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Smoking Cessation Health Ed


2008 Smoking Cessation Health Promotion Power point filled with history of glamour movie stars who died from smoking, medical/military history, statistics and facts, myth/truth, perception/reality, …

2008 Smoking Cessation Health Promotion Power point filled with history of glamour movie stars who died from smoking, medical/military history, statistics and facts, myth/truth, perception/reality, Nurses' role, Health effects of smoking, Helps to quit: web sites, medications: Zyban, Chantix, Addiction notations. Factual/non-fiction.
14 slides plus 2 reference slides. 2008.

Published in Health & Medicine
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  • 1. Smoking Cessation ~ For Health Promotion ~ For Nurses and Anyone Who Cares about smokers
  • 2. A bit of history: Remember When…
      • Smoking was
      • identified as glamorous?
  • 3. medical history: Remember When…
    • Cigarettes were provided free to all of our troops during World Wars I & II, & Korea, including the hospitalized soldiers.
    • 1933- The Journal of the American Medical Association publishes its first cigarette ad, a practice that would continue for 20 years.
    • Some physicians would even advise that their patients start smoking to help deal with anxiety & stress issues.
    • Not only could patients smoke in their rooms, but staff could smoke in the nurses station!
    • (R. Hinnen; Tobacco news)
  • 4. Media played a role: But glamour only goes so far…
    • Beautiful Betty Grable, died of lung cancer aged 56.
    • Humphrey Bogart, smoking glamour personified, would light up, "One for me and one for my chick." Died at 57 of esophageal cancer.
    • Lung cancer stopped Lucille Ball and Desi Arnaz in their prime.
    • Singer, Nat King Cole died of lung cancer age 45. Yul Brynner and Robert Mitchum - lung cancer. Lana Turner and The Marlboro Man - throat cancer.
    • ~ all died prematurely from smoking .
    • (Ultimate quit smoking guide)
  • 5. The truth emerges: early anti-smoking campaigns
    • Society came to realize through mortality statistics and research that smoking KILLS!
    • Early smoking cessation campaigns were shocking. Unfortunately, they didn’t get to the heart of the problem.
    • Smoking cessation education needs to be bold and to the point: face to face.
    • Talking to patients while hospitalized is the BEST time; it’s the “window of opportunity,” or “teachable moment,” particularly if they are there for a lung ailment or smoking related illness. (Barta, p. 117, Whyte, p. 569)
  • 6. Health effects: to name a few… more discovered all the time
  • 7. Hard core stats:
    • The use of tobacco is the single most prevalent preventative cause of mortality in the world today.
    • About half of all continuing smokers will die from smoking related diseases.
    • Currently 1 in 5 deaths can be contributed to smoking.
    • By the year 2020, it is estimated that smoking will be the absolute leading cause of death.
    • Continued smoking causes an average loss of 20-25 years life expectancy per smoker!
    • (Barta, p. 117; Puska, p. 447)
  • 8. Why do nurses smoke more?
    • Major paradox: nurses can tend to have a higher prevalence rate of smoking than the general public.
    • The National League for Nursing reports overall, nurses’ smoking rates are 18%, with some studies reporting as high as 24%. The general public is only 20.8-22.5% depending on which study you read.
    • ECH is certainly no different. The smoking rate among regularly scheduled staff nurses here on the in-patient unit is noted to be 50% .
    • Studies say respondents report addiction, enjoyment, peer influence and stress as causes.
    • 34.9% of smoking nurses do not wish to quit. What do you think might be the cause? Motivation is a significant predictor of cessation.
    • Are you ready to quit?
    • (Halcomb, p. 209; McKenna, pps. 769-70; Boardman, p. 266)
  • 9. chronic smoking: it’s an addiction…
  • 10. Real help for quitters!
        • Chantix – binds with nicotine receptors in the brain to remove the desire. It’s a fairly new prescription medication that has online help, and phone support for all it’s patients! www.chantix.com/
        • Talk to your doctor about your plan to quit!
