How to give up smoking at UHSM

Support Meeting for Aspergillosis Patients LED BY GRAHAM ATHERTON SUPPORTED BY MARIE KIRWAN, GEORGINA POWELL & DEBBIE KENNEDY NAC CENTRE MANAGER CHRIS HARRIS GIVING UP SMOKING, CHERYL PEARSE NATIONAL ASPERGILLOSIS CENTRE UHSM MANCHESTERFungal Research Trust

Smoking Cessation Service UHSM Cheryl Pearse 0161 291 5030

Aim of Session• To provide some information on smoking, the chemicals in a cigarette, benefits of stopping• To let you know about things that may help you to stop• To let you know about the Stop Smoking Service within the hospital

So why stop?

4000 Chemicals70 Known cancer causing chemicals

3 Main Chemicals … Nicotine• The only addictive chemical in tobacco • Increases the heart rate.

3 Main Chemicals … Tar• Contains over 60 known Carcinogens• When smoke is inhaled 70% of tar is deposited on the lungs

3 Main Chemicals Carbon Monoxide • Poisonous, invisible gas released by a burning cigarette • Reduces the amount of oxygen in your blood • Causes low energy levels, shortness of breath & tiredness.• Increases your risk of heart disease, stroke & circulation problems

Contaminants• Fungal spores (inc. aspergillous), pollen, insects & pesticide / insecticide residues present in tobacco• Cannabis contains a lot more fungal spores – up to 10,000 times more• These higher level of contamination are thought to be due to poorer drying / storage procedures

Contaminants• Exposure to fungal spores is also possible when handling the product to make a cigarette or joint• Because cannabis is smoked differently – inhaled deeply, right to the very end & held for longer to get the desired result it causes greater ‘deep’ lung damage

Contaminants• Smoking can cause fungal spores to be drawn deeply into your lungs & also prevents your lungs getting rid of spores – a double whammy!• Illicit or ‘cheap’ tobacco contains more chemicals & contaminants either used as ‘fillers’ (ie grass, twigs, hay) or to stop mould growth (ie chloride)

Other reasons to stop

Less oxygen reducesfitness

Gum disease & oralcancer

Impotence

Children & family

Skin disease

Hospital Smoking Policy• Wythenshawe Hospital operates a NO SMOKING policy aiming to improve the health of all patients, visitors & staff• During your admission you will be encouraged to stop smoking. Support is available to help you to stop. Please ask a member of staff if you would like to be referred to the Stop Smoking Service

What about the benefitsof stopping smoking?

Blood pressure & Heartrate return to your normal

Peripheral circulationimproves

Oxygen levels return tonormal

Energy levels improve

Carbon monoxide gonefrom body after 24 hours

Taste & smell improves

Look younger / healthierMaybe even…..

Be free of the habit ofsmoking

Save money

Maybe a lot of money!No. Cigs Time 1 Day 1 Week 1 Month 1 Year5 Cigs £1.38 £9.63 £41.82 £501.8810 Cigs £2.75 £19.25 £83.65 £1003.7515 Cigs £4.13 £28.88 £125.47 £1505.6320 Cigs £5.50 £38.50 £167.29 £2007.5025 Cigs £6.88 £48.13 £209.11 £2509.3730 Cigs £8.25 £57.75 £250.94 £3011.2540 Cigs £11.00 £77.00 £334.58 £4015.00

Other benefits of stopping smoking 5 years Risk of a heart attack falls about ½ that of a smoker 10 years Risk of lung cancer falls to about ½ of that found in a smoker .Risk of a heart attack falls to about the same as someone who has never smoked

How can I help?

Nicotine Replacement Therapy• NRT works by providing the body with a cleaner form of the additive chemical• It is safer to use NRT than smoke as itcontains only 1 chemical rather than 4000!• Anyone can use NRT, even if you have a heart condition (seek advice from a Doctor before use) • A full course of NRT is available on prescription

Nicotine Replacement Therapy• There are 7 types: Patches Lozenge / mini lozenge Gum Inhalator Microtab Nasal Spray Mouth spray

Other options• Champix• Zybano Both in tablet formo Do not contain nicotineo I can assess you for these & then you would achieve a prescription from you GP

Dealing with TriggersTo make giving up easier I suggest you try to change elements of your daily routine even if its temporarily For example:• Eat breakfast• reduce your caffeine/alcohol intake temporarily• Change the order in which you do things• Tell family & friends you’re trying to quit

How else can I help ?• Regular Out-patients clinics available to anyone considering stopping smoking• Assessment of triggers & cravings with an individualised plan of action• Free or discounted Nicotine Replacement Therapy• Confidential, informal, friendly advice• Advice on & access to Champix or Zyban

How else can I help?• Consultation with free Nicotine Replacement whilst admitted to hospital• Ongoing support

How to refer ? • You can refer yourself by Calling me on 0161 291 5030 • You can ask your GP, your Hospital Doctor or your Specialist nurse to refer you• If you want to see me when you are in hospital ask a member of the ward staff to refer you

Where else can you get help?• Your GP• Your Practice Nurse• Your local Pharmacist• The Manchester Stop Smoking Service 0161 205 5998• The NHS Quitline 0800 169 0 169

Feel free to call me for help,advice or a clinic appointment Cheryl Pearse 0161 291 5030

Any Questions

How to give up smoking at UHSM

by Graham Atherton on Jul 06, 2012

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