kitty/status/1311378425458888708
@PUNC_ctrout
30 September 2020 19:56
@PUNC14 Creating an open and honest environment for patient's to talk about their lifestyle choices. It's also important to remember that every person is different and will need support in a different way; cater to the individual! #AllOurHealth
@becksreynolds
30 September 2020 19:56
@AliceNiamhPUNC @PUNC14 Again really important points. Knowing smoking status means that when the time is right for them we are ready to support #AllOurHealth
@AgencyNurse
30 September 2020 19:58
We do have to adjust our thinking on smoking .... it's not a lifestyle choice but something that needs to be treated #AllOurhealth
@CathLabNQN
30 September 2020 19:58
@becksreynolds @PUNC14 Definitely important to tailor the approach to the individual! #AllOurHealth




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 Total tweets: 53
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