Smoking Cessation in New Zealand

Smoking in society is a problem. Teen smoking rates have decreased greatly in the last few years, however, smoking in adults has increased at an earlier age. Smoking is bad for a person’s health. Health problems and addictions are not only affecting the health of society, but also sending them into debt. A way should be found to prevent the need for smoking or for a non-harmful cigarette to be created.

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.

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.

Of the roughly 42 million adults in the US that use tobacco, nearly 69% of smokers want to quit and more than 42% of those wishing to quit will make the attempt through various methods(1). These methods range from the "cold turkey" method, nicotine replacement therapy, behavioural therapy and even medicine. Each method has it's unique strengths and weaknesses as well as varying success rates. There are many reasons to quit and many ways in which to do so, either with methods that involve slowly weaning off of nicotine, like gums and patches from replacement therapy, to nicotine-free methods which require support from various sources.

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

Smoking cessation: The status is uncontrolled and patient is willing to try to quit smoking.

Smoking cessation is the process of quitting tobacco smoking. Studies have shown that smoking is a preventable cause of death worldwide. The ability to quit tobacco has immediate and long term health benefits for all users. By quitting, there is a significant reduction from the risk of death that comes from tobacco-related diseases, most notably, cardiovascular disease, cerebrovascular disease, difficulty breathing, or chronic obstructive airways disease, as well as tumors of the mouth, throat, esophagus, lungs and bladder. Other neoplastic and respiratory causes of death affect neonates and infants secondary to maternal smoking, cigarette-caused fires and second hand smoke.

The aim of this paper is to highlight the different strategies that have been evaluated looking at ways of enabling pregnant women to quit smoking. Furthermore, smoking cessation in special population groups and global initiatives on smoking regulations are discussed. A database search of Ovid Medline, Pubmed, Embase and The Cochrane Library was undertaken to identify

Smoking cessation is can be define a process of quitting smoking tobacco produces. There are many ways and product in today society that can help smoker quit the habit of smoking. These produces are often called smoking cessation products. These produces are medicines that help people stop smoking or using other form of tobacco. Smoking cessation can improve one’s health in increasing their chance of not getting COPD, cancer and decrease one’s social life or life span.

This paper seeks to convince the audience to stop smoking; furthermore, it empathize the negative aspects of smoking. In addition, this paper will also reiterate the positive effects of not smoking. The Christopher LaClair states that the Center of Disease Control reported that 443,000 individual died from smoking and related diseaes. LeClair’s objective is to persuade you quit smoking, and to surround yourself with a support network of friends and family. The speaker addressed his topic fluently and coherently throughout his speech; therefore, LaClair made strong statements supported by facts.

The fourth week will also include two sessions. The main topics that will be discussed in the session 7 are information about tobacco use, tobacco withdrawal symptoms, consequences of tobacco use, and strategies about smoking cessation. I will introduce the topic by handing out the “Trends in Tobacco Use” worksheet (see Appendix K) to the students in order to give them the accurate information about tobacco. Additionally, “Young Kids and Smoking” activity (see Appendix L) is a good choice to assist students discussing the reasons behind starting smoking at an early age and finding some ways to help them quit smoking. Self-control, learning assertiveness skills, and how to behave in certain situations are the central topic of session 8.

For this week, I chose to do my discussion on the presentation presented by Selenia Lopez. The title of her presentation was “Pharmacologic and Non­Pharmacologic Smoking Cessation Methods”. The main objective of her research was to review both pharmacologic and non-pharmacologic smoking cessation methods, the success rate, mechanism of action and the cost and understand the hazard of smoking and the benefits of quitting. She has also discussed the difficulties faced by an individual when they stop smoking and what makes it so hard to stop. Smoking a cigarette can lead to many health hazards and could cause smoking related diseases such as COPD. It is hard to quit smoking as some people may have nicotine withdrawal symptoms but the end result

Several product tactics were develop and used simultaneously at different levels such as federal state and city in order to promote a healthier lifestyle smokeless. Tobacco is addictive what makes quitting very challenging so combined strategies seem to work better giving the person the ability to choose the combination that better works at any time. The first and most promoted product strategy used by the CDC “Tips from Former Smokers” as well as “Illinois Tobacco Quit Yes” Programs is widely spread information about the harms tobacco consumption can cause. The media has spread knowledge not only in smoke products as cigarettes but also smokeless tobacco by showing real stories with real people whom are suffering the consequences of tobacco use. The intention is to highlight the product’s harm and make it less attractive to both, current users and potential ones. Once the decision to quit has been made it is necessary to raise awareness about alternatives to help during the process. This is another very important strategy used by these campaigns. Tobacco surrogates such as patches, guns, Inhalers, and others are made available over the counter to anyone who needs to buy them. These products help with the cravings and withdrawn syndrome.

Anti-smoking campaigns usually target teen and adolescent smokers because more than 80% of adult smokers begin smoking before the age of 18. Very few campaign targeted at Middle-aged smokers. It should be not forgotten that elderly peoples behavior might influence teen and adolescents’ behaviors as well as their attitudes. Among these, according to the CDC, smoking triples the risk of dying from heart disease among middle-aged men and women. Researches prove that, the diseases associated with smoking are most prevalent between 45 to 74 ages. However, those who quit smoking can substantially reduce their risk for the various smoking related negative health outcomes, especially if they quit before age 35 years (Doll, Peto, Wheatley, Gray & Sutherland,

New Zealand Government has taken numerous activities to quit smoking among Maori pregnant woman (Ministry of Health,[MOH] 2014) .IN 2011 government set an objective, to make smoke free New Zealand in 2025 (MOH,2014). Government provided many rules for helping individuals to quit smoking, among them ABC approach (Ask about smoking history, Give Brief advice, Cessation) is effective among Maori pregnant woman. (MOH ,2014). ABC approach serves to do evidence based clinical practice, and provides smoking cessation programs like Quitline ,face to face discussion (Aukati kai paipa)etc (MOH,n.d). ABC approach specially focused to some groups like Maori, pacific and pregnant woman ,and the primary point is to diminish the rate