Addressing smoking in patients following discharge from Intensive Care

INTERVENTION: Nicotine replacement therapy (patch 21mg) replaced daily, until discharge from hospital. Medication adherence will be monitored using hospital medication chart. + Brief Intervention ‐ A formal brief counselling intervention consisting of a one‐off session discussing smoking cessation strategies following the GP QUIT advice program. Session will be one‐off 15‐30 minute session at time of readiness for ICU discharge. Intervention administered by a member of the research team. Smoking cessation strategies follow the Ask, Advice, Help model, and how patients can refer themselves to QUIT, and how nicotine replacment therapy can assist with withdrawal symptoms. CONDITION: Mental Health ‐ Addiction Public Health ‐ Health promotion/education Smoking; ; Smoking PRIMARY OUTCOME: Self referral to QUIT program assessed by follow‐up phone call[At 3 months post enrolment] SECONDARY OUTCOME: Change in amount of cigarettes daily using study specific questionnaire ; [At 3 months following enrolment] Detection of nicotine withdrawal in ICU patients using Minnesota Tobacco withdrawal scale[At ICU discharge] Hospital length of stay using hospital medical records[At hospital discharge] Smoking abstinence rates as follow‐up phone call with study specific questionaire ; ; [At 3 months following enrolment] INCLUSION CRITERIA: Patients who are admitted to the intensive care unit and are active tobacco smokers that smoke >10 cigarettes per day .