Subsequent Consultation for Smoking/Vaping Cessation Template

Follow-Up Smoking/Vaping Cessation Consultation:
Subjective:
- The patient reports currently smoking 5 cigarettes per day, a decrease from 10 cigarettes per day at the previous visit.
- The patient has experienced mild irritability and cravings as withdrawal symptoms.
- The patient mentions work-related stress as a significant obstacle to quitting.
- The patient has been attending weekly support group meetings and using a quitline for additional assistance.
- The patient lives with a non-smoking partner who is supportive of the cessation efforts.
Objective:
- Vital signs: Blood pressure 120/80 mmHg, heart rate 72 bpm, respiratory rate 16 breaths per minute, oxygen saturation 98% on room air.
- Physical examination reveals clear lung sounds and no signs of respiratory distress.
- Recent lab results show normal complete blood count and metabolic panel.
Assessment:
- The patient is making good progress towards smoking cessation, with a 50% reduction in cigarette use.
- No new health issues related to smoking have been identified.
- The patient expresses a high level of motivation and readiness to quit completely.
Plan:
- Continue with current nicotine replacement therapy (nicotine patches) and consider adding nicotine gum for breakthrough cravings.
- Encourage continued participation in support groups and use of the quitline.
- Schedule a follow-up appointment in 4 weeks to reassess progress and adjust the cessation plan as needed.