2. Smoking Cessation Presented by Integrated Behavioral Health

3. Smoking Cessation Smoking Facts –Tobacco is the single greatest cause of disease and premature death in America today (430,000 per year) –25 percent of adult Americans smoke –3000 children and adolescents become regular tobacco users every day

4. Smoking Cessation Smoking Costs –Death and disease approaches 100 billion dollars per year -- 50 billion alone on direct medical care and 47 billion on disability and lost productivity

5. Smoking Cessation Cardiac patients have more 2nd heart attacks in those that continue to smoke Lung, head, and neck cancer patients successfully treated have elevated risk if they continue to smoke Smoking hinders bone and wound healing

6. Smoking Cessation Additional Medical Consequences Vascular Disease Cancer of the… –mouth, voice box, bladder, kidney, pancreas, cervix, stomach, and some leukemias Respiratory Diseases… –Chronic obstructive pulmonary disease

7. Smoking Cessation Nicotine is Addicting Smoke is Inhaled and Carried Deep into the Lungs Absorbed by the Lungs and Directly passed to the Heart, Brain, Liver, Spleen, Kidneys... –Produces pleasurable feelings –Acts as a depressant –Nervous system adapts to nicotine –Physical and psychological dependence

8. Smoking Cessation Special for Mothers and Babies –Nicotine crosses the placenta –Nicotine found in the milk of nursing mothers

9. Smoking Cessation Withdrawal Symptoms –Depression –Frustration –Anger –Irritability –Trouble Sleeping Withdrawal Symptoms –Difficulty Concentrating –Restlessness –Headache –Tiredness –Increased Appetite

10. Smoking Cessation

11. Good reasons for quitting –You will live better and longer –Quitting will lower your risk for heart attack stroke or cancer –If you are pregnant, improve the chance for a healthy baby –The people you live and work with (especially children) will be healthier –You will have extra money to spend on other things than cigarettes and medical expenses

12. Smoking Cessation Good reasons for quitting –Social Stigma –Bad Breath –Cleaning Bills –Discolored Teeth –Role model for your children or grandchildren

13. Smoking Cessation Five Keys to Quitting

14. Smoking Cessation Five keys for Quitting- Get Ready –Set a quit date –Change your enviroment –Review your past attempts –Once you quite…Don’t smoke again

15. Smoking Cessation Five Keys for Quitting - Get Support and Encouragement –Tell your friends, family and coworkers –Talk to your healthcare providers –Get counseling

16. Smoking Cessation Five Keys for Quitting - Learn New Skills and Behaviors –Distract yourself –Change your routine –Reduce stress –Plan something enjoyable –Drink a lot of water and other fluids

17. Smoking Cessation Five Keys to Quitting - Get Medication and Use it Correctly –Five Options –Bupropion - Rx only –Nicotine Gum - over counter –Nicotine Inhaler - Rx only –Nicotine Nasal Spray - Rx only –Nicotine Patch - Rx only

18. Smoking Cessation Five Keys to Quitting - Get Medication and Use it Correctly –Talk with your health provider –All these medications can double your chances of success –Talk with your doctor before taking any medications, even over the counter. Especially if you are pregnant or plan to become pregnant

19. Smoking Cessation Nicotine Replacement –Cleaner form of nicotine –Lower dose of nicotine –Controllable dosage for tapering –Reduces withdrawal symptoms allowing to focus on the psychological aspects of smoking –Do not use a nicotine replacement if you do not plan to quit

20. Smoking Cessation Five Keys for Quitting –Four “A’s” –Avoid –alter –alternatives –activities

21. Smoking Cessation Be Prepared for Relapse

22. Smoking Cessation Relapse and Difficult Situations –Alcohol –Other Smokers –Weight Gain

23. Smoking Cessation Relapse and Difficult Situations –Bad Mood –Depression –Stress

24. Smoking Cessation Help for Cravings and Tough Situations –First few days spend as much time in places where smoking is prohibited –Don’t drink beverages associated with smoking –Strike up a conversation not a match –If you miss the cigarette in your hand, replace it with something else –If you miss the feeling of something in your mouth try toothpicks, cinnamon sticks or celery

25. Smoking Cessation Help for Cravings and Tough Situations –Avoid temptations and situations –Find new habits –Anticipate the future –Relax –Remember your goal –Think positive thoughts –Brush your teeth

26. Smoking Cessation Help for Cravings and Tough Situations –Brief bursts of exercise –Call a friend –Eat several small meals –Reward yourself along the way (plan it out and make your goals)

27. Smoking Cessation Help for The “Crazies” –Keep oral substitutes available –Take 10 deep breaths hold the last one while lighting a match. Exhale slowly and blow out the match…Pretend it is a cigarette and put it out –Take a shower or a bath –Learn to relax quickly –Light a candle or incense –Never allow yourself to think “one won’t hurt”…it will

28. Smoking Cessation Five Common Myths –Smoking is just a bad habit –Quitting is just a matter of willpower –If you can’t quit the first time you try, you will never be able to quit –The best way to quit is “cold turkey” –Quitting is expensive