Why is it dangerous to continue smoking while using a patch? (stated at 2:00) I was under the impression that excessive nicotine would put the patient at risk of side-effects, but nothing considerably dangerous. A clarification to this would be much appreciated. Thanks.
@iangalna54442 жыл бұрын
Old comment but thought someone else might appreciate seeing an answer to this question: It isn't. On some of the product labels they state that because of the side effect risk like you pointed out and they want to cover their butts. It's kind of like how some say you shouldn't use NRT while pregnant. Yeah nicotine isn't the best, but it's better than smoking which is pumping you full of nicotine AND all the carcinogens. You'd be correct to counsel that if someone smokes while wearing the patch they might feel additional side effects while doing so, and may want to reduce their smoking which is the point of using the patch. One good strategy for tobacco cessation is to actually have people chew nicotine gum or use lozenges/spray WHILE on the patch because a 21mg patch is often not enough for someone on >1ppd smoking habit. -Pharmacist
@jubmillecarlotalamayan18024 жыл бұрын
HI UIC!
@WLOfails5 жыл бұрын
Any progress to reduce smoking is a victory. Cold turkey isn't always the answer.
@nn06735 жыл бұрын
I can tell you never have smoked with a dumb mentality like that... its harder to cut down smoking than to quit cold turkey. Its the difference between perpetual chronic withdrawal and 3 days of withdrawal.,... i think ill take the cold turkey option
@WLOfails5 жыл бұрын
@@nn0673 That's just your opinion. Different methods work for different people. Personally for me, I cut down the ciggs with vaping. Now it's been 2 years since i've last bought a pack.
@nn06735 жыл бұрын
yes but youre still an acitve addict with products which may not be as safe as they claim to be.... trying to cut down cigs without feeding the addiction through other conduits (vapes/etc) is an impossible task. cold turkey give you a fighting chance to detox before you give in to withdrawal
@WLOfails5 жыл бұрын
@@nn0673 There's no need to debate this. You go with your way, and I go with mine. I can't take you seriously after your first reply.
@Sam_Hyde_Apologist5 жыл бұрын
@@WLOfails if you can quit vaping too, you really should, there are numerous harmful effects you should look into
@yanxia39487 жыл бұрын
thanks guys, you are doing a great show.
@kayemm579 жыл бұрын
THE DON'T s HAVE BEEN DEPICTED NICELY.
@traceylynn77799 жыл бұрын
Excellent video. Thank you!
@MerloLab11 жыл бұрын
Heloisa, you can use it for educational purposes, but not if you are publishing for financial gain. The funding agency would not allow that. Thanks!
@MartyHabss11 жыл бұрын
There's definetly something between these 2
@loeaglelo11 жыл бұрын
I really enjoyed these two videos. Great examples demonstrating the process of working with the patient to achieve progress and a desire to change their lifestyle.
@MerloLab11 жыл бұрын
ANYONE MAY USE THIS VIDEO FOR EDUCATIONAL PURPOSES. YOU DO NOT NEED TO CONTACT ME FOR PERMISSION. PLEASE ACKNOWLEDGE THE GRANT FUNDING CITED ABOVE, WHICH MADE DEVELOPMENT OF THIS VIDEO POSSIBLE. THANK YOU!
@MerloLab11 жыл бұрын
ANYONE MAY USE THIS VIDEO FOR EDUCATIONAL PURPOSES. YOU DO NOT NEED TO CONTACT ME FOR PERMISSION. PLEASE ACKNOWLEDGE THE GRANT FUNDING CITED ABOVE, WHICH MADE DEVELOPMENT OF THIS VIDEO POSSIBLE. THANK YOU!
@gabybuela11 жыл бұрын
Dear. Merlo Lab: My name is Gabriela Buela, Iam family doctor from Hospital Italiano de Buenos Aires Argentina I am doing training with a health team. I am seeking your permission to use these videos, I would like to use it to show an example of motivational ineview in a couse. Thank you. Gaby
@nikkicavalier820111 жыл бұрын
Great video demonstration! May I have permission to use it for training purposes with social work students? Thanks! Nikki Cavalier 626-840-2874
@MerloLab12 жыл бұрын
Sure, you have my permission. Please acknowledge the grant that funded the video production (listed above). Good luck!
