How to give up smoking at UHSM

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Cheryl Pearse, Specialist Nurse in Smoking Cessation at UHSM, Manchester gives the Aspergillosis Patients Meeting a presentation on giving up smoking. July 2012

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How to give up smoking at UHSM

  1. 1. 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
  2. 2. Smoking Cessation Service UHSM Cheryl Pearse 0161 291 5030
  3. 3. 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
  4. 4. So why stop?
  5. 5. 4000 Chemicals70 Known cancer causing chemicals
  6. 6. 3 Main Chemicals … Nicotine• The only addictive chemical in tobacco • Increases the heart rate.
  7. 7. 3 Main Chemicals … Tar• Contains over 60 known Carcinogens• When smoke is inhaled 70% of tar is deposited on the lungs
  8. 8. 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
  9. 9. 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
  10. 10. 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
  11. 11. 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)
  12. 12. Other reasons to stop
  13. 13. Less oxygen reducesfitness
  14. 14. Gum disease & oralcancer
  15. 15. Impotence
  16. 16. Children & family
  17. 17. Skin disease
  18. 18. 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
  19. 19. What about the benefitsof stopping smoking?
  20. 20. Blood pressure & Heartrate return to your normal
  21. 21. Peripheral circulationimproves
  22. 22. Oxygen levels return tonormal
  23. 23. Energy levels improve
  24. 24. Carbon monoxide gonefrom body after 24 hours
  25. 25. Taste & smell improves
  26. 26. Look younger / healthierMaybe even…..
  27. 27. Be free of the habit ofsmoking
  28. 28. Save money
  29. 29. 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
  30. 30. 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
  31. 31. How can I help?
  32. 32. 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
  33. 33. Nicotine Replacement Therapy• There are 7 types: Patches Lozenge / mini lozenge Gum Inhalator Microtab Nasal Spray Mouth spray
  34. 34. 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
  35. 35. 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
  36. 36. 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
  37. 37. How else can I help?• Consultation with free Nicotine Replacement whilst admitted to hospital• Ongoing support
  38. 38. 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
  39. 39. 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
  40. 40. Feel free to call me for help,advice or a clinic appointment Cheryl Pearse 0161 291 5030
  41. 41. Any Questions

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