Everyone
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For Clinicians:
As a clinician, how do I identify a person                                              How do I help peop...
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People with Disabilities Brochure

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People with Disabilities Brochure

  1. 1. Everyone has the rIght For People with t o b e h e a lt h y Disabilities: Why is it important for me to quit for more information about people with smoking? disabilities and quitting tobacco, please • my heart and lungs will function better contact: allowing me to move more easily The Michigan Department • the medicine I take will work more of Community Health effectively and I might be able to reduce some of the medications I am taking tobacco control program • as a non-smoker, my life expectancy 517-335-8376 improves enabling me to enjoy my family www.michigan.gov/tobacco and friends • I will have more money health promotion for people with disabilities • my food will taste better and my sense of smell will improve Candice Lee 517-335-3188 • the chance of heart attack drops within 24 www.michigan.gov/mdch/0,1607,7- hours, and my risk for heart disease is cut 132-2940_2955_54051---,00.html in half after one year of being smokefree Your doctor can help you quit! Questions to ask him/her: • how will quitting make a difference in how I feel? InformatIon for people wIth • what is the first step I take to quit and will dIsabIlItIes and theIr caregIvers you help me create a plan? on how to quIt tobacco • Is there medicine I can take to help me TOBACCO quit? what are the side effects? REDUCTION • what reactions can I expect if I cut back on AND nicotine? PREVENTION • how can I stay quit?
  2. 2. For Clinicians: As a clinician, how do I identify a person How do I help people with disabilities quit tobacco? with a disability? utilize the evidence-based “5 As” strategy published in the “clinical practice guidelines for a person with a disability has a long lasting treatment of tobacco use dependence.” physical, intellectual (cognitive), mental, or emotional condition ASK about tobacco use and document the ASSIST the person in the following ways: status at every visit - Establish a quit plan including quit date DID You KNoW? - “Mr. Smith, do you smoke or use spit - Fax refer to the MI Quitline tobacco?” 1-800-QUIT NOW • people with mental health disabilities die an average of 25 years younger(1) - Designate a quit smoking buddy ADVISE patient to quit than the general population largely due to conditions caused or worsened by - “Mr. Smith, do you know that smoking - Assign the person to a staff member in the smoking makes your heart work harder? Quitting is office who will follow up during the quit • smoking rates are disproportionately one of the best things you can do to keep process higher (29.9% in persons with any your heart strong.” - Provide easy to read information on disability vs. 19.8% in the general strategies for quitting - “Mrs. Jones, I can see you are having population) and they are more likely to be heavy smokers (32.6 percent trouble breathing. By quitting, your asthma - Discuss triggers and challenges and how smoke more than a pack/day)(2) may get better.” the patient will successfully overcome them • people with mental illness spend - “Miss Smith, smoking is making your - Prescribe medication for tobacco as much as 25% of their income on diabetes worse. I strongly urge you to think dependence if not contraindicated tobacco and consume 44% of the about quitting.” cigarettes sold in the u.s.(3) tobacco use Is a chronIc condItIon Don’t stoP hErE! smokers need theIr requIrIng ongoIng support. care provIder’s full support to quIt most people make several quIt attempts Why is it important to treat tobacco use in before they are successful. persons with disabilities? ASSESS if the person is willing to try a quit • 70% wish to quit smoking, the same as ARRANGE for follow-up contact attempt within 30 days people without disabilities - “Mr. Green, when is the last time you - During the first week following the quit date • everyone deserves to be healthy and to and then again within the first month thought about quitting? Would you receive advice about maintaining good be willing to try to quit within the next - Identify problems patients encounter and health, including tobacco use assessment month?” think about future challenges and treatment. this is a social justice issue. - “Mrs. Jones, tell me about a time when you - Assess medication use and problems. • smoking adversely affects serious quit smoking before. What helped you the Readjust psychotropic or other secondary health conditions and may adversely affect the clinical response to the most that time?” medications if needed treatment of a wide variety of conditions PlEASE NOTE: It is well documented that many people - If tobacco use has occurred, review ‘self medicate’ with tobacco for its calming and anti-anxiety circumstances and elicit re-commitment to 1 california department of public health (cdph) office on disability and health (odh), the california tobacco control program (ctcp) and the california effects. Anxiety disorders, from mild depression to PTSD total abstinence 2 preventing chronic disease - study, www.cdc.gov/pcd/issues/2007/oct/06_0179.htm. require diagnosis and adequate medical support while 3 usa today 5/3/2007 weaning the patient off tobacco products.

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