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Smoking Cessation

Transcript: Patient Centered Care Counseling Behavioral therapies Nicotine replacement products Using medication and counseling together is more effective American Indian/Alaska Natives (non-Hispanic) 26.1% Asians (non-Hispanic) 9.6% Blacks (non-Hispanic) 18.3% Hispanics 12.1% Multiple Races (non-Hispanic) 26.8% Whites (non-Hispanic) 19.4% New Orleans Prohibits Smoking in Bars and Casinos U.S. Preventive Services Task Force Draft Research Plan Effects of Smoking on the Circulatory System Mariah Persaud, Sabine Prince-Bataille, Kathryn Smilowitz, and Evelyn Okoro Why Smoking Rates Are at New Lows Strong evidence of what works Creating smoke-free casinos, bars, and restaurants Tobacco taxation Graphic cigarette ads Rate is lower among youth-15.8% for high school students •Worldwide, tobacco use causes nearly 6 million deaths per year, and current trends show that tobacco use will cause more than 8 million deaths annually by 2030. •Cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including an estimated 41,000 deaths resulting from secondhand smoke exposure. This is about one in five deaths annually, or 1,300 deaths every day. •On average, smokers die 10 years earlier than nonsmokers. References Female Body reduced fertility menstrual cycle irregularities or absence of menstruation menopause reached one or two years earlier increased risk of cancer of the cervix increased risk of stroke and heart attack if the smoker is aged over 35 years and taking the oral contraceptive pill • raised blood pressure and heart rate • less oxygen carried by the blood during exercise • damage to the lining of the arteries, contributes to atherosclerosis • reduced blood flow to extremities (fingers and toes) • increased risk of stroke and heart attack • Irritation of trachea and larynx. • reduced lung function • impairment of the lungs’ clearance system, • increased risk of lung infection and symptoms such as coughing and wheezing • Permanent damage to the air sacs of the lungs. ACS CAN Campaigns Male Body higher percentage of deformed sperm genetic damage to sperm impotence, which may be due to the effects of smoking on the blood flow and damage to the blood vessels of the penis General Smoking Facts - American Lung Association. (n.d.). Retrieved April 20, 2015, from http://www.lung.org/stop-smoking/about-smoking/facts-figures/general-smoking-facts.html How many people use tobacco? (n.d.). Retrieved April 20, 2015, from http://www.cancer.org/cancer/cancercauses/tobaccocancer/questionsaboutsmokingtobaccoandhealth/questions-about-smoking-tobacco-and-health-how-many-use Quitting Smoking. (2015, February 12). Retrieved April 20, 2015, from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/cessation/quitting/ Teens using more e-cigs, government debates regulations - AOL.com. (n.d.). Retrieved April 20, 2015, from http://www.aol.com/article/2015/04/19/teens-using-more-e-cigs-government-debates-regulations/21173865/ Tobacco Statistics & Facts. (n.d.). Retrieved April 20, 2015, from http://ash.org/resources/tobacco-statistics-facts/ 1-800-QUIT-NOW Smokefree.gov Smokefree TXT Websites made specifically for military personnel and women on CDC website Many more resources on ACS, American Heart Association, and American Lung Association website Smoking Cessation • Increased risk of miscarriage, stillbirth and premature birth • Low birth weight • Increased risk of cleft palate and cleft lip • Paternal smoking can also harm the fetus if the non-smoking mother is exposed to second-hand smoke. Resources • More than 16 million Americans are living with a disease caused by smoking. • For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness. • Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. • Smoking also increases risk for tuberculosis, certain eye diseases, and problems of the immune system, including rheumatoid arthritis. • Smoking is a known cause of erectile dysfunction in males. Statistics Effects of Smoking on the Respiratory System Statistics Rates of Smoking Among Races Diseases Caused by Long-Term Smoking Effects of Smoking on Babies Ways to Quit cancer of the lung, mouth, nose, larynx, tongue, nasal sinus, esophagus, throat, pancreas, bone marrow (myeloid leukemia), kidney, cervix, ovary, ureter, liver, bladder, bowel and stomach lung diseases such as chronic bronchitis and chronic obstructive pulmonary disease, which includes obstructive bronchiolitis and emphysema coronary artery disease, heart disease, heart attack and stroke ulcers of the digestive system osteoporosis and hip fracture poor blood circulation in feet and hands, which can lead to pain and in severe cases, gangrene and amputation Effects of Smoking on the Sexual Organs Effects of Smoking on the Sexual Organs

