Smoking Cessation Health Ed

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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.

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Smoking Cessation Health Ed

  1. 1. Smoking Cessation ~ For Health Promotion ~ For Nurses and Anyone Who Cares about smokers
  2. 2. A bit of history: Remember When… <ul><ul><li>Smoking was </li></ul></ul><ul><ul><li>identified as glamorous? </li></ul></ul>
  3. 3. medical history: Remember When… <ul><li>Cigarettes were provided free to all of our troops during World Wars I & II, & Korea, including the hospitalized soldiers. </li></ul><ul><li>1933- The Journal of the American Medical Association publishes its first cigarette ad, a practice that would continue for 20 years. </li></ul><ul><li>Some physicians would even advise that their patients start smoking to help deal with anxiety & stress issues. </li></ul><ul><li>Not only could patients smoke in their rooms, but staff could smoke in the nurses station! </li></ul><ul><li> (R. Hinnen; Tobacco news) </li></ul>
  4. 4. Media played a role: But glamour only goes so far… <ul><li>Beautiful Betty Grable, died of lung cancer aged 56. </li></ul><ul><li>Humphrey Bogart, smoking glamour personified, would light up, &quot;One for me and one for my chick.&quot; Died at 57 of esophageal cancer. </li></ul><ul><li>Lung cancer stopped Lucille Ball and Desi Arnaz in their prime. </li></ul><ul><li>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. </li></ul><ul><li>~ all died prematurely from smoking . </li></ul><ul><li> (Ultimate quit smoking guide) </li></ul>
  5. 5. The truth emerges: early anti-smoking campaigns <ul><li>Society came to realize through mortality statistics and research that smoking KILLS! </li></ul><ul><li>Early smoking cessation campaigns were shocking. Unfortunately, they didn’t get to the heart of the problem. </li></ul><ul><li>Smoking cessation education needs to be bold and to the point: face to face. </li></ul><ul><li>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) </li></ul>
  6. 6. Health effects: to name a few… more discovered all the time
  7. 7. Hard core stats: <ul><li>The use of tobacco is the single most prevalent preventative cause of mortality in the world today. </li></ul><ul><li>About half of all continuing smokers will die from smoking related diseases. </li></ul><ul><li>Currently 1 in 5 deaths can be contributed to smoking. </li></ul><ul><li>By the year 2020, it is estimated that smoking will be the absolute leading cause of death. </li></ul><ul><li>Continued smoking causes an average loss of 20-25 years life expectancy per smoker! </li></ul><ul><li> (Barta, p. 117; Puska, p. 447) </li></ul>
  8. 8. Why do nurses smoke more? <ul><li>Major paradox: nurses can tend to have a higher prevalence rate of smoking than the general public. </li></ul><ul><li>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. </li></ul><ul><li>ECH is certainly no different. The smoking rate among regularly scheduled staff nurses here on the in-patient unit is noted to be 50% . </li></ul><ul><li>Studies say respondents report addiction, enjoyment, peer influence and stress as causes. </li></ul><ul><li>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. </li></ul><ul><li> Are you ready to quit? </li></ul><ul><li>(Halcomb, p. 209; McKenna, pps. 769-70; Boardman, p. 266) </li></ul>
  9. 9. chronic smoking: it’s an addiction…
  10. 10. Real help for quitters! <ul><ul><ul><li>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/ </li></ul></ul></ul><ul><ul><ul><li>Talk to your doctor about your plan to quit! </li></ul></ul></ul><ul><li>There’s a web site just for nurses, to help quit!!! Tobacco Free Nurses: http://www.tobaccofreenurses.org/quit.php </li></ul><ul><li>American Heart Association provides guidelines: http://www.americanheart.org/presenter.jhtml?identifier=4735 </li></ul><ul><li>… And, evidence shows that the majority of smokers DO WANT TO QUIT! </li></ul>
