If the smoking status is already documented, it can be asked: I see from your notes that youre a smoker, are you still smoking? If they are recorded as ex-smokers, it is vital to re-check as approximately 70% of ex-smokers will eventually relapse within a few years, further questions that can be used are: According to your records you quit smoking, how are you getting on with that? When advising it is important to take the perspective of educating not judging or coercing, for example: Ok, I am not sure whether you are aware, but there are several negative consequences to you and your baby of smoking during pregnancy, and it is entirely your choice, but we know that the best way to stop is with extra support, which is available in the NHS
If this gum inflammation or periodontal disease is not controlled, you will gradually start losing your teeth
Both of these concerns are eased by the availability of vapes, as smokers could avoid the higher taxes by switching, and the availability of lower-tax vape products would reduce black-market demand for cigarettes
I have been trying them, and I do feel sharper
It does, really
While they have essential differences, they also have commonalities in the brain's reinforcement pathways