Question Answer
After a person quits smoking, Shortness of breath gets better and coughing decreases in this time frame? 1 to 9 months
Heart attack risk begins to drop, lung function begins to improve, and ciliary begins to work in this time period? 2 weeks to 3 months
How long does it take for carbon monoxide levels to return to normal after a person quits smoking? 12 hours
One of the almost immediate benefits of smoking cessation is that the heart rate drops in approximately _____ minutes. 20
What three points were discussed in class about cigarette smoke 1) has over 1000 agents that damage tissue 2) causes short term problems 3) caused long term problems
The 1964 Surgeon General’s Report of the advisory committee of smoking and health concluded that smoking can cause these four illnesses as discussed in class? 1) lung cancer 2) laryngeal cancer 3) emphysema 4) cardio vascular disease
Mark Twain said? Quitting is easy, I have done it hundreds of times
After smoking cessation, the added risk of coronary heart disease is 1/2 that of a smoker in this time frame? 1 year
Stroke risk is reduced to that of a non-smoker in this time frame? 5 years
Lung cancer risk is 1/2 that of a smoker and risk of cancers of mouth, pancreas, throat esophagus, bladder, and kidney decrease in this time frame? 10 years
Risk of coronary heart disease is back to that of a non-smoker in this time frame? 15 years
What are the nine benefits of smoking cessation as discussed in class 1) Food taste better 2) Improved smell 3) Save $ 4) Feel better about self 5) Items will smell better 6) Sets a good example for kids/decrease smoking odds 7)Healthier children 8) Perform better/physical act. 9) Improved appearance ie wrinkles, t
What percentage of adults smoke in KY? 25.6% (tied with WV for highest in the nation)
What percentage of high school & middle school students in KY smoke? 26.1%
What percentage of smoker have called a quit line in an attempt to quit? 2.3%
What percentage of smoker say they have a “no smoking inside the house” rule? 60.9%
True or false: The number one public health threat in KY is smoking? True
How many people in KY die each year as a result of tobacco related diseases? 7800 per year
What percentage of all deaths are attributable to smoking? 23%
Approximately how much money is spend each year in associated health care costs? 1.5 Billion
THE CDC goals for reducing the negative health effects of tobacco use are ? 1)Prevent the initiation of tobacco use among younger people 2)Promote cessation among young people/adults 3)eliminate nonsmoker exposure to tobacco smoke 4) identify & eliminate disparities related to tobacco & it’s effects on different population gro
What are the smoking cessation methods as discussed in class? 1) nicotine replacement 2) counseling 3) Hypnosis/acupuncture/other homeopathic remedies 4) Other medications 5) Cooper Clayton Method 6) Cold Turkey
What are the five A’s of Intervention Ask- do they smoke? Advise – to quite Assess – Willingness to quit Assist – provide info Arrange – FU to quit attempt
What are the 4 R’s. Strategy to help patients to quite. 1) Relevance, Provide info to pt that is relevant to disease, family etc. 2) Risk, acute, long term, 3) Rewards / potential benefits 4) Repetition/ repeat motivation every time pt visits
Star Quit Plan S – Set a quit date, put it in writing contract with self. T – Tell friends/family A – Anticipate challenges, ie hands busy, go to smoke free places R – Remove tobacco products from your environment, ie smoke free home, lighters, ashtrays etc.
What are the medications Used to stop smoking? 1) Bupropion SR (Wellbutren) 2) Varenicline (Chantix) 3) Nicotine Replacement Products 4) 2nd line medication Clonidine – used to treat withdrawal symptoms Nortriptyline – tricyclic antidepressant
What are the advantages of taking Bipropion SR? 1) reduces cravings and other side effects 2) doubles chance of success
What are the advantages of Chantix? 1) nicotine receptor partial agonist 2) reduces cravings for and decreases the pleasurable effects of cigarettes and other tobacco products 3) quadruples chance of success Note: side effect – most common is nausea
What are the different nicotine replacement products as discussed in class? o Nicotine gum o Nicotine inhaler o Nicotine lozenge o Nicotine nasal spray o Nicotine patch
4 types of counseling discussed in class? 1) Self-help not found to be particularly effective 2) Individual – effective 3) Group – effective 4) Quit-lines – Phone based counseling 1-800-QUITNOW Must talk 2 counselor ea wk to continue to receive NRT. Overcome barriers of accessibility
How long of program is Clayton Cooper Method? 13 weeks
Two Major principles of the CC method 1) success is nothing more than a plan that is adhered to 2) Any major problem can be solved when cut up into a series of smaller problems.
