misc information materials

Reasons Why Different People Might Want to Quit

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Reasons why different people might want to quit tobacco: symptomatic adults, asymptomatic results, people with family history of cancer or heart disease, long-term users, new users, parents, women, pregnant women, teenagers, and any users.

Reasons for Any User to Quit

  • Avoid tobacco-related illness (e.g., certain forms of cancer, cardiac disease)
  • Save a lot of money by quitting; for example, a pack-a-day smoker who quits will save annually around $1,380 to $2,710, depending on residence (Lindblom and Boom 2010).
  • Feel much better
  • Improve physical and athletic performance
  • Live a healthier life; live long enough to enjoy retirement, grandchildren, etc.
  • Be more likely to work successfully, have fewer illnesses
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Quitting Tobacco Use is a Process

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Stages of Quitting

The stages of tobacco cessation are: Contented user, Thinking about quitting, Deciding to quit, Quitting, Trying to stay quit, Relapsing, and Staying quit. This is a process that may repeat before becoming permanent.

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Tobacco use is the most common preventable cause of death. About half of the people who don't quit smoking will die of smoking-related problems. Quitting smoking is important for your health and provides many benefits. Soon after you quit, your circulation begins to improve, and your blood pressure starts to return to normal. Your sense of smell and taste return and breathing starts to become easier. In the long term, giving up tobacco can help you live longer. Your risk of getting cancer decreases with each year you stay smoke-free.
Source: 
National Cancer Institute
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Description: 
Comprehensive information on smoking information, support, and advice for a patient's desire to quit smoking.
Source: 
QuitSmokingSupport
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Description: 
Nicotine Anonymous is a Non-Profit 12 Step Fellowship of men and women helping each other live nicotine-free lives. Nicotine Anonymous welcomes all those seeking freedom from nicotine addiction, including those using cessation programs and nicotine withdrawal aids. The primary purpose of Nicotine Anonymous is to help all those who would like to cease using tobacco and nicotine products in any form. The Fellowship offers group support and recovery using the 12 Steps as adapted from Alcoholics Anonymous to achieve abstinence from nicotine. (From their website)
Source: 
Nicotine Anonymous
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Negative Effects of Smoking

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Details the negative effects of smoking.

Acute risks:

  • Shortness of breath
  • Exacerbation of asthma
  • Harm to pregnancy
  • Impotency
  • Infertility
  • Increased serum carbon monoxide levels

Long-term risks:

  • Myocardial infarction and strokes
  • Lung and other cancers
  • Chronic obstructive pulmonary disease and emphysema
  • osteoporosis
  • Long-term disability and need for extended care

Environmental risks:

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Arranging Follow-Up and Providing Support

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For patients who agree to quit smoking or for whom you prescribe therapy, follow-up is extremely important. Ideally, the steps toward cessation should proceed as follows in this resource.

For patients who agree to quit smoking or for whom you prescribe therapy, follow-up is extremely important. Ideally, the steps toward cessation should proceed as follows:

  • The patient decides to quit.

  • Within 7 days, the patient receives follow-up letter or phone call from office reiterating the patient's decision to quit.

  • The patient sets a quit date.

  • The patient receives call from the office a day or two before the quit date as a reminder.

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Outside Social Support

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Social support systems outside the clinical setting, such as support groups, are effective in helping patients quit smoking. Some possible components of social support are included in this resource.


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Problem Solving

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Description of problem-solving treatment components, as well as examples. This resource points out how patients can avoid potentially risky situations.


Recognize Danger Situations
Identify "danger situations," i.e., events/situations, internal states or activities that increase risk of smoking (using tobacco) or relapse.

Examples: Being around other tobacco users, Drinking alcohol, Smoking cues and availability of cigarettes, Urges to use tobacco, Negative affect and experiencing stress.

Develop Coping Skills

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CRAFFT

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CRAFFT Questionaire

The CRAFFT is specifically intended for adolescents who may be using alcohol and/or other drugs. This screening tool asks about situations that suit adolescents under the age of 21. This instrument takes about 5 minutes to administer, making it an excellent tool for a primary care provider.
Evidence

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