@TI603able12 жыл бұрын
The mirroring was very helpful in this situation. The provider was helpful in letting the patient lead the conversation. The dentist helped her get to the root of why she smokes and helped her discover the true nature of her habit . She also brought the conversation full circle and asked the patient about ways she could make a change.
@TI603able12 жыл бұрын
The provider was just combative, judgmental, and rude in this scenario. Even though the provider may have provided correct information, her behavior could certainly cause a loss in perceived credibility and consequently, turn patients away from the practice.
@TI603able12 жыл бұрын
The provider was definitely less judgmental and more flexible in this scenario. She helped the customer/client explore possible options for products and lifestyle changes that he could implement with confidence. She tailored the response to his particular interests and made herself available for another time in the future when he may be closer to making changes.
@TI603able12 жыл бұрын
This is another example of a provider who is not picking up on client/customer cues. Delivering information is not always enough or the most appropriate method to incite change. It has to come from within the client. The customer was honest about his intentions and the provider needed to accept his current status and attempt to match her intervention to his readiness to change.
@TI603able12 жыл бұрын
I agree -- this a great example of motivational interviewing. There was a two-way interaction in this scenario and the provider asked the client what she thought was manageable . It was also good that she asked about her confidence level and what the perceived barriers were in the current situation, compared to what motivated her to stop smoking in the past.
@MerloLab12 жыл бұрын
Hi Tara, You are more than welcome to use the videos. Please be sure to acknowledge the grant that funded it (listed in the video description and credits). Thanks!
@taramcadoo620512 жыл бұрын
Hi Dr Merlo, writing from Acumentra Health, Oregon's Quality Improvement Organization (QIO)and seeking your permission to use this videoand the ineffective version as an opener for a face to face event on July 31st. We are hosting an event on "Bridging Communication Gaps in Primary Care and we think this would be a great videos to differentiate between effective and ineffective use of communication. Great video! Tara McAdoo 503-382-3935
@MerloLab12 жыл бұрын
You have my permission to use the videos for your small group teaching. Good luck!
@MerloLab12 жыл бұрын
You have my permission to use these videos for your training. Glad to help!
@ekarwows12 жыл бұрын
These videos are great demonstrations of MI. Do you know who I can talk to to get permission to use them for small group teaching? Thank you!
@carolyn881812 жыл бұрын
She was able to shift the focus of the conversation to the patient, rather than dominate with her own beliefs and opinions about smoking. This gave the pt ample time to think through his statements. CB, LS
@carolyn881812 жыл бұрын
The physician often repeated back to the client what she had already verbalized, but in different words. The use of mirroring like that is important when counseling clients in need of behavior change. She also never seemed judgmental, which is essential to creating a positive relationship with a client. CB, LS
@SaurabhPatil112 жыл бұрын
This comparison of effective and ineffective was so profound, that I found where a professional goes wrong.
@brijetbrazi12 жыл бұрын
Great insight!
@tmmerlo12 жыл бұрын
I love the music :)
@babeliciouse12 жыл бұрын
This was good, it demonstrated the case very well. Thanks!
@blightsey112 жыл бұрын
Unlike the ineffective physician, this physician does an excellent job of showing empathy. She also repeatedly uses mirroring techniques and build's confidence and self-efficacy by using the scale of 1 to 10. Excellent in helping the client build her OWN goals! BL, ND, JG
@blightsey112 жыл бұрын
Very informative! Great illustration of how accusatory remarks do not elicit change from your patients. It makes your patient uncomfortable and want to leave the situation.
@afrigano13 жыл бұрын
WOW! What a difference in an approach from an ineffective physician. Great example of how we should communicate with our clients
@afrigano13 жыл бұрын
Very informative video!
