#AllOurHealth - Wednesday 5th August 2020 3pm (GMT Standard Time) Smoking & tobacco - UoN

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Hosted by WeNurses using #AllOurHealth

Smoking & tobacco - Tweetchat 3 University of Nottingham 


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

 
@WeLearnOutLoud
05 August 2020 15:00
Hello and welcome to today's University of Nottinghams #AllOurHealth tweetchat on Smoking & Tobacco Lets 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/gfGE9Iyayw
@BridgetEleri
05 August 2020 15:01
@WeLearnOutLoud As frontline healthcare professionals we are in direct contact with patients from all walks of life and are well suited to offer guidance and support. 16% of deaths were attributed to smoking, we can prevent this #AllOurHealth
@WinfieldLorna
05 August 2020 15:02
#AllOurHealth people expect healthcare professionals to ask about their smoking status and therefor act as role models and a means of support. They may not have previously known where to access support
@WeLearnOutLoud
05 August 2020 15:02
Very nicely said Bridget #AllOurHealth https://twitter.com/BridgetEleri/status/1291011432713277441
@SNmeg7
05 August 2020 15:03
@WeLearnOutLoud #AllOurHealth it is important to ask about smoking status to ensure appropriate care is given to patients. If they are a smoker, do they need help stopping? Do they have any health conditions related to their smoking? It opens up more information about a patients’ health.
@WeLearnOutLoud
05 August 2020 15:03
Yes indeed Lorna and there is evidence to back this up #AllOurHealth https://twitter.com/WinfieldLorna/status/1291011679422226435
@AgencyNurse
05 August 2020 15:04
@WinfieldLorna This is a fab point - and perhaps something we often forget as health and care professionals ... we can get caught up in not wanting to overstep the mark or be too "big brother" .. but the evidence says that people expect us to ask #AllOurHealth
@WeLearnOutLoud
05 August 2020 15:05
Some great points here #AllOurHealth https://twitter.com/SNmeg7/status/1291011840647090177
@AgencyNurse
05 August 2020 15:08
Yes absolutely ... if they don't want to talk about smoking then move on, if they do then thats ace ... but we should ask #AllOurHealth https://twitter.com/WinfieldLorna/status/1291012928515330049
@WeLearnOutLoud
05 August 2020 15:09
#AllOurHealth https://twitter.com/WinfieldLorna/status/1291012147468795905
@WeLearnOutLoud
05 August 2020 15:10
QUESTION 2 How are you going to increase your knowledge and confidence to talk to patients about their smoking? #AllOurHealth https://t.co/4sn1gd7PNH
@BridgetEleri
05 August 2020 15:11
@WeLearnOutLoud #AllOurHealth has been a great start in giving us information about conversations surrounding smoking. I will read more about the various approaches and finish the free NCSCT module to prepare myself for practice
@WeLearnOutLoud
05 August 2020 15:11
A really interesting point here #AllOurHealth https://twitter.com/CharityM1/status/1291013660605808642
@WeLearnOutLoud
05 August 2020 15:12
Thats great to hear #AllOurhealth https://twitter.com/BridgetEleri/status/1291013844517650437
@SNmeg7
05 August 2020 15:12
@WeLearnOutLoud #AllOurHealth talking to smoking cessation services or having insight days with members of their teams to see how they approach patients who smoke and need help. I can also increase my confidence by being more exposed to patients who do or used to smoke.
@WinfieldLorna
05 August 2020 15:12
#AllOurHealth I will access the Gov resources for health care professionals. I will also increase my confidence in talking about it by speaking with friends and family.
@WeLearnOutLoud
05 August 2020 15:12
A great idea #AllOurHealth https://twitter.com/CharityM1/status/1291014065909792769
@AgencyNurse
05 August 2020 15:13
I think perhaps the answer is in the question .... if we increase our knowledge about smoking and stopping and even local services to help people then we will gain confidence #AllOurHealth https://twitter.com/WeLearnOutLoud/status/1291013653408489474
@PAvajah
05 August 2020 15:13
@WeLearnOutLoud #allourhealth it's important to ask to know about their overall health as it will affect how care will be given. additionally, it's important to know so if they do smoke, we can promote health and educate them on why it's not good for their health
@AgencyNurse
05 August 2020 15:16
Yep after lots of years of nursing practice I absolutely agree .. the more i know the more confident I am ... keep learning :) #AllOurHealth https://twitter.com/WinfieldLorna/status/1291014775787454466
@NicoletteP821
05 August 2020 15:18
Smoking costs society around £30.1 million every year. This corresponds to around £1,900 per smoker per year. It is important for health care professionals too be aware of latest guidance and interventions on supporting people to stop smoking #AllOurHealth
@WeLearnOutLoud
05 August 2020 15:20
QUESTION 3 What can we do to embed the treatment of tobacco dependency into our services? #AllOurHealth https://t.co/K23niW7q2i
@WinfieldLorna
05 August 2020 15:21
#AllOurHealth We can make sure we speak to all patients and families and make them aware of the evidence that smokers have better success at quitting with support.
@BridgetEleri
05 August 2020 15:22
@WeLearnOutLoud The package of support provided by local services through the NHS (I believe it's Stub It in Notts?) is the most effective way of quitting. It can be a priority to ask patients on first contact their smoking status to open the conversation #AllOurHealth
@WeLearnOutLoud
05 August 2020 15:23
Some hard hitting stats here #AllOurHealth https://twitter.com/NicoletteP821/status/1291015773725523971
@WeLearnOutLoud
05 August 2020 15:24
This is perhaps something that people don't realise ... also the amount and different types of support out there #AllOurHealth https://twitter.com/WinfieldLorna/status/1291016508957757443
@NicoletteP821
05 August 2020 15:24
@WeLearnOutLoud Routine asking at GP appointments if they are a smoker, if yes, would you like support to quit. Leaflets and numbers to specialised services can also be provided #AllOurHealth
@WeLearnOutLoud
05 August 2020 15:25
Yes simply asking is a great way to open up the smoking conversation #AllOurHealth https://twitter.com/BridgetEleri/status/1291016672720166913
@ElliPhi64824504
05 August 2020 15:25
Smoking & tobacco - UoN via #AllOurHealth 05/08/2020 http://www.wecommunities.org/tweet-chats/chat-details/5512 via @WeNurses
@PAvajah
05 August 2020 15:27
@WeLearnOutLoud #allourhealth i will educate myself further on smoking and its effects so i can teach others about the consequences and negative effects and conditions it can lead to.




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 Total contributers: 8
 Total tweets: 30
 Total reach: 153,004

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