HSE Health Matters Spring 2022

Page 25

You can free call QUIT on 1800 201 203 to get the support you need to quit or visit www.quit.ie for stop smoking tips and resources, a free Quit Kit, and to create a quit plan or read other people’s stories. Peerto-peer support is available on the QUIT Facebook page www.facebook.com/HSEQUIT or on Twitter at HSE QUIT @HSEQuitTeam.

vape. We don’t smoke in my house, you have to go to the back garden, but the vape was different. You could vape in the kitchen and it wouldn’t leave a trace. You could sit and have a cup of coffee, have a vape and not feel like you were smoking in the house. So you had it with you at all times. And of course, working from home, you had it with you at your desk. It was practically attached to my hand. And when I realised that I couldn’t go anywhere – couldn’t walk to the shops for five minutes without it - I knew I had created another addiction.” Working as a Project and Office Manager, Caoimhe switched to home working, along with many HSE staff in March 2020. It was there last year that she was prompted by a HSE All Staff Broadcast Email to contact the HSE Quit Support Team. Having smoked since she was 14, Caoimhe knew that her vaping habit had to end for her nicotine addiction to end too. Through the Quit Support Team, she was put in contact with Stop Smoking Advisor Ann Scanlon. “I had an initial chat with Ann and said look maybe because I was vaping rather than smoking at that time, I wasn’t sure if I fell into that category of smoker. I thought my needs may be different, even regarding something like the amount of nicotine needed. But Ann was great – she worked out a plan for me for essentially getting off the vape,” said Caoimhe. “I didn’t feel in any way fearful. I didn’t feel for example that she was suddenly going to take the vape away or anything like that. And of course we talked about my smoking habit

– I knew I had been a fourteen year old who had taken up cigarettes because it was cool. When Ann asked why I was still vaping, I initially concluded that it was a social thing. If I was taking a break from the office, and going out to smoke, then I was inevitably chatting to someone and interacting. “Ann then asked if a lot of my friends smoked or vaped and I initially said yes, but then realised after pausing for a second and running it through in my head that in fact I was the last one standing in terms of smoking. Of my group of friends, those who had smoked had actually stopped. They had quit and had been quitters for a few years. So, really it was no longer a social thing as I was the only one still addicted.” Having worked through a plan that would involve weekly calls for an initial twelve weeks, and the offer of support outside of those engagements, along with Nicotine Replacement Therapy solutions (patches, inhalers, spray and gum) Ann and Caoimhe set a quit date. “I can’t remember the month but I do remember it was the ninth. And when we got to the ninth, I couldn’t do it. But I knew I had my call with Ann the following Monday and I couldn’t face telling her I hadn’t done it so I just switched to the eleventh and to be honest once I got through that first day I actually got a bit of a confidence boost. “I felt if I could do the first 24 hours, I could 48 and then I just continued. Overall the combination of NRT patches and inhaler worked well for me, along with the spray. I had actually thought I might just need to use them just for the first five or six weeks but Ann convinced me to continue for the full twelve weeks as the studies show that if you continue for the full 12 weeks you are more likely to succeed. “In the first six weeks we were in lockdown so there was no going out as such. And then once we began to come out of lockdown initially, I did know that if I went to a pub or out with my friends, it was almost a scary thing where I knew I probably would be very, very tempted. But I had talked to Ann about it and I had a plan – I would take a little Nicorette inhaler with me. And have a backup cartridge

