1. Choices and Challenges Updated by Peggy McMahon, RN, MSN, MPS
Smoking Cessation
Choices and Challenges
Updated by Peggy McMahon, RN, MSN, MPS

2. 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.

3. Smokeless Tobacco
Smokeless tobacco is not harmless!

4. Health Benefits of Quitting12 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

5. 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

6. 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

7. Symptoms of Recovery
“Recovery is a journey. The goal is not simply to quit, but to stay quit.”
~Terry A. Rustin, M.D.

8. My Triggers

9. Three Vital Steps. Roberta Lee, MD
Three Vital Steps* *Roberta Lee, MD. Beth Israel Medical Center for Health and Healing, More, June Reprinted with permission
Become an exerciser
Fill the tobacco vacuum
Conquer Nicotine Cravings

10. 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…

11. 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

12. 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?