We should encourage all and especially the ‘quitter’ to accept a referral to local stop smoking services for support to aid their quit. Some may be using both tobacco and e-cigarettes depending on the circumstances and this is referred to as ‘dual use’. Some people will have switched to e-cigarettes and stopped using tobacco whilst others may be using an e-cigarette to quit tobacco. The evidence-base is still evolving and there is a lot of debate for and against e-cigarettes, but there are some excellent resources available which are being updated as new evidence emerges, see: Electronic cigarettes: A briefing for stop smoking services.
#Best stop smoking program update
See: Vaping in England: an evidence update February 2019. Public Health England (2019) have published an update regarding the evidence reviewed by leading independent tobacco experts. However, if a person is smoking tobacco then we know that they have at least 50% risk of dying from a smoking related disease, often in middle age. Public Health England (2016) published a report that indicates that they carry a fraction of the risk of smoking cigarettes but are not risk free.
#Best stop smoking program license
To date (2019) there are no devices with a license that are being manufactured.Ī common question is whether electronic cigarettes should be recommended by health care professionals. Licensed products: manufacturers could apply for a medicines license which could then enable prescribing and advertising would be permitted. Statutory regulation commenced in 2016 which has two types:Ĭonsumer products: manufacturers will need to register products, there are standards that need to be adhered to and advertising is restricted. There are hundreds of different types of devices and juices available. Electronic Nicotine Delivery Devices (ENDDs) including e-cigarettesĮNDDs are electronic devices that mimic cigarettes and release vapor and is commonly known as vaping or E-cigs. The dose is usually titrated down over a 12-week period, however heavy smokers may need longer. a patch) and a short-acting product of which there are many varieties these provide a dose of nicotine to help cravings. NICE (2018) recommends a long- acting product (e.g. The dose depends on the amount of cigarettes smoked, intensity and pattern of habit. Nicotine replacement therapy replaces to some extent the nicotine a person would have received from smoking. It is also recommended that behavioural support is combined with nicotine replacement therapy and/or medication. Receiving behavioural support, for example from a NHS Stop Smoking Service, will quadruple chance of success ( NICE, 2018). Smoking is a relapsing addiction and many people have 6–7 attempts before quitting long term. However the harm remains high as tobacco smoking kills over half of its users as well as causing significant long term damage and distress due to poor quality of life. Smoking rates have in recent years continued to decline, see: Adult smoking habits in the UK: 2017.
The pet themselves can also be exposed when grooming themselves and are also very susceptible to second hand smoking damage due to smaller lungs (similar to babies and children). One example of third hand exposure is when smoking close to a furry pet such as a dog, the particles collect in the fur and then can be inhaled/ digested when petting e.g. Third hand exposure comes from contamination of surfaces with smoke particles. Smoking in pregnancy can also cause harm as well as risks to children’s future health. Second-hand exposure to other people’s tobacco smoke is also a cause of ill health. The widespread effects of tobacco smoking affect the whole body as well as common smoking-related conditions such as chronic obstructive pulmonary disease (COPD) and lung cancer. Many of these adverse effects and life-limiting illnesses are caused by the 4000+ chemicals involved. The side effects of smoking tobacco only became noticeable in the 1920s. As a nurse you are in an ideal role to encourage your patients to stop smoking and should make every contact count.
0 kommentar(er)