Smoking Cessation

Transcript: Smoking Cessation - For Yourself - For a Friend/Family Member The Body Financial Reasons Environmental Sustainability Lower Bone Density (Women) Death (443,000/year) Cancers Infertility/ Pre-Term Labor Yellow Nails & Teeth Financial Concerns 4.5 trillion non-biodegradable cigarettes are deposited annually around the world 600 million trees/year are destroyed to provide fuel to dry tobacco One tree per every 300 cigarettes Smoke contains polonium 210 a radioactive element Tobacco growth requires many pesticides which contaminate water Tobacco thrives on potassium and takes it out of the soil leaving it in poor condition for other crops Step 3: Dealing with Withdrawal Step 1: Make the Decision to Quit Think about why... Will the benefits of quitting outweigh the benefits of smoking? Are you ready to make a serious attempt? Are you concerned about the consequences of smoking? Step 2: Setting a Date/Choosing a Plan “Cold Turkey” Over The Counter Nicotine Replacement Prescribed Medications Coping Mechanisms Nicotine Replacement Inhaler Nicotine Replacement Nasal Spray Chantix Intense craving for nicotine Anxiety Tension Restlessness Frustration Impatience Difficulty concentration Drowsiness Trouble sleeping Nightmare Headaches Increased appetite Irritability Depression Step 4: Staying Quit Coping: Suckers Toothpicks Mindfullness/meditation Relaxation Exercise Taking different route to work Fiddling with pens/pencils Gum People are more likely to stick to a plan if they are being rewarded Choose a reward that you would not otherwise indulge in Establish a frequency of the reward NMU Health Promotion Office 1202 University Center WWW.NMU.EDU/HPO HPO@NMU.EDU Withdrawal Symptoms: WHY SHOULD I QUIT? SkillBuilder Workshop! Nicotine Patches Nicotine Lozenges Nicotine Gum http://www.endthehabit.com/content/calculator.htm 12 Tips to Help a Person Quit Smoking: Setting a Quit Date: Increased Risk of: - Coronary Artery Disease - Stroke - Feel in Charge - Smell Good - Feel more Relaxed - Look and Feel Better DO NOT SMOKE Keep Active Drink lots of water Begin using nicotine replacement if that is your choice Attend a stop-smoking class or follow self-help plan Avoid situations where urge to smoke is strong Avoid people who are smoking Reduce or avoid alcohol Think about ways to change routine Lung Cancer & Lung Disease Prescription Options: How to Quit 1) Understand that quitting is hard 2) Know your relationship style 3) Start the conversation 4) Ask questions 5) Listen 6) Don't Lecture 7) Offer Directions 8) Listen 9) Don't be too hard if they slip 10) Don't be negative 11) Help them de-stress 12) Be there for the long haul Blood pressure decreases Pulse rate decreases Body temperature increases Carbon monoxide blood levels drop O2 levels increase Ability to smell/taste improves Circulation improve Lung function increases Risk of lung cancer drops Risk of other cancers decreases Decrease risk of ulcers Decrease risk of coronary heart disease On your Quit Day: Get rid of all cigarettes and ashtrays in: home, care, place of work Stock up on any prescriptions or oral substitutes used Practice saying “no thank you, I don’t smoke” Set up a support system Determine why past attempts at quitting may have failed Establish a Reward System: Over the Counter Options: Benefits of Quitting Environmental Sustainability How Does Smoking Affect the Body? Why Are You Here? What Will Change in your Body?