too in my handbag just in case. I also planned not to go out to the smoking area, that I would stay inside or wherever as appropriate.” There were challenges, of course. “There were a couple of stumbles. When I went on holidays or away and I was taken out of my day-to-day routine, that just set me off. I needed my routine and the minute I broke that, I knew I was susceptible. There I was walking along a lovely street and I could see all these people sitting outside smoking, eating food and enjoying themselves and I am thinking why can’t I be that person? So I was tempted to vape again. Once I came back from holidays, I kind of said to myself – that was a nice holiday but now back to the plan and the routine.” As Caoimhe moved to the second 12 weeks, she describes the experience as “much easier”. “I had decided I was a non-smoker at that point,” she said. “Even during the first 12 weeks I was someone who had given up cigarettes, not a non-smoker or someone who had given up the vape.” That second 12 weeks provided more autonomy and while Ann was no longer making the weekly calls, she did check in and was always available. A firm non-smoker/non-vaper for almost a half a year now, Caoimhe reflected on her achievement. “Even now when I am completely off the patches and off the Nicorette inhaler, I actually still have the inhaler with me without any cartridge, sitting beside me on my desk at all times.” Her advice to anyone considering quitting is simple – make contact and get the support that is available through the HSE Quit Team and through the Stop Smoking Advisors nationwide. “If you can make one hour, you can make two and then you can make it 24 hours, so you can make it 48 and so on. That’s how I approached it – it wasn’t that I was giving up smoking, it was that I was going for an hour, then another hour and so on. And of course – reaching out for that support was absolutely critical. Having Ann there was wonderful and to get the NRT and seeing it through for the first twelve weeks was so good." HEALTH MATTERS SPRING 2022 | 23

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A Message from our CEO

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page 3

Get yourself summer ready

3min
pages 81-83

Living Well helping patients manage long-term conditions

1min
page 80

Menopause and Me webinar a huge success

3min
page 79

Healthy Ireland report

3min
page 76

Musicians on call

2min
page 77

EU4Health programme

3min
page 74

New recruitment operating model for HSE

4min
page 75

Change practices

4min
pages 69-70

Introduction to Human

3min
page 72

Reduce your risk of injury at your workstation

3min
page 73

Trust and confidence in the HSE

3min
page 68

Spark Ignite competition supports innovation on frontline

2min
page 63

Sexual wellbeing campaign hits TV screens

3min
page 66

Nursing home expert panel

4min
page 67

Teen pregnancy study reports major decline in numbers

3min
page 65

CxIO team brings insights of clinical work to IT team

4min
pages 61-62

Online health appointments using video

1min
page 59

Be cyber security aware

2min
page 58

Data privacy is everyone’s responsibility

3min
page 57

Support and understanding for the bereaved

4min
page 56

Ground-breaking COVID research

3min
page 54

Keeping track of the COVID-19 vaccine

2min
page 53

Sporting memories boost for people with dementia

4min
page 52

Urology clinic cuts visits from four to one

3min
page 49

Digital initiative to prevent future cardiac arrests

3min
page 50

Dementia advisers in every county

2min
page 51

Medicines initiative supporting patients

5min
pages 47-48

Health Passport gets new app

2min
page 44

ICF in Limerick opens eyes to new patient-centred model of care

6min
pages 45-46

Childhood vaccines

3min
page 42

Specialist mental health service marks 20 years

3min
page 43

National Service Plan

8min
pages 39-41

Perinatal mental healthcare explored at conference

2min
page 35

Nurse-led care in oncology haematology clinic

3min
page 37

New sanctuary of care

2min
page 36

Demo rooms at new children’s hospital

2min
page 34

CHI video on managing allergies

2min
page 32

Awards for public health teams

5min
pages 29-30

New National Clinical Guidelines to help people give up smoking

3min
page 25

Pathfinder keeping elderly out of hospital

4min
page 31

Boy hailed a hero after father’s cliff fall

2min
page 26

St Luke’s long service awards

3min
page 27

Caoimhe tells us her quit story

6min
pages 23-24

Our COVID experience - staff look back at last two years

26min
pages 3-8

Inside the children’s vaccination

6min
pages 9-10

Return to Nursing

2min
page 21

Kerry Integrated Care

2min
page 18

Martin bows out of nursing career

6min
pages 19-20

Day in the life of a community nurse

3min
page 22

Message from our editor

2min
page 2

Reflections from a team of vaccinators

4min
pages 11-12
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