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Quit Smoking: A Young Adult's Guide

Naveed is a 23-year-old history student who smokes 20 cigarettes per day and has an unhealthy diet. He is worried about developing COPD like his friend recently did. While he has tried to quit smoking before without help, he is now interested in using nicotine replacement or medication to quit. The doctor explains to Naveed that smoking increases his risks for various cancers, heart and circulatory diseases, and respiratory problems. Quitting smoking can improve both his short-term and long-term health outcomes. The doctor discusses medication and support options to help Naveed quit smoking and arrange follow up care.

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Naveed Hossain
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6K views3 pages

Quit Smoking: A Young Adult's Guide

Naveed is a 23-year-old history student who smokes 20 cigarettes per day and has an unhealthy diet. He is worried about developing COPD like his friend recently did. While he has tried to quit smoking before without help, he is now interested in using nicotine replacement or medication to quit. The doctor explains to Naveed that smoking increases his risks for various cancers, heart and circulatory diseases, and respiratory problems. Quitting smoking can improve both his short-term and long-term health outcomes. The doctor discusses medication and support options to help Naveed quit smoking and arrange follow up care.

Uploaded by

Naveed Hossain
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SMOKING CESSATION

You are Naveed. 23 years old, studies history. He smokes 20 cigarettes a day and has a poor
diet, eating no fruit or veg and having takeaways at least 4 times a week. His friend was
recently diagnosed with COPD and he is worried that he will suffer the same fate. He has
tried quitting smoking before without help and has not managed it. But he still wants to quit.
He is interested in trying out nicotine replacement and/or medication. He doesn’t know what
other medical problems smoking may cause and feels fit and well.
SMOKING CESSATION Not Done
done well
 Introduce yourself, check patient details
 Establish if pt wants to quite and/or why
present, check understanding of benefits of
cessation
 Explanation
o Smoking is bad!!!
 Increased risk of Ca (LUNG / LIP /
MOUTH / BLADDER)
 Arteriolsclerosis (“Hardening of small
vessels) – CHD / CVA
 COPD (common in long-term
smokers)
 Dyspepsia / Gastric ulcers
 Osteoporosis
 Risk in pregnancy / increased
infertility
 Benefits (short-term)
o Financial gain
o Regain sense of smell/taste
o BP and pulse return to normal
 Benefits (long-term)
o Reduce risk of Ca / CHD
o Increased exercise tolerance
 Advice
o Strong will power required and want to quit!
o Support
 At home (“does partner smoke too?”)
 NHS services (e.g. nurse @ GP)
 NHS helpline (0800 169 0 169)
 Internet (www.gosmokefree.com)
o 2 x more likely to stop with nicotine
replacement
o Nicotine (5 types)
 Patch
 Gum
 Microtab
 Inhalator
 Nasal Spray
o Champix – blocks nicotine receptors
 Contraindications: <18yrs, pregnant
and breast feeding
 SEs: GI, appetite change, dry mouth,
taste changes, headache and
dizziness
o Zybam – antidepressant, stops enjoyment
from cigs
 Contraindications: BAD, seizures, Preg
and breast feeding <18yrs
 SE: Dry mouth GI, taste, insomnia,
tremor
o
o Hypnotherapy – shown to work but not avail
on NHS
 NB – 2kg weight gain on average
 Establish Patient understanding, Any
questions?
 Give information leaflet, arrange appointment
with nurse specialist for smoking cessation in 2
weeks to assess progress on tx
 Follow up –contact me/Doctor if you have any
concerns

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