@afrigano13 жыл бұрын
a great example of what not to do and explanation of what went wrong... JPS
@afrigano13 жыл бұрын
great video of how NOT to communicate with your patient!
@cpschaeffer14 жыл бұрын
I would like to use this video in a small group teaching exercise - who can I contact to get persmission? Thanks for your work.
@CalifaJohn14 жыл бұрын
Thanks. I find example much more informative than description alone.
@mcrommelin14 жыл бұрын
These videos are very helpful in learning effective motivational interviewing practices. Thank you for posting these.
@thadleffingwellphd14 жыл бұрын
Thank you for posting this terrific set of videos. These are so well done and terrific examples of both anti-MI practice and exemplary MI practice. These videos will be a tremendous resource for individuals who are trying to learn and master MI techniques for health behavior change. Thanks again!
@rumplestilly14 жыл бұрын
When the patient crossed her arms over her chest, it said it all! Well done!
@rumplestilly14 жыл бұрын
Very well done! Thank you for your work on this. I can see this being used across training cultures.
Пікірлер
Why is it dangerous to continue smoking while using a patch? (stated at 2:00) I was under the impression that excessive nicotine would put the patient at risk of side-effects, but nothing considerably dangerous. A clarification to this would be much appreciated. Thanks.
Old comment but thought someone else might appreciate seeing an answer to this question: It isn't. On some of the product labels they state that because of the side effect risk like you pointed out and they want to cover their butts. It's kind of like how some say you shouldn't use NRT while pregnant. Yeah nicotine isn't the best, but it's better than smoking which is pumping you full of nicotine AND all the carcinogens. You'd be correct to counsel that if someone smokes while wearing the patch they might feel additional side effects while doing so, and may want to reduce their smoking which is the point of using the patch. One good strategy for tobacco cessation is to actually have people chew nicotine gum or use lozenges/spray WHILE on the patch because a 21mg patch is often not enough for someone on >1ppd smoking habit. -Pharmacist
HI UIC!
Any progress to reduce smoking is a victory. Cold turkey isn't always the answer.
I can tell you never have smoked with a dumb mentality like that... its harder to cut down smoking than to quit cold turkey. Its the difference between perpetual chronic withdrawal and 3 days of withdrawal.,... i think ill take the cold turkey option
@@nn0673 That's just your opinion. Different methods work for different people. Personally for me, I cut down the ciggs with vaping. Now it's been 2 years since i've last bought a pack.
yes but youre still an acitve addict with products which may not be as safe as they claim to be.... trying to cut down cigs without feeding the addiction through other conduits (vapes/etc) is an impossible task. cold turkey give you a fighting chance to detox before you give in to withdrawal
@@nn0673 There's no need to debate this. You go with your way, and I go with mine. I can't take you seriously after your first reply.
@@WLOfails if you can quit vaping too, you really should, there are numerous harmful effects you should look into
thanks guys, you are doing a great show.
THE DON'T s HAVE BEEN DEPICTED NICELY.
Excellent video. Thank you!
Heloisa, you can use it for educational purposes, but not if you are publishing for financial gain. The funding agency would not allow that. Thanks!
There's definetly something between these 2
I really enjoyed these two videos. Great examples demonstrating the process of working with the patient to achieve progress and a desire to change their lifestyle.
ANYONE MAY USE THIS VIDEO FOR EDUCATIONAL PURPOSES. YOU DO NOT NEED TO CONTACT ME FOR PERMISSION. PLEASE ACKNOWLEDGE THE GRANT FUNDING CITED ABOVE, WHICH MADE DEVELOPMENT OF THIS VIDEO POSSIBLE. THANK YOU!
ANYONE MAY USE THIS VIDEO FOR EDUCATIONAL PURPOSES. YOU DO NOT NEED TO CONTACT ME FOR PERMISSION. PLEASE ACKNOWLEDGE THE GRANT FUNDING CITED ABOVE, WHICH MADE DEVELOPMENT OF THIS VIDEO POSSIBLE. THANK YOU!
