5. The Five A's
Quick Reference

For a 15-minute counseling session

	Determine client's current smoking status 1. Ask: identify each client's smoking status at each visit
	Review smoking associated risks (for fetus, infant, and mother) 2. Advise: strongly urge tobacco users to quit
	Review how to maintain current non-smoking behaviors 3. Assess: determine client's willingness to quit
	Provide self-help manuals and pamphlets 4. Assist: aid the client in her cessation attempt
Note smoking status in chart
	Review status throughout pregnancy and support any positive changes the patient has made 5. Arrange: schedule follow-up contact

Be careful not to measure success of the program by how many women quit smoking, rather by how effectively your office has implemented the Five A's smoking cessation method.

Supplemental Handout Materials

All handout materials are available at our Handouts Resources Section	in PDF [Get Help]	in MS Word
AHCPR Guidelines for Smoking Cessation	AHCPR.pdf (118k)	AHCPR.doc (43k)
Brief Smoking Cessation Counseling for Pregnant Patients	smokces.pdf (169k)	smokces.doc (27k)

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