Choices and Challenges Updated by Peggy McMahon, RN, MSN, MPS Smoking Cessation Choices and Challenges Updated by Peggy McMahon, RN, MSN, MPS
Learning Points Explore the behaviors associated with personal tobacco use. Describe the physiology of quitting. Identify the process of quitting, including methods and medications. Discuss recovery and maintenance. Make a personal plan for quitting.
Smokeless Tobacco Smokeless tobacco is not harmless!
Health Benefits of Quitting 12 1 2 3 4 5 6 9 7 8 10 11 Blood pressure drops CO level in blood drops to normal Coronary heart disease risk drops to half 2009 2010 2019 Lung cancer death rate drops to half 2026 Disease risks same as nonsmoker’s
Stages of Quitting Maintenance Remain smoke-free Action Awareness Toy with quitting Visualization Serious intentions Decision Make plan; engage support Action Involved in activities of quitting; select method Maintenance Remain smoke-free
Behavior modification Group support/counseling Alternative therapies Methods of Quitting Self-help materials Behavior modification Group support/counseling Conditioning Medication Cold turkey Nicotine replacement Alternative therapies
Symptoms of Recovery “Recovery is a journey. The goal is not simply to quit, but to stay quit.” ~Terry A. Rustin, M.D.
My Triggers
Three Vital Steps. Roberta Lee, MD Three Vital Steps* *Roberta Lee, MD. Beth Israel Medical Center for Health and Healing, More, June 2009. Reprinted with permission Become an exerciser Fill the tobacco vacuum Conquer Nicotine Cravings
Possible Alternatives My Triggers and Possible Alternatives Triggers Alternatives Argument Go for a walk… Driving Sing, have car detailed… After a meal Brush/floss teeth… Something to hold Knit, doodle… Need a “lift” Mild exercise; chew gum; read…
Making A Plan Determine current stage Set goal quit date Make list of three things you will do within the next week to prepare Choose a method(s) to use Identify your resources; contact each one
The Journey… Congratulations for moving toward being a non-smoker! “A journey of a thousand miles begins with a single step.” ~Lao Tzu What one step will you take today to get started?