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