A Presentation on the Smoking Cessation By: Danielle Kolokowsky Take Back Your Health A Presentation on the Smoking Cessation By: Danielle Kolokowsky

Introduction You have the ability to quit smoking You are in control of your life There are resources available Smoking is still the number one preventative disease in the U.S. and new generations could be the one to end the statistic If you or someone you know smokes, just let them be aware that they do in fact have the power to stop smoking. There’s enough negative ads and negative campaigns trying to scare people out of smoking, but we are trying to switch that discussion into something more positive and empowering. Letting smokers know that they do in fact have the reins to their own lives and can live it in a healthier way. Even though smoking is still the number one preventative disease in the US….. with the help of quitting resources, this generation can be the end to that statistic.

Statistics How smoking rates have declined Shows that we should keep this momentum going This is showing how smoking rates have declined over the years It is lower in CO but we still have to keep the momentum going because there is still a long ways to go.

Tobacco Tobacco is a plant which contains the chemical nicotine Nicotine is the addictive chemical in Tobacco products that makes it addictive Health risks Lung cancer CVD Chronic obstructive pulmonary disease Stoke Damages to blood vessels Increased BP Respiratory diseases Gum disease More CDCTobaccoFree. (2019, March 4). Health Effects of Cigarette Smoking. Retrieved April 2, 2019, from Centers for Disease Control and Prevention website: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm

Cigars and Chewing Tobacco A large cigar can cantain as much tobacco as an entire pack of cigarettes 4-10 times the risk of dying from oral, esophageal or laryngeal cancer in comparison to non-smokers Gum disease and tooth loss Coronary heart disease Heavy cigar smoking increases the risk for lung disease Chewing Tobacco: Can lead to nicotine addiction Causes cancer of the mouth, gums, esophagus, and pancreas Can increase risk for early delivery and stillbirth when used during pregnancy Can cause nicotine poisoning in children May increase the risk for death from heart disease and stroke Users may be more likely to also become cigarette smokers CDCTobaccoFree. (2016, December 1). Smokeless Tobacco: Health Effects. Retrieved April 2, 2019, from Centers for Disease Control and Prevention website: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/smokeless/health_effects/index.htm CDCTobaccoFree. (2018, October 2). Cigars. Retrieved April 2, 2019, from Centers for Disease Control and Prevention website: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/cigars/index.htm Health Effects of Cigars. (n.d.). Retrieved April 2, 2019, from American Lung Association website: https://www.lung.org/stop-smoking/smoking-facts/health-effects-of-cigars.html

Vaping Information There is still much to learn about e-cigarettes What are they? They are not “safe” They contain harmful chemicals such as nicotine, heavy metals like lead, volatile organic compounds, and cancer- causing agents There is still much to learn about e-cigarettes and if it can be an effective way to quit smoking. If you’ve never smoked or used tobacco products or e-cigarettes, don’t start E-Cig produce an aerosol by heating a liquid that usually contains nicotine, which is the addictive substance found in regular cigarettes. It has flavorings and other chemicals. These chemicals can contain harmful and potentially harmful substances and some companies claim that their product contains zero percent nicotine but have been found to actually contain nicotine. 3. Some people say that it is safe for them and even believe that it is not bad for their health. This comes from the fact that yes, they are less harmful than regular cigarettes, but that does not mean they are necessarily “safe” Health, C. O. on S. and. (2019, March 14). Smoking and Tobacco Use; Electronic Cigarettes. Retrieved from Centers for Disease Control and Prevention website: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm

Vaping Information Vaping can also lead to cigarette smoking Health, C. O. on S. and. (2019, March 14). Smoking and Tobacco Use; Electronic Cigarettes. Retrieved from Centers for Disease Control and Prevention website: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm

Benefits of Quitting Quitting is the MOST impactful thing you can do to better your health Within 24 hours of quitting, chances of having a heart attack decrease significantly Adds on years to your life A. Showing the survival rates of someone from the age of 30 of a current smoker, someone who stopped between the age of 25-34 years old and never smoked. The person who stopped smoking at a younger age had close to the same survival percentage as those who never smoked. B. Is showing the survival rates for people in their 40s. The bottom line is the current smoker, the dotted line is someone who stopped between the age of 35-44, and the top one is someone who never smoked. The person who stopped in their late 30s early 40s gained 9 years onto their life. The point being that the earlier you stop smoking, the more benefits you’ll get and the more years you’ll add onto your life. Jha, P., Ramasundarahettige, C., Landsman, V., Rostron, B., Thun, M., Anderson, R. N., ... & Peto, R. (2013). 21st-century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine, 368(4), 341-350.

