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In utero exposure to nicotine, which is found in many vaping products, is known to directly harm fetuses by causing abnormal lung, heart, brain, and immune system development, which carries lifelong consequences

More Magazines Recommendations Info Smoking Cessation Treatment AlgorithmDoes the ClientCurrently Smoke?NoYesDid the client oncesmoke?Is the client nowwilling to quit?NoYesNoYesNo interventionrequiredPrevent Relapse*RELAPSEPREVENTIONCongratulatesuccessReinforce decisionto quitReview the benefitsof quittingAssist in resolvingany issues aroundquitting*Relapse prevention interventions are notnecessary in the case of the adult who has notsmoked for many years.PromoteMotivation to QuitTHE 5 Rs ofMotivationRelevance to clientRisks of SmokingRewards ofStoppingRoadblocks tostoppingRepetition of themessageProvideAppropriateTreatment OptionsThe 5 As ofInterventionASKabout smokingADVISEto quit anddocumentASSESSwillingness to makea quit attemptASSISTin quit attemptARRANGEfollow-upThis material was adapted from Primaris Healthcare Business Solutions developed May 2003

The origins of the out-of-state packs suggest the overwhelming majority of them are brought in by organized traffickers, rather than daytripping smokers

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