Smoking Cessation

Transcript: Health refers to the complete physical, mental and social well being and not just the absence of disease and infirmity (who, 1948) (however this version of the WHOS health has been criticized as being unattainable and idealistic critique with lucas, 2005) Tobacco use kills more than 5 million people per year. It is responsible for 1 in 10 adult deaths. However it it the single most preventable cause of death its just knowing how to promote and educate the general public. Introduction rationale for the choice of topic and resource, identifying the target audience By Eloise maunder working together with patients and their families to build a rapport which gives the patients the courage and empowerment to allow for them to take responsibility for their health, this allows the patients to have 'voice' and 'Choice' (DH, 2006) health data statistics Health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behaviour towards a wide range of social and environmental interventions. (WHO, 2014) The Office for National Statistics estimates that the total UK household expenditure on tobacco in 2013 was to £18.7 billion.2 However, the proportion of household expenditure on tobacco has decreased from 3.6% 1980 to 1.8% in 2013.2 Smoking is one of the leading causes of premature death in the UK with around 10 Million people in the UK who smoke (patient, 2014) My presentation is about smoking cessation. role of the nurse What is health promotion Why have I chosen a poster? because smoking is one of the leading causes of premature death in the UK it is a serious burden to the NSH and to the smoker themselves Role of the nurse in health promotion Which diseases are caused or made worse by smoking? •Lung cancer. About 30,000 people in the UK die from lung cancer each year. More than 8 in 10 cases are directly related to smoking. •Chronic obstructive pulmonary disease (COPD). About 25,000 people in the UK die each year from this serious lung disease. More than 8 in 10 of these deaths are directly linked to smoking. People who die of COPD are usually quite unwell for several years before they die. •Heart disease. This is the biggest killer illness in the UK. About 120,000 people in the UK die each year from heart disease. About 1 in 6 of these is due to smoking. •Other cancers - of the mouth, nose, throat, larynx, gullet (oesophagus), pancreas, bladder, cervix, blood (leukaemia), and kidney are all more common in smokers. •Circulation. The chemicals in tobacco can damage the lining of the blood vessels and affect the level of lipids (fats) in the bloodstream. This increases the risk of atheroma forming (sometimes called hardening of the arteries). Atheroma is the main cause of heart disease, strokes, peripheral vascular disease (poor circulation of the legs), and aneurysms (swollen arteries which can burst causing internal bleeding). All of these atheroma-related diseases are more common in smokers. •Sexual problems. Smokers are more likely than non-smokers to become impotent or have difficulty in maintaining an erection in middle life. This is thought to be due to smoking-related damage of the the blood vessels to the penis. •Rheumatoid arthritis. Smoking is known to be a risk factor for developing rheumatoid arthritis. One research study estimated that smoking is responsible for about 1 in 5 cases of rheumatoid arthritis. •Ageing. Smokers tend to develop more lines on their face at an earlier age than non-smokers. This often makes smokers look older than they really are. •Fertility is reduced in smokers (both male and female). •Menopause. On average, women who smoke have a menopause nearly two years earlier than non-smokers. •Other conditions where smoking often causes worse symptoms include: asthma, colds, flu, chest infections, tuberculosis, chronic rhinitis, diabetic retinopathy, hyperthyroidism, multiple sclerosis, optic neuritis, and Crohn's disease. •Smoking increases the risk of developing various other conditions including: dementia, optic neuropathy, cataracts, macular degeneration, pulmonary fibrosis, psoriasis, gum disease, tooth loss, osteoporosis and Raynaud's phenomenon So, what does health include? Health who smokes: whos more prevelence to it. Why have I chose Smoking? Physical: the function of the body Emotional: how people cope with feelings Intellectual: the ability to think clearly and coherently Sexual: freedom of finding a partner social: having the ability to maintain relationships Spiritual: Be at peace with oneself. (Evans, Daryl et al 2011) Research commissioned by ASH has shown that the total cost to society (in England) is approximately £13.1 billion a year.5 This includes the cost to the NHS of treating diseases caused by smoking in England which is approximately £2 billion a year.5 Other costs include: • loss in productivity due to premature deaths (£3bn) • cost to businesses of smoking breaks (£5bn) •

