A recent publication by WHO Geneva provides guidance on managing tobacco dependence in primary care. The first draft of the training package (4 parts) was produced by Lisa McNally, Elizabeth Dubois and Salman Rawaf from Department of Primary Care and Public Health at Imperial College London with further inputs to the final draft following piloting in 12 countries of the 6 regions of the WHO.
Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it? Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes
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