1. Going Up in Smoke? Get a grip on your tobacco habit © 2008 Purdue Research Foundation

2. Program Goals  By the end of this class you should be able to: Understand nicotine addiction Recognize and identify health problems from tobacco use Create a timeline to stop using tobacco Review resources available to help quit smoking © 2008 Purdue Research Foundation

3. Facts about smoking  In Indiana: 3,990 deaths will be caused by lung and bronchus cancer.  This is more than a third of all cancer deaths. About 59% of people will live at least 5 years after they are diagnosed. © 2008 Purdue Research Foundation

4. Facts about smoking  In the US: tobacco caused nearly 1 in 5 deaths  438,000 premature deaths per year from 1997 to 2001 3,400 non-smoking adults die yearly of lung cancer as a result of breathing secondhand smoke 35,000 deaths from heart disease because of living with smokers © 2008 Purdue Research Foundation

5. What is nicotine addiction?  A need to smoke cigarettes, cigars, pipes, or chew smokeless tobacco products.  How often? Nicotine withdrawal begins 30 minutes after last dose 80% of smokers will smoke at least once per day  It affects chemistry in the brain and may lead to mood changes of the smoker. © 2008 Purdue Research Foundation

6. Addiction Cycle Ingest Nicotine Nicotine Wears Off Stimulates Central Nervous System Seek more nicotine Depression and Fatigue Feel Good 30 Minutes © 2008 Purdue Research Foundation

7. Effects of Nicotine on the Body GI Distress Vomiting Pain Reliever Anti-psychotic Neuro- protection Respiratory Distress Anti-anxiety Seizures Hypothermia Hypertension Cerebro- vasodilation Cognitive Enhancement NICOTINE © 2008 Purdue Research Foundation

8. Why smoke?  Social Friends Bars  Stimulant Addiction/euphoria  Hunger Appetite suppressant © 2008 Purdue Research Foundation

9. Short-Term Risks  Shortness of breath  Worsening of asthma conditions  Infertility  Increased CO 2 and decreased O 2 blood levels  Impotence Long-Term Risks  Heart attack  Stroke  Cancer  Chronic Obstructive Pulmonary Disease Problems from smoking © 2008 Purdue Research Foundation

10. Benefits of quitting  Improve your health  Improve the health of those around you  Save money  Food tastes better  Lower blood pressure  More oxygen to the body © 2008 Purdue Research Foundation

11. Create an Action Plan  Assess your readiness level  Select a quitting method  Talk to your doctor  Set a quit date  Develop problem-solving strategies  Build a support system  Create a relapse plan © 2008 Purdue Research Foundation

12. Are you Ready to Quit?  When will you quit?  Are you ready to change your lifestyle?  Is it the right time?  Have you tried to quit before?  If you intend to quit soon, do you have a plan? © 2008 Purdue Research Foundation

13. Ways to Quit  Cold turkey  Gradual  Combination of methods  Alternative methods  Nicotine replacement  Medications © 2008 Purdue Research Foundation

14. Talk to your Doctor  Your doctor can assist in your success: Get advice from your doctor Discuss quitting options Discuss possible Rx options © 2008 Purdue Research Foundation

15. Common Withdrawal Symptoms  Anxiety/crankiness  Insomnia/fatigue  Dizziness  Problems concentrating  Depression  Constipation  Hunger © 2008 Purdue Research Foundation

16. Strive to Succeed  Find ways to overcome cravings  Plan ahead to avoid weight gain  Change your lifestyle © 2008 Purdue Research Foundation

17. Weight Gain  Weight gain isn’t a given  Ways to decrease the chance of weight gain: Exercise Chew sugarless gum or suck on sugarless hard candy Drink more water Snack on high fiber foods Find things to do with your hands © 2008 Purdue Research Foundation

18. Overcoming Cravings  Follow the 5 D’s Delay a minute or two until craving passes Drink water to fight off cravings Do something else until craving passes Deep breathe Discuss your thoughts and feelings with a friend or an ex-smoker © 2008 Purdue Research Foundation

19. Change Your Lifestyle  Break habits that lead to smoking With coffee While driving  Adopt healthy habits Exercise Take up a hobby © 2008 Purdue Research Foundation

20. Use Your Plan  Post your quit date in a common area as a reminder  Tell people you plan to quit Ask others for patience and/or support  Stick to your date! © 2008 Purdue Research Foundation

21. Dealing with Relapse  If minor- get right back to your plan  If major- accept that it happens Average person quits 4 times before completely successful  Learn from the mistakes or challenges  Be stronger next time © 2008 Purdue Research Foundation

22. Summary  Smoking is an addiction that will be hard to kick  Health habits for you and your family far outweigh any effort necessary  Create a plan and stick to it! © 2008 Purdue Research Foundation

23. Resources  Philip Morris Quit Assist www.quitassist.com  Indiana Tobacco Quitline www.indianaquitline.net 1-800-784-8669  American Cancer Society www.cancer.org 1-877-937-7848 © 2008 Purdue Research Foundation

24. Acknowledgements  This class was designed by: Allison Bryan MS Certified Health Education Specialist This product was funded by a grant awarded under the Workforce Innovation in Regional Economic Development (WIRED) Initiative as implemented by the U.S. Department of Labor’s Employment & Training Administration. The information contained in this product was created by a grantee organization and does not necessarily reflect the official position of the U.S. Department of Labor. All references to non-governmental companies or organizations, their services, products, or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational, non-commercial use only © 2008 Purdue Research Foundation