Reflection Paper

According to Herman et al 2011, when we, as humans, hear reasons why we should change, our minds automatically contemplate reasons why we shouldn’t. In this situation the patient has other “issues” going on in her life at the present moment rather that quitting smoking. As a nurse I have to accept this. It was poorly portrayed in the digital recording in my opinion.

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.

patient that has CHD, (Coronary Heart Disease) and explore the psychological approach to altering the patients perceptions of health promotion, and interventions that are used to facilitate a better quality of health. The author will also examine public health legislation on current health and social care provisions, and evaluate the role of models of health within diverse promotions in practice.

This is a paper to assist a fifty-two year old, widowed white woman, with two young children to assist her on her cessation to smoking. She states that she has been smoking since was seventeen years old and smokes a pack a day. She states that she would like to stop smoking because she would like to have a ‘healthier lifestyle’. She works full-time in an administrative position in a nursing facility. She does not have a support system in the home but does have support from friends in community and fellow workers at her place of employment.

Growing up, I can remember my mother’s ongoing disappointment and frustration with my grandmother’s smoking addiction. She continuously begged her mother to quit smoking, but unfortunately, her words never had much of an impact other than my grandmother trying not to smoke around her or moving outside the house to smoke. With my grandmother aging, her smoking has not decreased and with other compounding health issues, my mom is not just frustrated but also extremely saddened by the state of my

Cigarette smoking is widely accepted as one of the most readily available addictive substances a person can buy. A person may visit any corner store, any gas station, and there would be a strong chance cigarettes would be sold behind the register. A respiratory Therapists practice revolves around the lungs, not only do they treat patients suffering from pulmonary diseases, but they also help patients move away from unhealthy habits which may have a damaging impact on their lungs and respiratory system, namely smoking. The following points will further explore the Respiratory Therapist part in smoking cessation, such as their role in patient education and prevention, patient counseling as well as their role in forming a treatment

Next the columnist begins a strongly worded evidenced-based approach by discussing the declining percentage of regular smokers. The Editorial begins to bring in numerous sources of evidence such as Anti-Cancer Council data and the survey results of Victorians from 1998 to 2006. This use of scientific statistics shows the reader that The Editorial offers an expertise point of view into the issue and has genuine factual evidence to back up their arguments. This would reassure the reader

Although it was not exciting material, it was interesting. The most interesting aspect was the use of assessment in the program. Some may have never considered the use of assessment in smoking cessation before. Mrs. Luckett spoke on how encourage the smoker to quit and well as the process for leading the smoker to cessation. Along the way, it is important to “assess” the smokers’ readiness to quit. Dr. Susan Lofton’s speech, “Horton Hears a Sue,” offered important information on how to the nurse can protect herself in legal proceedings. Not surprisingly, the best defense is good, ethical patient care and meticulous, factual, non-judgmental documentation. Another very interesting point Dr. Lofton made was the impact a nurse’s social media profile can have in a courtroom. It does not seem right that a nurse’s weekend trip to the beach that she worked hard to afford should be used to make her look like a stripper or an alcoholic, yet that is the reality of the modern age. As nurses, we have the responsibility to present ourselves and in turn, our profession, as respectable, ethical

Recently Jane’s COPD has rapidly gotten worse. Jane has found it difficult to even walk from her bedroom to her kitchen with out getting out of breath. She had to go the emergently room at the end of February because she could not breath. After returning back home from the hospital she was extremely tired. Nichole thought it would be good for her mom to

However, Joseph seems to have little to no say in his management plan and it comes across as paternalistic treatment leading to Joseph not quitting smoking. As Joseph finds smoking “relaxing”, the GP is not offering patient centred care as finding an alternative relaxation technique is not discussed, potentially resulting in a decrease quality of life if he does not have alternative ways to deal with stress and anxiety. The GP also did not enquire about Joseph’s other co-morbidities and how they might effect Joseph’s ability to participate in the study or how to manage his co-morbidities such as asthma when Joseph is

The first “A” is when a nurse asks a patient about tobacco use: why he/she smokes, how many years, how many cigarettes a day, the brand of cigarettes etc.

Patient teaching for CH was carried out on February 9th, 2016 and it was primarily focused on smoking cessation, impaired gas exchange, and self-care management. Data to support smoking cessation for CH would include smoking 4 cigarettes per day with a chronic productive cough of white sputum. She states the reason she smokes is

Other than that, a different literature that formed part of a longitudinal randomized controlled trial examined the efficacy of MI, CBT and NRT compared to standard smoking cessation treatment among people with a mental disorders found that it is useful to expect interest from patients, as many being at the contemplation and action stages (Baker, Richmond, Haile, Lewin & Carr et al., 2007). It is possibly very valuable for general practitioners or other health care workers to encourage patient to consider quitting, ask patient’s reasons for quitting then focus on motivational interventions. There is a need to target young people for smoking cessation interventions. This of course is looking at stopping the progression early. Targeting those at risk for abusing other substances, and address patient’s lifestyle factors (stress and boredom) can probably improve smoking cessation rates and provide a better quality of life. Health care workers need to give appropriate pharmacological interventions for nicotine dependence, involve GPs to conduct smoking cessation interventions and consider training mental health care workers in interventions for smoking cessation as these would benefit patients as well as the health care system as the burden of disease is lessen (Baker, Richmond, Haile, Lewin & Carr et al., 2007).

According the Centers for Disease Control and Prevention (2015), cigarette smoking is the leading cause of preventable disease and death in the United States, accounting for more than 480,000 deaths every year, or 1 of every five deaths. In 2015, about 15 of every 100 U.S. adults age 18 years or older currently smoke cigarettes. However, this is a decline from nearly 21 of every 100 adults back in 2005. One reason for the decline is due to smoking cessation programs developed within our communities. These programs are helping smokers to quit their habit, and improve their health and lifestyle. Let us look at what it takes to make a smoke cessation successful within ones’ community.

For the motivational interview, I interviewed my roommate about his tobacco addiction. He is a 24-year-old male that has been using tobacco for the past seven years. On average, he uses tobacco around four times per day. During our interview session, we discussed multiple topics pertaining to his motivation for using tobacco, what he thinks about his current tobacco use, and if stopping tobacco use would be beneficial to his life. Throughout the interview, there were multiple scenarios that came up that allowed me to identify personal strengths, weaknesses, and other factors contributing to motivational interviewing.