Smoking and its Health Consequences

Question 0

Secondhand smoke

Answer 0

Mainstream smoke : buga (exhaled smoke)

Sidestreet smoke : burning cigarette beside you (85%)

Question 1

Philippine Prevalence of Smoking

Answer 1

Current smoking percent is 28 for adults, both males and females
Female smokers increasing
Avg sticks per day: 7 for females, 11 for males
Start of smoking: 19 for F, 17 for M

Question 2

Why do people smoke?

Answer 2

Symbolic act: personal identity

Reasons for initial intake: peer pressure, family influence, curiosity
1st Reason for continuing intake: feeling relaxed

Question 3

How is dependence developed?

Answer 3

Addiction
Behavioral
Psychological

Question 4

Not a carcinogen

Answer 4

Nicotine
Liquid in its native state
Distilled from burning tobacco amd carried on tar droplets
Half-life: 120 mins

Question 5

That first puff

Answer 5

Smoking saturates nicotinic receptors

Question 6

Boses Upos

Answer 6

Laryngectomy

Electrolarynx

Question 7

Cigarettes

Answer 7

Kills 240 Filipinos daily
Contains 7000 chemicals
70 carcinogens

Question 8

Wnat does the government do about it?

Answer 8

Smokefree Policies (Smoking ban)
Sintax Law RA 10351: 42 B in revenue
Graphic Health Warning Law RA 10643

Question 9

5 A’s for the Doctor

Answer 9

Ask
Advise
Assess
Assist
Arrange

Question 10

The NEW vital sign

Answer 10

Query whether they smoke or not!

Question 11

Pack-Years

Answer 11

Number of packs/day x number of years smoked

20 sticks per day

Also record attempts to quit before

Question 12

3 questions to ask!!!

To know if the patient is already dependent

Answer 12

Smoke 1 pack a day?
Smoke within 30 mins of waking up?
Experienced withdrawal when attempted to stop?

Another test: Fagerstrom Level of Dependence

Question 13

Stages of Change

Answer 13

Precontemplation
Contemplation
Preparation Stage
Ready for Action
Action
Maintenance
Termination
Relapse / Recycling

Question 14

Transtheoretical Model

Answer 14

Relapse 3-4 times

Question 15

What can we do?

Answer 15

Motivational Interviewing

Question 16

Requirements for Change

Answer 16

Motivation

Confidence

Question 17

Paradox of Change

Answer 17

When a person feels accepted for who they are and what they do — they will stop. But if you force them, they will not.

Question 18

E-cigarettes

Answer 18

NOT HEALTHFUL

Not approved by FDA

Question 19

Motivate by 5 Rs

Answer 19

Relevance
Rewards
Risks
Roadblocks
Repetition