Smoking Cessation

Transcript: How many of you know someone who, currently or previously, has smoked? Is this person still alive today? Are they healthy? Who here drinks coffee at least 4 times per week? Do you feel "addicted" to caffeine? Well, this is similar to the way a smoker feels in relation to nicotine Nearly half of all smokers have tried to quit smoking in the past 12 months... Prescribed Drugs Side Effects Prescribed Drugs Side Effects Off-Label Prescriptions Nicotine Replacement Therapy * lowers the risk for lung and other types of cancer * Reduces the risk for coronary heart disease, stroke, and peripheral vascular disease. Coronary heart disease risk is substantially reduced within 1 to 2 years of cessation. * Reduces respiratory symptoms, such as coughing, wheezing, and shortness of breath. The rate of decline in lung function is slower among persons who quit smoking. * Reduces the risk of developing chronic obstructive pulmonary disease (COPD), one of the leading causes of death in the United States. Methods to quit smoking Social Smoking Social smoking is very dangerous, especially for ex-smokers WHY? Smokers not only become physically addicted to nicotine; they also link smoking with many social activities, making smoking an extremely difficult addiction to break But can drinking really lead to smoking? Let's take a look at the statistics.. Luckily . . . Starting in 2002, the number of former smokers has exceeded the number of current smokers Attileo Feole Do not feel as though you need to lock yourself in your home to reduce your cancer risks. Instead, pay attention to how good it feels to be social and to spend time with friends. Your friends, family and co-workers prefer your company when you are happy and healthy. Guaranteed. S M K I N G C E S S A T I O N Questions..? THANK YOU! Nicotine substitutes You can Assist by helping him/her develop a personalized quit plan with a quit date and offer an array of effective treatment options: 1 in 5 smokers die from smoking related problems! 3.5% Varenicline 7% * Increased urination Different methods of smoking cessation Health benefits of quitting The Five A's So first, we have a few questions for you all! Joa Later Onset of smoking: Older Age A Smoking cessation agent. This works in the brain by blocking the satisfying effects of smoking. This helps to reduce your craving to smoke * Sleep problems such as insomnia or unusual dreams Late onset: Nicotine Gum Follow-up is most helpful to do it within the first weeks of a quit date and can be either in person or via telephone. During this call encourage the individual to remain quit. Discuss any obstacles and how to overcome them. Congratulate success for those who have been able to quit. For those who continue to use tobacco, repeated use of the 5 A’s and 5 R’s is important for supporting motivational changes over time to move toward Action for quitting tobacco. * Started at age 15 due to anxiety * Has been smoking since 10 years old People who stop smoking greatly reduce their risk for disease and premature death. Although the health benefits are greater for people who stop at earlier ages, cessation is beneficial at all ages Bupropion * Dizziness Side effects include headache, dizziness, fatigue, drowsiness and respiratory issues smoking related conditions such as lung cancer, kill on average 1 in 5 people who smoke Jeff Stick to your skin and slowly release nicotine though the skin into your blood stream * Loss of interest in sex The more you drink, the more likely you will be to slip back into old habits... This includes tobacco use among other things Hypnosis * Started smoking at the age of 18 The most frequently used unassisted strategies reported by these young smokers included: * Decreasing the number of cigarettes smoked * Not buying cigarettes * Exercising more *Trying to quit with a friends *Switching to lite cigarettes * Telling people you no longer smoke Just stinkin' bored! Differences in early onset as with adolescents and with late onset as with people of older age are mostly in why they start, and what maintains behavior WW II http://www.cdc.gov/tobacco/data_statistics/fact_sheets/cessation/quitting/#methods http://mdquit.org/cessation-programs/brief-interventions-5 http://www.ehow.com/facts_5610643_smoking-cessation.html?ref=Track2&utm_source=ask http://www.webmd.com/smoking-cessation/default.ht http://www.healtheducation.uci.edu/tobacco/socialsmoking.aspx Audrain-McGovern, J., Rodriguez, D., Tercyak, K. P., Epstein, L. H., Goldman, P., & Wileyto, E. (2004). Applying a Behavioral Economic Framework to Understanding Adolescent Smoking. Psychology Of Addictive Behaviors, 18(1), 64-73. doi10.1037/0893-164X. 18.1.64 Berlin, I., Chen, H., & Covey, L. S. (2010). Depressive mood, suicide ideation and anxiety in smokers who do and smokers who do not manage to stop smoking after a target quit day. Addiction, 105(12), 2209-2216. Dixon L, Medoff D, Afful J, et al. Is implementation of the 5 A's of smoking cessation at