    • There’s a web site just for nurses, to help quit!!! Tobacco Free Nurses: http://www.tobaccofreenurses.org/quit.php
    • American Heart Association provides guidelines: http://www.americanheart.org/presenter.jhtml?identifier=4735
    • … And, evidence shows that the majority of smokers DO WANT TO QUIT!
  • 11. Myths about quitting : just to name a few…
    • MYTH
    • If I quit smoking, I’ll gain too much weight. It’s better to lose the weight first.
    • I’ve tried to quit before and failed. I don’t like feeling like a failure.
    • It costs too much for the smoking cessation aids that are on the market.
    • My spouse smokes; I can’t ask others to quit.
    • TRUTH
    • How much weight have you lost smoking so far? The risks of smoking far exceed the risks of a few pounds of weight gain.
    • It usually takes more than one attempt to quit for good.
    • Consider the costs of a month of cigarettes, doctor bills, cigarette burn holes in things…
    • Smoking in the garage is a great way to start making changes!
  • 12. Smoking cessation: Why don’t we teach more?
    • Our Perceptions
    • We often feel inadequate to approach smokers with smoking cessation education.
    • If the staff member smokes, “How can I ask the patient to quit when I smoke?”
    • I don’t want to offend anyone.
    • The patient would be more open to listening to his/her own doctor.
    • Patient’s Reality
    • Patients do listen to the advice of health care providers, particularly when hospitalized.
    • Consider your reluctance; it’s contributing to shortened lives of smokers you don’t teach.
    • Genuine caring isn’t offensive.
    • The more people who educate and encourage, the more likely patients will be successful.
  • 13. Overwhelming evidence: We’ve come a long way baby…
    • Devastating effects of tobacco are so extreme that the World Health Organization (WHO) has established a Code of Conduct requiring nurses to:
      • Act as role models of smoking cessation.
      • Assess client’s tobacco use.
      • Give advice on how to quit.
      • Participate in tobacco-control activities.
      • Support tobacco-free public places
      • Refrain from accepting money from tobacco companies.
    • Tobacco control must occur at the individual level.
      • (Halcomb, p. 209)
  • 14. Count the cost !
    • If the 2.2 million nurses in the U.S. each helped one person annually quit smoking, nurses would help triple the U.S. quit rate.
      • (Tobacco Free Nurses)
    • Knowing this…
    • We need to ask ourselves…
    • Wouldn’t it be worth it?
  • 15. References
    • American Heart Association. Retrieved October 14, 2008 from http://www.americanheart.org/presenter.jhtml?identifier=4735
    • Barta, S. K., & Stacy, R. D. (2005). The effects of a theory-based training program on nurses’ self-efficacy and behavior for smoking cessation counseling. Journal of Continuing Education in Nursing, 36(3), 117-123.
    • Boardman, T., Catley, D., Mayo, M. S., & Ahluwalia, J. S. (2005). Self-efficacy and motivation to quit during participation in a smoking cessation program. International Journal of Behavioral Medicine, 12(4), 266-272.
    • Chantix. Retrieved on October 14, 2008 from http://www.chantix.com/
    • Halcomb, K. A. (2005). Smoke-free nurses: Leading by example. American Association of Occupational Health Nurses. 53(5), 209-212.
    • Hinnen, R. (October 14, 2008). Personal communication.
  • 16. References
    • McKenna, H., Slater, P., McCance, T., Bunting, B., Spiers, A., & McElwee, G. (2001). Qualified nurses' smoking prevalence: their reasons for smoking and desire to quit. Journal of Advanced Nursing, 35(5), 769-775.
    • The ultimate quit smoking guide. Retrieved October 13, 2008 from http://www.quitguide.com/smoking-glamour.html
    • Tobacco Free Nurses. Retrieved October 14, 2008 from http://www.tobaccofreenurses.org/quit.php
    • Tobacco news and information. Retrieved October 14, 2008 from http://www.tobacco.org/History/Tobacco_History.html
    • Whyte, R. E., Watson, H. E., & McIntosh, J. (2006). Nurses’ opportunistic interventions with patients in relation to smoking. Journal of Advanced Nursing. 55(5), 568-577.
    • Zyban. Retrieved October 14, 2008 from http://www.quitsmoking.com/zyban/index.htm