Smoking Cessation Case Study

In the United States, smoking cigarettes is the number one preventable cause of morbidity and death (Bergen, 1999), and accounts for $300 Billion in health care costs and economic productivity loss (Jamal, 2015). While the national smoking rate is 16.8% (CDC, 2016), specific demographics are more susceptible to developing smoking habits: people who live below the poverty line (10.9% higher), disabled or with a limitation (6.2% higher), and males (4.7% higher) (Agaku, 2014).

Centers for Disease Control and Prevention (2010) Tobacco control state highlights, 2010. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Office on Smoking and Health. Retrieved for http://www.cdc.gov/tobacco/data_statistics/state_hihlights/2010/pdfs/highlights2010.pdf

In the state of Oklahoma, 24.7% of the adult population (aged 18+ years)—over 677,000 individuals—are current cigarette smokers. Across all states, the prevalence of cigarette smoking among adult’s ranges from 9.3% to 26.5%. Oklahoma ranks 47th among the states (State Highlights Oklahoma 2011). Tulsa’s smoking community has a 24.6 percentage for smoking making the city relative to the state of Oklahoma’s current smoking percentage (Health on the Horizon Tulsa County 2014). Approximately 16% of the annual revenue generated from Oklahoma excise taxes and settlement payments fund Oklahoma 's tobacco control program. However, in 2007, Oklahoma 's funding for tobacco control was 25.8% of the recommended level making it 19th among the other states.

Do you smoke, Dip, Snort, or vape nicotine? If you answered yes to any of these questions, you should quit nicotine. There are so many reasons to quit consuming nicotine. Did you know nicotine can actually be used as a rat poison? Did you know one drop of liquid nicotine is enough to kill an infant to a child up to 7 years old? There’s no denying the fact that nicotine is poisonous to your body and should be avoided at all costs.

In the study, 787 smokers in Massachusetts were tracked after they quit smoking for five years. During that time, they answered three surveys about their smoking use. With each survey, an

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.

The leading cause of death in the county is heart disease followed by cancer, and both of these can be linked to smoking or second-hand smoke exposure. Methods to move toward HP2020’s goal will involve encouraging and assisting smokers to quit. The Community Guide is a free resource to help guide communities to choose programs and policies for cessation. These programs are evidenced based, research-tested and include suggestions such as increasing the unit based price on tobacco products and how this would help to decrease use, increase the number of those who quit, decrease the number of those who try cigarettes the first time and decrease the tobacco related morbidity and mortality. The research suggest the improved health effects are proportional to the size of the price increase, also noted to be effective in prevention is mass reach communication or advertising regarding the dangers of smoking and also techniques for quitting (The Community guide, n.d.). Counseling is noted to be effective alone and with the use of medications and is available through programs like the toll-free quitline in South Carolina. Healthcare professional are urged to screen patients for use of tobacco and provide cessation information to all patients and also treatment strategies such as

Smoking is still a pressing issue for Americans, despite efforts to regulate and lessen tobacco use. One in every five Americans still regularly smokes a cigarette, and those who attempt to quit aren’t utilizing all the assistance resources available to them. With these treatments being more prominent now than ever before, there is evidence that supports the effects of a quitter using aid compared to one who does not. Providing brief interventions about tobacco cessation may encourage more quit attempts and use of appropriate treatments, such as a quit-lines or medication. Despite many efforts, healthcare providers are still failing to provide brief interventions to patients, which therefore exposes flaws in a healthcare-based strategy to drive

Inputs are resources needed to operate the pre-operative smoking cessation program. Inputs usually include the human, financial, organizations, and community resources a program has available to direct toward doing the work (W.K. Kellogg Foundation, 2004). Inputs for this pre-operative smoking cessation program includes: (a) utilizing the clinical practice guideline for treating tobacco use and dependence, (b) administrative support, (c) physicians, (d) nurse practitioners, (e) smoking status on patient charts, (f) smoking cessation reading booklets, (g) online/hotline resources for smoking cessation and (h) follow-up system. All of these resources are integral part of the pre-operative smoking cessation program and enable activities to take place.

Nicotine dependence remains a significant public health concern (Rep., 2011). Cigarette smoking is the leading preventable cause of mortality in the United States, accounting for approximately 1 out of every 5 deaths. On average, smokers die 13 to 14 years earlier than nonsmokers. Additionally the estimates for average annual smoking-attributable productivity losses are $96.8 billion and the total economic burden of smoking is approximately $193 billion per year (USDoHaH, 2000). Despite the availability of therapeutic options for smoking cessation, relapse rates remain high (Piasecki, 2006; Pollak et al., 2007). Therefore, there is a need for new, effective, strategies to assist cigarette smokers achieve abstinence.

The available research on the safety and efficacy of e-cigarette use for smoking cessation is limited. Some consider the evidence contradictory, while others attribute negative outcomes to inappropriate study design. Some medical authorities recommend that e-cigarettes have a role in smoking cessation, and others disagree. Views of e-cigarettes' role range from on the one hand Public Health England, who recommend that stop-smoking practitioners should:- (1) advise people who want to quit to try e-cigarettes if they are not succeeding with conventional nicotine replacement therapy (NRT); and (2) advise people who cannot or do not want to quit to switch to e-cigarettes to reduce smoking-related disease to, on the other hand,

“Telephone quitline counseling is effective with diverse populations and has broad reach. Therefore, both clinicians and health care delivery systems should ensure patient access to quitlines and promote quitline use” (https://www.tobaccofreekids.org/research/factsheets/pdf/0245.pdf)

This is a 51 year old male who is here for his medication refill. Patient is a non-smoker with history of generalized seizer disorder. Patient denies resent event of seizer. Patient reports he is depressed but denies thoughts of suicide or homicide. Patient reports his lack of monetary resource. Patient denies chest pain, SOB, N/V/D, or fever. current pain

-The client made aware that it is not necessary to cease smoking before starting treatment

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.