Is anyone spending more than 2 seconds addressing smoking during a visit? My employer requires discussion, etc. I personally ask, "do you smoke" "do you want to quit" and done.
I personally don't care if patients smoke. It is the nastiest habit I can imagine short of smearing feces on ones body instead of cologne, but i just don't care if they smoke or not. I know talking about smoking to a 40 pk/yr COPDer is a waste of my precious time better well spent reviewing labs and the overall plan of care with the PT. I do occasionally find time to tell them that eventually none of those vitals or labs will matter since they will be dead from smoking. That gets mixed reviews as you can imagine - but I can call it couseling for nicotine dependence and code it
Any thoughts - strategies - etc?