Dear. Merlo Lab: My name is Gabriela Buela, Iam family doctor from Hospital Italiano de Buenos Aires Argentina I am doing training with a health team. I am seeking your permission to use these videos, I would like to use it to show an example of motivational ineview in a couse. Thank you. Gaby
Great video demonstration! May I have permission to use it for training purposes with social work students? Thanks! Nikki Cavalier 626-840-2874
Sure, you have my permission. Please acknowledge the grant that funded the video production (listed above). Good luck!
The mirroring was very helpful in this situation. The provider was helpful in letting the patient lead the conversation. The dentist helped her get to the root of why she smokes and helped her discover the true nature of her habit . She also brought the conversation full circle and asked the patient about ways she could make a change.
The provider was just combative, judgmental, and rude in this scenario. Even though the provider may have provided correct information, her behavior could certainly cause a loss in perceived credibility and consequently, turn patients away from the practice.
The provider was definitely less judgmental and more flexible in this scenario. She helped the customer/client explore possible options for products and lifestyle changes that he could implement with confidence. She tailored the response to his particular interests and made herself available for another time in the future when he may be closer to making changes.
This is another example of a provider who is not picking up on client/customer cues. Delivering information is not always enough or the most appropriate method to incite change. It has to come from within the client. The customer was honest about his intentions and the provider needed to accept his current status and attempt to match her intervention to his readiness to change.
I agree -- this a great example of motivational interviewing. There was a two-way interaction in this scenario and the provider asked the client what she thought was manageable . It was also good that she asked about her confidence level and what the perceived barriers were in the current situation, compared to what motivated her to stop smoking in the past.
Hi Tara, You are more than welcome to use the videos. Please be sure to acknowledge the grant that funded it (listed in the video description and credits). Thanks!
Hi Dr Merlo, writing from Acumentra Health, Oregon's Quality Improvement Organization (QIO)and seeking your permission to use this videoand the ineffective version as an opener for a face to face event on July 31st. We are hosting an event on "Bridging Communication Gaps in Primary Care and we think this would be a great videos to differentiate between effective and ineffective use of communication. Great video! Tara McAdoo 503-382-3935
You have my permission to use the videos for your small group teaching. Good luck!
You have my permission to use these videos for your training. Glad to help!
These videos are great demonstrations of MI. Do you know who I can talk to to get permission to use them for small group teaching? Thank you!
She was able to shift the focus of the conversation to the patient, rather than dominate with her own beliefs and opinions about smoking. This gave the pt ample time to think through his statements. CB, LS
The physician often repeated back to the client what she had already verbalized, but in different words. The use of mirroring like that is important when counseling clients in need of behavior change. She also never seemed judgmental, which is essential to creating a positive relationship with a client. CB, LS
This comparison of effective and ineffective was so profound, that I found where a professional goes wrong.
Great insight!
I love the music :)
This was good, it demonstrated the case very well. Thanks!
Unlike the ineffective physician, this physician does an excellent job of showing empathy. She also repeatedly uses mirroring techniques and build's confidence and self-efficacy by using the scale of 1 to 10. Excellent in helping the client build her OWN goals! BL, ND, JG
Very informative! Great illustration of how accusatory remarks do not elicit change from your patients. It makes your patient uncomfortable and want to leave the situation.
WOW! What a difference in an approach from an ineffective physician. Great example of how we should communicate with our clients
Very informative video!
a great example of what not to do and explanation of what went wrong... JPS
great video of how NOT to communicate with your patient!
I would like to use this video in a small group teaching exercise - who can I contact to get persmission? Thanks for your work.
Thanks. I find example much more informative than description alone.
These videos are very helpful in learning effective motivational interviewing practices. Thank you for posting these.
Thank you for posting this terrific set of videos. These are so well done and terrific examples of both anti-MI practice and exemplary MI practice. These videos will be a tremendous resource for individuals who are trying to learn and master MI techniques for health behavior change. Thanks again!
When the patient crossed her arms over her chest, it said it all! Well done!
Very well done! Thank you for your work on this. I can see this being used across training cultures.