SMOKING CESSATION

Transcript: SMOKING Tobacco kills more than 4 million people a year Tobacco smoke includes chemicals Acetone - paint stripper Ammonia-floor cleaner Arsenic-ant poison Butane- lighter fuel Cadmium- car batteries Carbon monoxide- car exhaust fumes DDT- insecticide Hydrogen cyanide- gas chambers Naphtalene- moth balls more men than women smoke women use tobacco for weight control overall tobacco use among pregnant women has decreased over last decade highest among younger adults decrease in proportion as age increases highest among American Indians and Alaska Natives (40 percent) Caucasians and African Americans rank second and third (23 and 22 percent) over the past decase all the rates decreased except African Americans which actually increased Education and Income Levels 1/3 of cancer patients who were smokers before diagnoses continue to smoke suring treatment, or turn to smoking post treatment. Health Risks/ Future Implications cigarettes kill half of all lifetime smokers tobacco use results in death or disability harmful to the mother and fetus if smoking while pregnant linked with serious diseases such as cancer, heart disease, asthma, acute lower and upper respiratory ilnesses and strokes by chewing tobacco they risk cancer of the lip, tongue , and mouth individual's decision to smoke determined by many factors, such as cigarette marketing and nicotine addiction every cigarette takes 7 minutes off your life second hand smoke kills innocent people because of someone else's habit health care professionals can make an impact spontaneous abortion/miscarriages premature rupture of the membranes premature birth smaller infant stillborn infant birthdefects increased likelihood of infant smoking as a teenager 0.1 billion people died from tobacco use in 20th century, ten times as many will die in the 21st Legislation/ Progress restrictions and outright bans on on tobacco advertising are becoming common school health education in order to progress on tobacco control, change beliefs and attitudes cigarettes banned in bars and restaurants higher taxes on cigarettes labels about the dangers of cigarettes anti-smoking ad campaigns/commercials Race and Ethnicity Age Trends " Tobacco kills more than AIDS, legal drugs, illegal drugs, road accidents, murder, and suicide combined." rate of tobacco use inversely related to levels of education and income smoking prevalence higher among men and women with lower levels of education " Cigarette smoking is the most important single preventable cause of death in human society." Gender Other Vulnerable Populations schitzophrenic patients have extremely high rates of tobacco use

Smoking Cessation

Transcript: In the United States, cigarette smoking results in more deaths than HIV/AIDS, drug abuse, homicide, suicide, automobile accidents, and fire COMBINED. When you are near a smoker, you inhale the same dangerous chemicals as the smoker through SECONDHAND SMOKE (Tobacco, 2013). Cigarettes contain the addictive drug nicotine, which is why when smokers try to quit they experience withdraw symptoms such as irritability, attention difficulties, increase appetite, and sleep disturbances D'Amico, D., & Barbarito, C. (2012). -Tobacco Free Arizona -The American Heart Association -Healthy People 2020 -The Respiratory Health Association Promotion of exercise, healthy eating, and stress management Smoking is known to affect most organs and functions of the body Reasons People Start Smoking... Smoking Cessation Each day in the US approximately 3,800 young people under the age of 18 smoke their first cigarette, and an estimated thousand in that age group become daily cigarette smokers. AL-Doghether, M. (2004). The Behavioral Interventions for Smoking Cessation. Asia Pacific Family Medicine, 319-28. Health activitiesD'Amico, D., & Barbarito, C. (2012). Health and physical assessment in nursing (2nd ed.). Upper Saddle River, NJ: Pearson. Drug facts: Cigarettes and other tobacco products. (2012, December). Retrieved February 3, 2013, from National institute on drug abuse: The science of drug abuse and addiction website: http://www.drugabuse.gov/publications/drugfacts/cigarettes-other-tobacco-products Galloway, M. (2012). Smoking cessation What works?. Practice Nurse, 42(15), 16-20. PreventionGanley, B. J., & Rosario, D. I. (2013). The smoking attitudes, knowledge, intent, and behaviors of adolescents and young adults: Implications for nursing practice. Journal of Nursing Education and Practice, 3(1), 40. Retrieved from http://search.proquest.com/docview/1081692956?accountid=7374Lynes, D., & Lynes, A. (2012). Strategies to help adolescents stop smoking. Nursing Times, 108, 12-4. Retrieved from http://search.proquest.com/docview/1038838873?accountid=7374Medicines to help you quit smoking. (2013). Retrieved fromhttp://www.heart.org/HEARTORG/ GettingHealthy/QuitSmoking/QuittingSmoking/Medicines-To-Help-You-Quit-Smoking_UCM_307921_Article.jspParents Who Smoke Influence Smoking Among Teens. (2009, January 29). RetrievedJanuary 30, 2013,from Red Orbit website: http://www.redorbit.com/news/health/1630924/ parents_who_smoke_influence_smoking_among_teens/Quit Smoking. (2013). Retrieved from Respiratory Health Association website: http://www.lungchicago.org/quit-smoking/Sherman, E. J., & Primack, B. A. (2009). What Works to Prevent Adolescent Smoking? A Systematic Review of the National Cancer Institute's Research-Tested Intervention Programs. Journal Of School Health, 79(9), 391-399.Smoking: Peer Pressure. (n.d.). Retrieved January 30, 2013, from PBSkids.com website:http://pbskids.org/itsmylife/body/smoking/article4.htmlTobacco Advertising and Promotion. (n.d.). Retrieved January 30, 2013, from American Lung Association website: http://www.lung.org/ Tobacco facts and figures. (2012). Retrieved February 3, 2013, from Be tobacco free website: http://betobaccofree.hhs.gov/about-tobacco/facts-figures/index.htmlTobacco Free Arizona. (2012). Retrieved from http://azdhs.gov/tobaccofreeaz/partners/partners.htmlYouth and tobacco use. (2012, November 15). Retrieved January 30, 2013, from Centers for disease control and prevention website: http://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm -Heart -Lungs -Kidneys -Brain -Breathing -Blood Pressure How to QUIT! The Truth about SMOKING... -Prescription Drugs (Bupropion or Chantix) -Use of nicotine replacements (gum, lozenges, or patches) -Stress relief programs (meditation) -Self help books, pamphlets, audio books, websites, and phone hotlines -Group therapy or individual counseling (Galloway, 2012) Health Consequences of Smoking ...and can lead to... -Chronic Bronchitis and Emphysema -Lung Cancer and Cancer of the Mouth -Increase heart rate -Shortness of Breath -Increased risk of stroke and heart attack -Infections Adolescent Smoking -Smoking by parents, or guardians -Social Media -Use of tobacco by peers and siblings -Low socioeconomic status -Low self esteem/self image -Accessibility/Availability/Cost -Stress -Alcohol Approximately 90% of all smokers start before the age of 18, and the average age for a new smoker is 13. Resources Education Resources Marketing (Ganley & Rosario, 2013) (Lynes & Lyne, 2012) Health Promotion (Quitting smoking statistics, 2012). Peer Pressure Community and National Resources Tobacco Companies Children are about 3.6 times more likely to start smoking cigarettes if their parents smoke (Sherman, 2009). SECONDHAND SMOKE A recent statistic states, that only 7% of people that try to quit on the first time succeed Kelsey Doody, Kevy Mortensen, Claire Greenfield, Jeff Gonzales, Dealla Fakhouri