  11. 11. Myths about quitting : just to name a few… <ul><li>MYTH </li></ul><ul><li>If I quit smoking, I’ll gain too much weight. It’s better to lose the weight first. </li></ul><ul><li>I’ve tried to quit before and failed. I don’t like feeling like a failure. </li></ul><ul><li>It costs too much for the smoking cessation aids that are on the market. </li></ul><ul><li>My spouse smokes; I can’t ask others to quit. </li></ul><ul><li>TRUTH </li></ul><ul><li>How much weight have you lost smoking so far? The risks of smoking far exceed the risks of a few pounds of weight gain. </li></ul><ul><li>It usually takes more than one attempt to quit for good. </li></ul><ul><li>Consider the costs of a month of cigarettes, doctor bills, cigarette burn holes in things… </li></ul><ul><li>Smoking in the garage is a great way to start making changes! </li></ul>
  12. 12. Smoking cessation: Why don’t we teach more? <ul><li>Our Perceptions </li></ul><ul><li>We often feel inadequate to approach smokers with smoking cessation education. </li></ul><ul><li>If the staff member smokes, “How can I ask the patient to quit when I smoke?” </li></ul><ul><li>I don’t want to offend anyone. </li></ul><ul><li>The patient would be more open to listening to his/her own doctor. </li></ul><ul><li>Patient’s Reality </li></ul><ul><li>Patients do listen to the advice of health care providers, particularly when hospitalized. </li></ul><ul><li>Consider your reluctance; it’s contributing to shortened lives of smokers you don’t teach. </li></ul><ul><li>Genuine caring isn’t offensive. </li></ul><ul><li>The more people who educate and encourage, the more likely patients will be successful. </li></ul>
  13. 13. Overwhelming evidence: We’ve come a long way baby… <ul><li>Devastating effects of tobacco are so extreme that the World Health Organization (WHO) has established a Code of Conduct requiring nurses to: </li></ul><ul><ul><li>Act as role models of smoking cessation. </li></ul></ul><ul><ul><li>Assess client’s tobacco use. </li></ul></ul><ul><ul><li>Give advice on how to quit. </li></ul></ul><ul><ul><li>Participate in tobacco-control activities. </li></ul></ul><ul><ul><li>Support tobacco-free public places </li></ul></ul><ul><ul><li>Refrain from accepting money from tobacco companies. </li></ul></ul><ul><li>Tobacco control must occur at the individual level. </li></ul><ul><ul><li> (Halcomb, p. 209) </li></ul></ul>
  14. 14. Count the cost ! <ul><li>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. </li></ul><ul><ul><li>(Tobacco Free Nurses) </li></ul></ul><ul><li>Knowing this… </li></ul><ul><li>We need to ask ourselves… </li></ul><ul><li> Wouldn’t it be worth it? </li></ul>
  15. 15. References <ul><li>American Heart Association. Retrieved October 14, 2008 from http://www.americanheart.org/presenter.jhtml?identifier=4735 </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>Chantix. Retrieved on October 14, 2008 from http://www.chantix.com/ </li></ul><ul><li>Halcomb, K. A. (2005). Smoke-free nurses: Leading by example. American Association of Occupational Health Nurses. 53(5), 209-212. </li></ul><ul><li>Hinnen, R. (October 14, 2008). Personal communication. </li></ul>
  16. 16. References <ul><li>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. </li></ul><ul><li>The ultimate quit smoking guide. Retrieved October 13, 2008 from http://www.quitguide.com/smoking-glamour.html </li></ul><ul><li>Tobacco Free Nurses. Retrieved October 14, 2008 from http://www.tobaccofreenurses.org/quit.php </li></ul><ul><li>Tobacco news and information. Retrieved October 14, 2008 from http://www.tobacco.org/History/Tobacco_History.html </li></ul><ul><li>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. </li></ul><ul><li>Zyban. Retrieved October 14, 2008 from http://www.quitsmoking.com/zyban/index.htm </li></ul>

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