L12 Smoking cessation

Question 1

What are the smoking statistics?

Answer 1

46% try to quit
8% use NHS support
15% use over the counter medication
23% use nothing
21% of people in Britain smoke today
More men smoke than women 22% comared to 19%
Tobacco contains over 4000 chemicals (69 cause cancer)

Question 2

What are the main components of tobacco?

Answer 2

Nicotine (addictive component)
Tar (cancer causing element)
Carbon monoxide (affects ability of hemoglobin to carry oxygen)

Question 3

What are tobacco withdrawal symptoms:

Answer 3

Drop in nicotine levels leads to;
Craving
Difficulty sleeping
Irritability
Increasing cough irritability  
Light headedness
Mouth ulcers

Question 4

Why do people smoke?

Answer 4

Addiction

Habit

Question 5

What is the impact of smoking on health?

Answer 5

Stroke
defective vision
cancers
CHD
cancer of the pancreas
affects fertility
Second hand smoking leads to asthma/ sudden infant death syndrome/ pneumonia/ coughing & wheezing
Passive smoking in children at 9.7 million a year
2 million children in UK under 16 still live in household where they are exposed to smoke
Smoke can remain in rugs/carpets/curtains weeks after someone has smoked
85% of tobacco smoke is invisible + odorless
SHS increases risk of lung cancer by 24% and heart disease by 25% in non smoking adults

Question 6

What are the effects of CO?

Answer 6

Sticks to red blood cells with 200 times the affinity of normal oxygen
Smoker has 10% carbon monoxide in their blood stream so low O2 levels

Question 7

What are the 3 A’s?

Answer 7

Ask
-And record smoking status (is the patient smoker/ex smoker?)
Advise
-Stopping smoking is the best thing to do for their health
Act
-On patients response refer them to their local NHS stop smoking service

Question 8

How can we apply the 3 A’s to smoking?

Answer 8

Ask about tobacco use at every opportunity
Explain how tobacco use can affect health (according to level of intervention
Make the messages easy to understand
Let people know how effective the stop smoking services are
Let the person know you believe they can quit
Speak to people in their language
Nudge people towards change
Signpost to the stop smoking services

Question 9

What are the effects of niche tobacco?

Answer 9

Tobacco products consumed without burning can be sucked, inhaled or chewed finer tobacco is inhaled and absorbed in nasal passage can cause cancer + nicotine addiction
Water pipe when inhaled causes lung cancers/ low birth weight/ triggering asthma attacks/ pipe sharing= infectious diseases

Question 10

What are the treatments to help quit?

Answer 10

Patch
Inhalator
Nasal spray
Mouth spray
Gum
Lozenge/mini lozange
Microtab
Varenicline (medicine)
Zyban (medicine)

Question 11

what are the stages of quitting?

Answer 11

Contemplation  
preparation 
action  
maintenance 
relapse  
contemplation