Benefits of Quitting www.smokefree.gov 20 min: HR and BP drop to more normal levels, circulation starts to improve 12 Hours: Carbon Monoxide levels drop to more normal levels, which improves the body’s oxygen levels 1 Day: The risk of heart attack begins to decrease, BP improves even more, oxygen levels rise, which improves the ability physical activity and exercise 2 Days: Nerve endings begin to regenerate and you can smell and taste better 1 Month: Lung function begins to improve and the former smoker may notice less coughing and less shortness of breath. Endurance may also increase 9 Months: Structures in the lung known as cilia start to recover from the toll that cigarettes took on them. Decrease in lung infections. 1 Year: Risk of coronary heart disease is half of a current smoker’s risk. This risk will continue to drop past the 1-year mark 5 Years: The blood vessels that narrowed due to the toxins in cigarettes start to slightly increase in diameter. Risk of stoke decreases due to this. 10 Years: A person’s chances of developing lung cancer and dying from smoking are roughly cut in half. 20 Years: The risk of death from smoking-related causes, including both lung diseases and cancer, drops to about the same level as someone who has never smoked in their life. www.smokefree.gov

Resources to help you quit

Resources Cont. CO Quit line This is a phone or online based support system with certified counselors 24/7. You get unlimited quit-support sessions and they can provide Nicotine replacement therapy. How do you feel about quitting: I’m ready to quit! I’m taking steps now I want to stay quit I’d like to but… I quit for a while, but I am using tobacco again I’m not ready yet They also have resources for family members or friends who are trying to help loved ones quit Have more recourses on their website as well such as Nicotine Anonymous and Smoking Cessation Leadership Center

Resources Cont. Prescriptions ASC Insurance has a $0 copay on products to help you quit They offer: Bupropion SR 150mg (generic for Zyban) Nicoderm CW (Patch) Nicorelief Nicorette Nicotine Gum Nicotine Lozenge Nicotine Patch NTS Quit 2 Quit 4 And other “store-brand” nicotine replacements

Resources Cont. Valley View Tobacco Cessation Program Personalized quit smart program consisting of group classes and are in the Valley View Hospital They also have other resources available on their Website

Resources Cont. Triad EAP Employee Assistance Program Confidential Counseling and referral service Available to employees, spouses, and dependents, 3 free sessions per issue Username: aspen Password: skiing

Resources Cont. Apps An app on your phone can help you quit Daily text support or chat online “This is Quitting” “quitSTART” “quitguide” Smokefree.gov Has texting and app resources The quitSTART app helps you: Get ready to quit with tips and information to prepare you for becoming smokefree Monitor your progress and earn badges for smokefree milestones and other achievements Get back on track if you slip and smoke Manage cravings and bad moods in healthy ways Distract yourself from cravings with games and challenges Store helpful tips, inspirations, and challenges in your Quit Kit Share your progress and favorite tips through social media This Photo by Unknown Author is licensed under CC BY

Resources Cont. Health Coaching Health coaching sessions are to help you help you quit smoking, eat right, or form an exercise plan Support to help you lead a healthy lifestyle through a series of 5 free coaching sessions by Alisa Owens and Michele Goodhard

Resources Cont. Education Online resources that can help you take back your health Educational resources on how to quit and the benefits of quitting http://www.asc-mbs.com/ https://smokefree.gov/build-your-quit-plan https://www.becomeanex.org/my-quit-plan/ https://www.cdc.gov/tobacco/quit_smoking/how to_quit/resources/index.htm

Helpful Tips Most people need to try to quit LOTS of times before they do it for good. Keep trying and you will get there! It is important to understand how to use your health insurance coverage to address your quitting needs such as ACS’s health insurance Research shows that most people who are successful in quitting tobacco need a supportive person (such as a Quit line counselor or coach) and a medication (either Nicotine Replacement or a prescription medication) Quitting is much easier (and more likely) when you have a plan. Don’t worry if you slip, that’s normal. Just get back on your plan

Think Positive! You got this! It takes a couple of tries to quit so don’t give up, allow yourself to have a few fails Reward yourself with something positive for your mind and health