Smoking Cessation Counselling By Lucie Desjardins Bscn RN Certified Smoking Cessation Counsellor from CAMH Fast Facts on Tobacco Use in Canada Tobacco kills 1 in 5 Canadians or 45000 peoples every year ID: 585022
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Department of Family Medicine
Smoking Cessation Counselling
By: Lucie Desjardins Bscn R.N
Certified Smoking Cessation Counsellor from CAMHSlide2
Fast Facts on Tobacco Use in Canada Tobacco kills 1 in 5 Canadians or 45,000 peoples every year
Economic impact of smoking is estimated at 17 billions every yearTobacco related disease for at least 500,000 hospital day each year17.5 % of Canadian age 15 and over are current smokersDepartment of Family MedicineSlide3
Why Should Health Professionals Get Involved?Tobacco is the first cause of preventable death in Canada
Successful intervention exist 1 pack a day at $10/pack = $3,600/yearLung cancer treatment = $19,000/yr per personSmoking cessation counselling session is way cheaper and is one of the most cost – effective intervention a clinician can perform after immunizationSmoking tobacco should be treated as a chronic disease, the same as we do for hypertension and diabetesDepartment of Family MedicineSlide4
Involving health care professionalsMultiple quit attempts may be necessary
Past failure does not prevent future successOptimal intervention is 31-90 minutes for estimated abstinence Rate of 26.5% (1 in 4) Department of Family MedicineSlide5
What Are Tobacco And Nicotine?Tobacco is a plant that contains nicotine
Nicotine is one of the major addictive component in tobacco More than 60 carcinogens are in cigarette smoke To name a few:Arsenic – a deadly poison used in insecticidesFormaldehyde – used to preserve dead body Cadmium – highly poisonous metal used in battery Shellac – wood varnish Ammonia – cleaning agent Department of Family MedicineSlide6
Tobacco and Nicotine - BackgroundTar – toxic chemical found in cigarette is a contributing factors
causing C.O.P.D. and respiratory problemIn solid form, tar is brown, tacky substance that is left behind on the end of cigarette filter. It stains a smoker's teeth and fingers brown and coats everything it touches with brownish–yellow film, imagine that settling into the delicate pink tissue of lungs!!!Department of Family MedicineSlide7
Carbon Monoxide (co)Toxic gas that is produced when there is combustion of any product
including tobaccoWhen inhaled (Co) compete with O2 in the blood stream to form COHB( carbonxyhaemoglobine)This starves the body tissue of O2, CO can remain in the bloodstream for up to 24 hrs. It takes 8 hrs to see a decreased levelA normal level of CO in blood stream is below 6 ppmA smoker can have up to 50 ppmDepartment of Family MedicineSlide8
Carbon Monoxide
It is hard to believe but cigarette users inhale 4 times the amount of CO found in car exhaust There is a tool that calculates the level of CO. It is called PICO (piCO+smokerlyzer (Breath Carbon Monoxide (CO) Monitor). The patient takes a deep breath and keeps the air in their lungs for 8 - 10 seconds then need to blow in the device. This give me the measurement of COHB% AND PPM OF CO in the blood. If you do the test, you can explain to the client their level and this can become a good source of motivation as the level will decrease once they cut down on their cigarette intake and will return to normal once an individual quits smoking When the level of CO decreases, the client has more energy, skin coloration in the face gets more pink than
grey
Department of Family MedicineSlide9
What Your Carbon Monoxide Levels?0-5 Non-smoker levels20 ppm Loss of oxygen to vital organs
35 ppm Legal limit for 8 hr workplace exposure50 ppm Air pollution emergency60 ppm Headaches, nausea, nervous system slows down, difficulty thinking clearly, vision difficultiesDepartment of Family MedicineSlide10
Video
VIDEO – Quitting Smoking is a JourneyDepartment of Family MedicineSlide11
Algorithm for tailoring pharmacotherapyDepartment of Family MedicineSlide12
Medications for quitting smokingDepartment of Family MedicineSlide13
Costs of Smoking vs PharmacotherapyDepartment of Family Medicine
Note: Dispensing fees vary between pharmacies and costs may slightly differ between chainsSlide14
Fagerstrom test for nicotine dependenceDepartment of Family MedicineSlide15
Bruyère questionnaire for smokersDepartment of Family MedicineSlide16
Counselling session for smoking cessationDepartment of Family MedicineSlide17
Counselling session for smoking cessation - 2Department of Family Medicine