If the patient is ready to quit, the five successful interventions are the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange.Īsk – Identify and document smoking status for every patient at every visit.Īdvise – In a clear, strong, and personalized manner, urge every user to quit.Īssess – Is the user willing to make a quitting attempt at this time?Īssist – For the patient willing to make a quitting attempt, use counseling and pharmacotherapy to help them quit.Īrrange – Schedule follow-up contact, in person or by telephone, preferably within the first week after the quit date. Have you ever tried to quit smoking/vaping? What strategies gave you the best success?Īre you interested in quitting smoking/vaping? What products do you smoke/vape? If cigarettes are smoked, how many packs a day do you smoke? What have you used to treat the cough? Has it been effective? When you cough, do you bring up anything? What color is the phlegm?ĭo you have any associated symptoms with the cough such as fever, chills, or night sweats?ĭoes anything bring on the cough (such as activity, dust, animals, or change in position)? How does the shortness of breath affect your daily activities? Is the shortness of breath related to a position, like lying down? Do you sleep in a recliner or upright in bed?ĭo you wake up at night feeling short of breath? How many pillows do you sleep on? What makes the shortness of breath go away? How long does the shortness of breath last? Is the shortness of breath associated with chest pain or discomfort? Note: If the shortness of breath is severe or associated with chest pain, discontinue the interview and obtain emergency assistance.Īre you having any shortness of breath now? If yes, please rate the shortness of breath from 0-10 with “0” being none and “10” being severe?ĭoes anything bring on the shortness of breath (such as activity, animals, food, or dust)? If activity causes the shortness of breath, how much exertion is required to bring on the shortness of breath? Have you had any feelings of breathlessness (dyspnea)? Please identify what you are taking and the purpose of each. Please describe the conditions and treatments.Īre you currently taking any medications, herbs, or supplements for respiratory concerns? doi:10.2471/BLT.20.Have you ever been diagnosed with a respiratory condition, such as asthma, COPD, pneumonia, or allergies?ĭo you use home respiratory equipment like CPAP, BiPAP, or nebulizer devices? Smoking and epidemics of respiratory infections. Sitas F, Harris-Roxas B, Bradshaw D, Lopez AD. National Heart, Blood, and Lung Institute. Chronic obstructive pulmonary disease: diagnosis and management. Inspiratory crackles-early and late-revisited: identifying COPD by crackle characteristics. Melbye H, Solis JCA, Jacome C, Pasterkamp H. Respiratory sound classification for crackles, wheezes, and rhonchi in the clinical field using deep learning. Sarkar M, Madabhavi I, Niranjan N, Dogra M. Wheezes, crackles, and rhonchi: simplifying description of lung sounds increases the agreement on their classification: a study of 12 physicians' classification of lung sounds from video recordings. Autoimmune diseases: Lupus and rheumatoid arthritis can both attack the lungs, causing the progressive scarring of lung tissues. Atelectasis: This is a condition that causes alveoli to collapse in certain areas of the lungs.Sarcoidosis: This is a rare condition that causes small patches of granular tissue, called granulomas, to form in the organs of the body, including the lungs.Idiopathic pulmonary fibrosis (IPF): This is a condition in which lung tissues become thick and stiff for unknown reasons.Pneumonia: The infection can also cause parenchymal inflammation (sometimes referred to as "interstitial pneumonia").Asbestosis: This is a condition that causes scarring of the lungs due to prolonged exposure to asbestos fibers in the air.Pulmonary edema: This is the swelling of the lungs due to the overload of fluid in tissues (sometimes referred to as "wet lung").
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