The CC method is science based. What 4 points were discussed under this heading?  Education (important for smoker to get reasons behind why)  Skills training (how is pt going to quit?, avoiding triggers)  Social support (have that accountability partner)  Nicotine replacement products
What are some of the points discussed under practical advice in class? – Abstinence – TOTAL is essential after the quit date – Past quit experience – what helped/what hurt – Anticipate triggers/challenges – Alcohol – associated with relapse; patient should limit/abstain – Other smokers in household
What was discussed under Special Populations, particularly about pregnant women? – Pregnant smokers o Encourage to quit throughout pregnancy o Smoking after 3rd month – Low-birth-weight along with many developmental delays/difficulties
The only time you use NRT is? only if chances of quitting hinge on use
What are two points to emphasize to adolescents? – Strong message of importance on TOTAL abstinence – NRT only when clear evidence of nicotine dependence and a clear desire to quit
Three points to emphasize to hospitalized patients? Ask each patient if smoke – Offer information on smoking cessation – If patient interested in cessation; assist with setting up program upon discharge
Reasons RT’s promote smoking cessation intervention? minimal intervention makes a difference-pt. not willing to quit, inter. enh mot & incr future quit- Tob. users primed to quit by soc. & env. Issues – Smo who receive advice to quit rt greater satis. with their h/c-int. cost eff.- Tob. use has a high fat.
Question Answer
In a smoking cessation program what are the 2 types of support do they give? Physical and emotional support.
In a smoking cessation program – How do they physicaly assist? This area recognizes the body’s addiction to and need for nicotine, a harmful substance found in tobacco products and treat them.
What are the 4 treatments in smoking cessation? 1. Nicotine MDI. 2. Oral nicotine (gum). 3. Nicotine Patch (Transdermal preparation). 4. Nicotine spray.
What does Nicotine MDI do? 1. works like a regular MDI. 2. Titratable dosing. 3. Portable.
What does Oral nicotine (gum) do? 1. Like chewing gum on a schedule. 2. Major brand: Nicorette. 3. Not appropriate for those w/problems w/chewing gum(jaw pain etc.) 4. Fast delievery and portable.
What does Nicotine patch (Transdermal preparation)do? 1. Once-a-day placement. 2 Slow delivery-must maintain a certain blood level to be effective. 3. Different dosing patches for titration.
What does Nicotine spray do? 1. Fast delivery. 2. Portable. 3. May irritate nose and eyes.
How do you communicate to the patient? 1. Use simple words and phrases. 2. ask open-ended questions. 3. Adjust communications to age and maturity. 4. Require demonstrations/ verbal reiteration to ensure patient understanding.
How do you communicate to the family? 1. Realize that HIPPA applies i.e communicate in confidence and w/ patient’s permissiong. 2. Better to allow patient to inform family if possible. 3. Provide education to family as needed.
How do you communicate to the staff? 1. Treatment type,dose and frequency. 2. Admitting circumstance. 3. Progress and new developments. 4. Goals, short and long term. 5. All information is on NEED-TO-KNOW basis.
How do you assess ability to learn and perform? 1. Language skills/barriers. 2. Manual dexterity – if required by the procedure (holding an IS/neb treatment). 5. Mental status.
Documentation: How do you document a Patient’s records? Chart doses, times, goals achieved, future goals, adverse reactions, patient’s statements side effects. Etc. DO NOT chart in patient’s record issues of staffing levels (i.e. NO txt. Given due to lack of therapist time).
Documentation: How do you do an Electronic charting? 1. Improves accuracy of charting. 2. Automation of assignments and workload. 3. More accurate conceyance of informations. 4. More consistent and standardized care. 5. Accesible to several people at once. (doctors, nurses and other therapists).
Respiratory Management (supervision)- What is the department chain of command? 1. Report problems of equipments to a RT not to a Doctor/a nurse. 2. If the questions indicates the therapist is the supervisor-recognize that a supervisor may make a decision regarding reportability of Blood gases & other such decisions.
Respiratory Management (supervision)- what should you need to know @ a staffing level (appropriate determination)? 1. Type of therapy. 2. Frequency of therapy. 3. Location/ area of therapy.
Respiratory Management (supervision)- what should you NOT need to know @ a staffing level (appropriate determination)? 1. Patient age. 2. Medical history 3. Diagnoses.