Smoking Cessation for the Chronic COPD Patient

2. Objectives:
• Patient will
• Explain disease state and recognize need for smoking
cessation
• Incorporate knowledge of health regimen into
lifestyle
• State confidence in one’s ability to manage health
situation and remain in control of life
• List resources that can be used for more information
or support

3. What is COPD?
When you breathe, air travels through your lungs to millions of small air
sacs, called alveoli. In a healthy lung, the airways are open and the air
sacs fill up with air.
COPD makes it hard to get air through the airways and into and out of the
air sacs.
COPD includes two lung problems:
-Chronic bronchitis: increased cough/mucus production
-Emphysema: damage of the air sacs (alveoli)
https://www.youtube.com/watch?v=Aj87GhP-aa4

4. Common cause of COPD:

5. If you think
cigarettes
are simply
dried
tobacco
leaves rolled
in paper,
you’re about
697
ingredients

6. • 43 chemicals are linked to cancer (Carcinogen)
– Benzo(a)pyrene
– Urethane
• Co-carcinogens
– Combines with other chemicals to cause cancer and chronic diseases
• Poisonous substances
– Arsenic
– Hydrogen cyanide
• Carbon monoxide
– 400 times greater than what is considered safe in industrial
workplaces
– Displaces oxygen in red blood cells
• Additives
– Nearly 600 chemicals

8. Nicotine

9. COPD Exacerbations
Avoid triggers and help reduce your chance of future exacerbations
• Get a flu shot and ask about a pneumonia vaccine
• Keep taking your medications as prescribed
• Keep your distance from smoke and anyone sick
• Wash your hands frequently with soap and water
to help protect against infection

12. “Quitting Smoking is easy.
I’ve done it a thousand
times!”
• What are you up against?
• What are your options?
• Where do you go for help?

13. Withdrawal Symptoms
• Dizziness
• Depression
• Feelings of frustration,
impatience, and anger
• Anxiety
• Irritability
• Sleep disturbances
• Trouble concentrating
• Restlessness or boredom
• Headaches
• Tiredness
• Increased appetite
• Weight gain
• Constipation and gas
• Cough, dry mouth, sore
throat, and nasal drip
• Chest tightness
• Slower heart rate

14. WHY SHOULD I QUIT?
• # 1- Your health!
– smoking harms
nearly every organ
of the body

16. BENEFITS OF QUITTING:
• 2 weeks to 3 months after quitting
• Your circulation improves and your lung function increases.
• 1 to 9 months after quitting
• Coughing and shortness of breath decrease; cilia start to regain normal
function in the lungs, increasing the ability to handle mucus, clean the
lungs, and reduce the risk of infection.
• 1 year after quitting
• The excess risk of coronary heart disease is half that of a continuing
smoker's.
• 5 years after quitting
• Risk of cancer of the mouth, throat, esophagus, and bladder are cut in half.
Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that
of a non-smoker after 2-5 years.
• 10 years after quitting
• The risk of dying from lung cancer is about half that of a person who is still
smoking. The risk of cancer of the larynx and pancreas decreases.
• 15 years after quitting
• The risk of coronary heart disease is that of a non-smoker.

17. METHODS TO QUIT SMOKING:
• Telephone-based help to quit smoking
• Smoking cessation programs and support groups
• Nicotine replacement therapy
– Patch
– Gum
– Nasal spray
– Inhalers
– Lozenges
• Prescription drugs
– Bupropion (Zyban®)
– Varenicline (Chantix®)

18. Resources
• COPD Foundation. Take Action Today. Breathe Better Tomorrow. (n.d.). Retrieved
June 25, 2015, from http://www.copdfoundation.org/
• Exacerbations. (n.d.). Retrieved June 25, 2015, from http://www.copd.com/about-
copd/exacerbations.html
• American Cancer Society. Guide to Quitting Smoking. (n.d.). Retrieved June 21,
2015, from http://www.cancer.org/treatment/index
• Tobacco Facts and Figures. (n.d.). Retrieved June 20, 2015, from
http://betobaccofree.hhs.gov/about-tobacco/facts-figures/
• American Lung Association. What's in a Cigarette? (n.d.). Retrieved June 18, 2015,
from http://www.lung.org/stop-smoking/about-smoking/facts-figures/whats-in-a-
cigarette.html?referrer=https://www.google.com/