Record tobacco in all forms, including smokeless products and areca nut, and alcohol at every head and neck consultation. Offer cessation support at the same visit, because the point of diagnosis and the weeks after treatment are moments when patients are often most open to change.
Document what was offered, and ask again at follow-up.
- Ask about smoked and smokeless tobacco and areca nut by name.
- Record alcohol intake in units or drinks per week.
- Offer cessation support at the same visit, with a written plan.
- Re-ask at follow-up and document the answer.
Why it matters
These exposures drive most head and neck cancer and also worsen treatment outcomes.
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