Smoking Cessation

Transcript: Lets Get Started Basic: company moral, happier, etc. Once the first 5 sessions are complete you earn $100 bonus For every month you test negative your name will be put into a $1,500 cash prize drawing that will be last a year! For every complete session you attend after your initial 5 week session you will earn random prizes such as gifts cards, free lunch, a day off card, make your own schedule card, etc. Polonium-210 Urea Antifreeze Dog and Cat Repellent Cadmium Gasoline Rocket Fuel Nail Polish Remover Pesticides Embaliming Fluid Rat Poision Dynamite Perfume Hair Remover Mothballs Insects Floor Wipes Prison Executions (hydrogen cyanide) We will meet you at whatever stage you are in Time to Kick the Habit The Blame Game Smoking Cessation Program Smoking Cessation Who's fault is it that you smoke? Looking Past the Smoke Screen: reduce their risk of : disease and premature death . lowers the risk for lung and other types of cancer . . Risk for coronary heart disease , stroke , and peripheral vascular disease is reduced reduces respiratory symptoms , such as coughing, wheezing, and shortness of breath. reduces the risk of developing chronic obstructive pulmonary disease (COPD), one of the leading causes of death in the United States. Women who stop smoking during their reproductive years reduce their risk for infertility . Women who stop smoking during pregnancy also reduce their risk of having a low birth weight baby Better skin, breath, hair A Journey Through the Smoke Screen Negative Effects Whom do you affect by smoking/quitting? o Quit and get fit Individual counseling sessions and guidance based on exercise, good nutrition and effective stress management strategies. Participants will work individually with a trained specialist to set a quit date, develop a cessation plan and monitor their progress as they quit for good. A Fitness assessment and consultation, a massage, and a session with a registered dietician are included. 5 one on one session filled with getting to the root of your addiction. Personally tailored to employee Whats in a Cigarette ? Health Benefits of Quitting 19.0% of all adults: 21.6% of males, 16.5% of females (43.8 million ppl) smoke Incentives The Hard Facts Causes death increased risk of disease Reproduction complications: Infertility Preterm delivery Stillbirth Low birth weight Sudden infant death syndrome (SIDS). lower bone density body ordor oral vision

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