Smoking Cessation Flashcards
(31 cards)
-Why quit?
-1964 report of surgeon general’s advisory committee on smoking created warning labels
-Cause of lung cancer and laryngeal cancer -cause of emphysema and cardiovascular disease
-Cigarette smoke
-Contains thousands of agents that damage tissue
-Over 600 ingredients in cigarettes and when burned creates 7000 chemicals -Causes long term problems cancer, high bp, teeth issues -Causes short term problems, bad breath, sneezing, and airway irritation
-Major and immediate health benefits
-20 mins of quitting
heart rate drops
-Major and immediate health benefits
-12 hours after quitting
carbon monoxide levels drops to normal
-Major and immediate health benefits
2-3 weeks after quitting
-Heart attack risk begins to drop
-Lung functions improve ciliary action
-Major and immediate health benefits
1-9 months after quitting
coughing and dyspnea decrease
-Major and immediate health benefits
1 year after quitting
risk of CAD is ½ that of smokers -
-Major and immediate health benefits
5 years after quitting
stoke risk is reduced to that of nonsmokers
-Major and immediate health benefits
10 years after quitting
lung cancer death rate is ½ of nonsmokers
-risk of cancer mouth, throat, esophagus, bladder, kidney, pancreas decreases
-Major and immediate health benefits
15 years after quitting
risk of CAD equals that of a non smoker
Life expectancy of smokers is how many shorteryears shorter than that of a non smoker
10 years
-Other benefits of non smoking that are mostly not health related
-Food will taste better
-Improved sense of smell -Save money -Feel better about oneself -Home, car, clothing, breath will smell better
-set good example for your children, decreasing the likelihood that they will smoke in the future
-Healthier babies and children
-Perform better in physical activities
-Improve appearance, reduces wrinkles, and whiter teeth
-Nationwide Figures
-Smoking is responsible for 480000 deaths in US
-Estimated 37.6 million adults in US currently smoke
-More than 16 million americans live with a smoking related disease
-In 2018, estimated 170 billion in direct medical care cost due to smoking
-151 billion in lost productivity
-Of the more than 200000 kids who become new regular, daily smokers each yeat, almost a third will ultimately die from it. In addition smokers lose a decade of life because of their smoking
-Smoking Cessation Methods
-nicotine replacement therapy (NRT)
-Counseling (behavioral therapy) -Hypnosis/ acupuncture/ homeopathic remedies -Medications -Electronic cigarettes (still undetermined) -Comer Clayton Method -Cold Turkey
-CDC Goals
-CDC goals to reduce health effects of tobacco use
-Preventing the initiation of tobacco use among young people -Eliminating non smoker exposure to environmental tobacco use -Identifying and eliminating the disparities related to tobacco and its effects on different population groups
-Smoking Cessation
-Reasons RTs promote smoking cessation intervention
-Even minimal intervention makes a difference
-Even if patient is unwilling intervention enhances motivation and increases chances of future quit attempts
-Tobacco users are primed to quit by societal and environmental issues
-Smokers who receive advice to quit repot greater satisfaction with their health care
-Inventions are cost effective
-Tobacco use has high fatality rate (up to 50%)
-5 As of Intervention
-Ask patients if they use tobacco
-Advice to quit -Assess willingness to quit -Assist patients in quit attempt -Arrange follow up to quit attempt
-Motivational starting 4 Rs
-Relevance provides information that is relevant to patients’ disease status, family, or social status, health concerns, age, gender, etc.
-Risk, acute risk (shortness of breath importance) long term risk (heart attack, stroke, lung and other cancers, bronchitis) environmental risk ( higher rates of smoking children, etc) -Rewards potential benefits (improved health, saves money, will not expose others to smoke.) -repetition repeat motivational intervention at every contact with an unmotivated patient
-A quit Plan (STAR)
-Set a quit date (Put into writing)
-Tell friends and family -Anticipation Challenges -Keep hand busy -Go places where smoking is not allowed -Remove Tobacco products from your environment -Make home smoke free -Get rid of lighters, ashtrays, and matched
-Medication
-bupropion (Zyban, wellbutrin) antidepressants
-Reduces cravings and other side effects
-Doubles chances of success
-Varenicline ( Chantix)
-Works by blocking the pleasant effects of nicotine
-Reduces cravings and decreases the pleasurable effects of cigarettes and other tobacco products
-Quadruples the chance of success
-Side effects, most common is nausea
-Nicotine Replacement Products
-Gum
-Inhaler -Lozenge -Nasal Spray -Patch
-Second Line Medication
-Clonidine, eases withdrawal symptoms
-Nortriptyline, Tricyclic antidepressant
-Type of Counseling
-Self help, not found to be very effective
-Individual, effective -Group, effective -Quit lines (Phone Based) effective -1800Quitnow -Must talk to a counselor weekly to continue to receive NRT products -Overcome barriers of accessibility and efficiency
-The Cooper Clay Method
-Comprehensive behavioral smoking cessation program
-Started over 20 years ago by UK faculty members -Cooper, dentist and heavy smoker -Clay, expert on drug addiction -Principles 1# success is nothing more than a plan that is adhered to 2# any major problem can be solved when cut into a series of smaller problems -13 week program and available through local health departments in KY.
