Post on 25-Dec-2015
transcript
Smoking Cessation
Presented by Integrated Behavioral Health
Smoking Cessation
• Smoking Facts– Tobacco is the single greatest cause of disease
and premature death in America today (430,000 per year)
– 25 percent of adult Americans smoke– 3000 children and adolescents become regular
tobacco users every day
Smoking Cessation
• Smoking Costs– Death and disease approaches 100 billion
dollars per year -- 50 billion alone on direct medical care and 47 billion on disability and lost productivity
Smoking Cessation
• Cardiac patients have more 2nd heart attacks in those that continue to smoke
• Lung, head, and neck cancer patients successfully treated have elevated risk if they continue to smoke
• Smoking hinders bone and wound healing
Smoking Cessation
• Additional Medical Consequences
• Vascular Disease
• Cancer of the…– mouth, voice box, bladder, kidney, pancreas,
cervix, stomach, and some leukemias
• Respiratory Diseases…– Chronic obstructive pulmonary disease
Smoking Cessation
• Nicotine is Addicting• Smoke is Inhaled and Carried Deep into the
LungsAbsorbed by the Lungs and Directly passed to the Heart,
Brain, Liver, Spleen, Kidneys...– Produces pleasurable feelings– Acts as a depressant – Nervous system adapts to nicotine– Physical and psychological dependence
Smoking Cessation
• Special for Mothers and Babies– Nicotine crosses the placenta– Nicotine found in the milk of nursing mothers
Smoking Cessation
• Withdrawal Symptoms– Depression
– Frustration
– Anger
– Irritability
– Trouble Sleeping
• Withdrawal Symptoms– Difficulty
Concentrating
– Restlessness
– Headache
– Tiredness
– Increased Appetite
Smoking Cessation
Smoking Cessation
• Good reasons for quitting– You will live better and longer
– Quitting will lower your risk for heart attack stroke or cancer
– If you are pregnant, improve the chance for a healthy baby
– The people you live and work with (especially children) will be healthier
– You will have extra money to spend on other things than cigarettes and medical expenses
Smoking Cessation
• Good reasons for quitting– Social Stigma– Bad Breath– Cleaning Bills– Discolored Teeth– Role model for your children or grandchildren
Smoking Cessation
Five Keys to Quitting
Smoking Cessation
• Five keys for Quitting- Get Ready– Set a quit date– Change your enviroment– Review your past attempts– Once you quite…Don’t smoke again
Smoking Cessation
• Five Keys for Quitting - Get Support and Encouragement– Tell your friends, family and coworkers– Talk to your healthcare providers– Get counseling
Smoking Cessation
• Five Keys for Quitting - Learn New Skills and Behaviors– Distract yourself– Change your routine– Reduce stress– Plan something enjoyable– Drink a lot of water and other fluids
Smoking Cessation
• Five Keys to Quitting - Get Medication and Use it Correctly– Five Options– Bupropion - Rx only– Nicotine Gum - over counter– Nicotine Inhaler - Rx only– Nicotine Nasal Spray - Rx only– Nicotine Patch - Rx only
Smoking Cessation
• Five Keys to Quitting - Get Medication and Use it Correctly– Talk with your health provider– All these medications can double your chances
of success – Talk with your doctor before taking any
medications, even over the counter. Especially if you are pregnant or plan to become pregnant
Smoking Cessation
• Nicotine Replacement– Cleaner form of nicotine– Lower dose of nicotine– Controllable dosage for tapering– Reduces withdrawal symptoms allowing to
focus on the psychological aspects of smoking– Do not use a nicotine replacement if you do not
plan to quit
Smoking Cessation
• Five Keys for Quitting – Four “A’s”
– Avoid– alter– alternatives– activities
Smoking Cessation
Be Prepared for Relapse
Smoking Cessation
• Relapse and Difficult Situations– Alcohol– Other Smokers– Weight Gain
Smoking Cessation
• Relapse and Difficult Situations– Bad Mood
– Depression
– Stress
Smoking Cessation
• Help for Cravings and Tough Situations– First few days spend as much time in places where
smoking is prohibited
– Don’t drink beverages associated with smoking
– Strike up a conversation not a match
– If you miss the cigarette in your hand, replace it with something else
– If you miss the feeling of something in your mouth try toothpicks, cinnamon sticks or celery
Smoking Cessation
• Help for Cravings and Tough Situations– Avoid temptations and situations– Find new habits– Anticipate the future– Relax– Remember your goal– Think positive thoughts– Brush your teeth
Smoking Cessation
• Help for Cravings and Tough Situations– Brief bursts of exercise– Call a friend– Eat several small meals– Reward yourself along the way (plan it out and
make your goals)
Smoking Cessation
• Help for The “Crazies”– Keep oral substitutes available
– Take 10 deep breaths hold the last one while lighting a match. Exhale slowly and blow out the match…Pretend it is a cigarette and put it out
– Take a shower or a bath
– Learn to relax quickly
– Light a candle or incense
– Never allow yourself to think “one won’t hurt”…it will
Smoking Cessation
• Five Common Myths– Smoking is just a bad habit– Quitting is just a matter of willpower– If you can’t quit the first time you try, you will
never be able to quit– The best way to quit is “cold turkey”– Quitting is expensive