Health Promotion: Giving up Smoking in Pregnancy Introduction The object of this assignment is to critically appraise a health promotion initiative related to midwifery practice. The initiative chosen is a NHS Health Scotland leaflet entitled 'Smoking: giving up during pregnancy: a guide for pregnant women who want to stop smoking' (NHS Health Scotland 2003). It will be referred to as the 'initiative' or the 'leaflet' throughout this assignment. The World Health Organisation (WHO) identified that health promotion was a way of equipping people to have more power enabling them to make choices in regard to improving their well-being (WHO 1986). Ewles and Simnett (2003) determine from this, that the fundamental elements of health promotion …show more content…
The leaflet may still be issued as having the information readily at hand may prompt the individual to think about stopping smoking. The advantages of leaflets mean they allow individuals to read through them at their own pace (Ewles and Simnett 2003). The second stage is the contemplation stage where the individual is motivated to consider changing their behaviour, maybe she reads the leaflet and attempts to seek information (Naidoo and Wills 2000). The role of the midwife at this stage would be to determine why the woman smokes and what barriers she may face in stopping smoking (Dunkley 2000). The leaflet facilitates this by allowing the woman to question why she smokes and how she feels about it. It also seeks to establish what the woman feels is good and bad about smoking and how she anticipates changing her behaviour towards smoking. It has been suggested (McLeod et al 2003) that some midwives find it difficult to broach the subject of smoking particularly with women who have no desire to stop and those who are still considering stopping. However McLeod et al (2003) found from their qualitative study that women expected to be asked about smoking during routine antenatal care and indeed they felt it was part of the midwives role to ask. The preparation stage is where the woman is committed to giving up smoking. She may seek extra help and is likely to attempt change soon (Dunkley 2000). If the woman is in this planning stage she may benefit from smoking
The Smoke Free campaign also uses the stages of change model. When an individual is trying to quit smoking they will go through the stages of change cycle. At the stage of pre-contemplation the individual who smokes does not have intention to change their behaviour, they may not be aware or not aware enough of the damage that smoking can cause to their body and their smoking problem. At the stage of contemplation the individual may start becoming aware that they have a problem with their smoking and they are seriously considering stopping smoking but they have not yet made commitment to do something about trying to quit smoking. At the preparation stage they are intending to do something about trying to stop smoking very soon, but they have not done anything yet. At the action stage the individual makes changes to their behaviour, so that they can overcome their smoking problem, for example completely stopping smoking, gradually cutting down on smoking, using nicotine replacement therapies such as nicotine patches, nicotine gum, inhalators etc. At the maintenance stage the individual will work to
The Nursing and Midwifery council (NMC 2008)states that a nurse should be able to protect and promote the health and well-being of those in their care. This essay will be discussing the health promotion role of a nurse looking after a patient that has Chronic Obstuctive Pulmonary Disease(COPD) .The essay will focus on a 65 year old gentleman Mr Abraham who has been admitted into a general medical ward,with an acute exacerbation of COPD. Mr Abraham is well known to the ward as he is admitted regularly, the ward staff are aware of the fact that he continues to smoke and uses his inhalers incorrectly.
The World Health Organisation (WHO) Ottawa Charter defined health promotion as “the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being, an individual or group must be able to
It relies on persuasive tactics to ensure compliance. Being medical-based, it aims to reduce morbidity and reduce premature mortality and is conceptualised around the absence of disease. As midwives do not regard pregnancy and child-birth as states of ill-health, its validity in midwifery care must be questioned (Dunkley, 2000a). The benefits of breastfeeding are well-documented (Appendix Two), however difficulties arise in making this information relevant and personal to each woman. Often, simply giving women ‘information’ makes little difference to them (Dunkley, 2000b).
The Ottawa Charter for Health Promotion, 1986, defined Health Promotion as being ‘the process of enabling people to increase control over, and to improve, their health’. There are three key approaches to HP. The first one looks at population subgroups. It is well documented that not all cultures view health as a prime goal. For example, an addict will chose to facilitate his habit over basic sanitary and physical necessities. The ‘population subgroup’ approach looks to focus on targeted solutions for smaller groups
The smoking cessation was witnessed by the author throughout her placement. This was used on a daily basis in the community by district nurses, health visitors, but especially by the general practice nurses as being incorporated in each consultation in the form of advices, leaflets, smoking cessation programs including medication and follow-ups.
The secondary target is to educate the parents and communities on the dangers of using tobacco products. They will have also be provided with education on Second-hand smoke.
Smoking was highly prevalent among the men and women in the manual group in Britain in 1946 with 82% which dropped to 55% in the 1970’s and has continued to fall rapidly in the middle 1990’s (ASH, 2007). Furthermore Health and Social Care Information Centre (2013) reported that there has been a drop in the manual groups from 33% in 1998 to 26% in 2010 but this group still smoke more than the social class, in 1998 for instance, non manual group smoked 22% compared to only 15% in 2010 which demonstrates a fall in the non-manual groups and shows there is a fall in their smoking but there is an urgent need to help, promote and support the
Not a day goes by without us hearing about the dangers of smoking and the numerous effects that cigarettes can have on the human body. We have all see the thousands of television commercials urging people to quit smoking, including the infamous ‘Marlboro Man,” who died from cancer due to the cigarettes he once promoted for many years. Smoking is often used as a weight control strategy among female smokers. The pressures that women sometimes feel to look a certain way can be overwhelming and make women desperate to fit into society’s idea of what women “should” look like. There are many different “so called” benefits that come from smoking such as reduced anxiety, improved mood, and weight control. On the flip side, these benefits can easily be achieved through physical activity and proper stress management.
Based on the combined data provided by two surveys suggest that cell phones and smartphones are not just a practical alternative tool suitable to be used in smoking cessation program. Mobile phones are freely accessible and thus can be a functional source that could provide those who want quite a discrete avenue to do so. The same can be said for the opposite as mobile phones can also provide a public forum for those who want to intervene and force someone they know to quit smoking cigarettes.
This association also advocates that nurses who work with smoker patients should show knowledge, skills and abilities for supporting and monitoring of smokers in the smoking cessation process, implementation of preventive actions against second-hand smoke, trying to develop interventions to stop smoking and
Smoking during pregnancy is associated with many adverse outcomes for children as well as negative consequences for child health and development. Maternal smoking late in pregnancy reduces birth weight and size. Babies that are born to habitual smokers "weigh, on average, about 9 oz. less, and are shorter both at birth and in the years to come" (Berger 115). Nicotine is the addictive ingredient in cigarettes and breaking that habit can be nearly impossible for some women. What is the acceptable way for her to stop smoking? It's my opinion a woman needs to gather all of the information she can and then discuss her options
The three health promotion approaches individual, community or organisational and public policy and practice can all be applied in a health promotion setting.
This report explores the fundamental role of Health Promotion to the health sector and individuals in relation to their biological, psychological and sociological aspects. To discuss its practical role in the society, a health promotion model is related to a family that lives in socially deprived district as determined by Welsh Index of Multiple Deprivation (2014). In accordance to confidentiality and anonymity code of Nursing and Midwifery Council - NMC (2015) the family members named in this report are fictitious; the district is named as Locality-A; and the facilities named are not available within the public domain.
The main purpose of health promotion is to heighten people’s motivation to strive for optimal health, while assisting them in making lifestyle modifications that will help them advance their wellbeing to an ideal state. Modifications of the unfavorable way of living can be enabled through a