- Arrange follow-up. For the patient willing to make a quit attempt, arrange for follow-up contacts, beginning within the first week after the quit date. For patients unwilling to make a quit attempt at the time, address tobacco dependence and willingness to quit at next clinic visit.
For smoking unwilling to quit, it is recommended to implement the 5 Rs: explain the relevance, risks, rewards, run over the roadblocks, and repeat at every available opportunity. In the next section we review the three main approaches to smoking cessation which are available singly or in combination: pharmacological, psychological and social.