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Tobacco Literacy Module Teacher’s Instructional Guide

Created by: Javier Vazquez, Florida State University MPH intern


Table of Contents This instructional guide is intended for use with the foto-novela Pedro’s Examination. After the foto-novela has been read, at the instructor’s discretion, the following activities can be photocopied and distributed to the students. The purpose of these activities is to ensure that the students understand the health material in the foto-novela and to provide practice with the vocabulary introduced. x

Overview of Tobacco Smoking and Diabetes

x

Review of Vocabulary Words

x

Comprehension Questions

x

Word Search

x

Crossword Puzzle

x

Discussion on Tobacco Smoking, Diabetes, and Quitting

x

Social Identification

x

Information on Tobacco Smoking, Diabetes, and Quitting

x

Additional Resources for Instructors


Overview of Tobacco Smoking and Diabetes Tobacco use is the single greatest cause of preventable disease and death in the United States. Tobacco use causes more deaths than AIDS, alcohol, motor vehicles fatalities, homicides, either illicit or illegal drugs, and suicide combined. About 7.8% of the United States population (23.6 million) has diabetes (sugar in the blood). In 2007, diabetes was the sixth leading cause of death. Diabetes-related complications include heart disease, stroke, high blood pressure, blindness, kidney disease, nervous system disease (neuropathy), and amputations. More than 10 percent of Hispanics ages 20 years or older have been diagnosed with diabetes. Current research indicates that Hispanics tend to go undiagnosed with diabetes well into their middle-ages so the overall number may actually be much higher. This means that the majority of Hispanics with diabetes do not know they have it until later on in life. They can live, unknowingly, with the disease and may not know until something tragic occurs as it did to Lucia in the story. It is important for Hispanics to understand that they need to get themselves examined for diabetes. Source: http://www.ndep.nih.gov/media/FS_HispLatino_Eng.pdf?redirect=true People who smoke and have diabetes are: 1) more likely to get nerve damage and kidney disease 2) three times more likely than nonsmokers to die of cardiovascular disease 3) more likely to have elevated blood sugar levels, making it harder to!control diabetes. This teacher’s instructional guide contains useful, practical and fun activities that can be used to further educate students about the damaging effects of tobacco and diabetes. Learning Objectives After completing the activities, the students will be able to: x x x x x

Identify the negative effects that smoking has on diabetes. Identify new health vocabulary words. Identify resources to assist themselves and/or others in quitting smoking. Identify people within their social environment who either have diabetes or smoke. Demonstrate basic literacy skills by identifying key events and main characters in the story.

Vocabulary words are included to help students learn important health information while they are mastering basic literacy skills. Amputate

Cigarette

Circulation

Disease

Examination Patient

Control

Dangerous

Diabetes

Risk

Smoke

Stress

Sources: http://americanheart.org/print_presenter.jhtml?identifier=4559 http://www.omhrc.gov/templates/content.aspx?lvl=2&1v1ID=51&ID=3017


Review of Vocabulary Words Directions: Review the following words with the students to help enhance their understanding of the words and the story. x

Amputate (Amputar) - to cut off from the body

x

Cigarette (Cigarillo) - a slender roll of cut tobacco enclosed in paper and meant to be smoked

x

Circulation (Circulación) - the movement of blood through the vessels of the body induced by the pumping action of the heart

x

Control (Controlar) - to have power over

x

Dangerous (Peligroso) - likely to inflict injury

x

Diabetes (Diabetes) – a disease caused by high levels of glucose (sugar) in the body that can lead to other health complications

x

Disease (Enfermedad) - a condition of the living animal or plant body or of one of its parts that impairs normal functioning and is typically manifested by distinguishing signs and symptoms

x

Examination (Examen) - an examination of the bodily functions and condition of an individual

x

Patient (Paciente) - an individual awaiting or under medical care and treatment

x

Risk (Riesgo) - possibility of loss or injury

x

Smoke (Fumar) - to inhale and exhale the fumes of burning plant material and especially tobacco

x

Stress (Estrés) - a physical, chemical, or emotional factor that causes bodily or mental tension and may be a factor in disease causation

Source: http://www.merriam-webster.com/dictionary


Comprehension Questions Directions: Complete the sentences based on the story using the vocabulary words in the box below. - Stress - Examination - Diabetes - Control x

Pedro smokes cigarettes because he feels _______.

x

Pedro goes to the doctor to get an _____________.

x

The doctor tells Pedro he has a disease called ________.


Comprehension Questions Directions: Complete the sentences based on the story using the vocabulary words in the box below. - Stress - Examination - Diabetes - Control x

Pedro smokes cigarettes because he feels stress.

x

Pedro goes to the doctor to get an examination.

x

The doctor tells Pedro he has a disease called diabetes.


Word Search Directions: Find and circle the words listed in the box. Words may be vertical (up and down) or horizontal (sideways).

J X I A U A O P N R R F P J J F F T A N

R L P A T I E N T O B A G K I O O O C X

A H Y W R U H Z A W O Y S P O F K P A I

P R M S M U M U Q E X A M I N A T I O N

K W K Y O L Z Z A F M B O K A Q N F J N

E R U C K O H Q O Z H D K Z J V S H T W

Y Z D O O T S T R E S S E P O C D F O K

C G I N M K F R P W N P G R A N A G C H

U L A T C A Y T D O I I T M C F N R J I

S V B R Q G R P B C X T W M C N G G Z Z

U U E O R I S K C I G A R E T T E C Z O

Y E T L Q H G S R R K Q U U B I R Q I N

J O E B N K M U M C V L C S E H O B F G

D I S E A S E G D U N H Y X Q B U M Q B

C W N K N R E P Y L G F Z A P T S J C X

Source: http://tools.atozteacherstuff.com/word-search-maker/wordsearch.php

- AMPUTATE - CIGARETTE - CIRCULATION - CONTROL - DANGEROUS - DIABETES

- DISEASE - EXAMINATION - PATIENT - RISK - SMOKE - STRESS

Y P G Y F J V I X A F R L C V D X N N K

G K J L D H G H L T I F H U I I D H K I

O A K Y C C Q B L I M T Y X V D C C U E

D U N O H A W L I O G M Z A B D P D S U

Y H I B Z E L A P N J O A M P U T A T E


Word Search Directions: Find and circle the words listed in the box. Words may be vertical (up and down) or horizontal (sideways).

J X I A U A O P N R R F P J J F F T A N

R L P A T I E N T O B A G K I O O O C X

A H Y W R U H Z A W O Y S P O F K P A I

P R M S M U M U Q E X A M I N A T I O N

K W K Y O L Z Z A F M B O K A Q N F J N

E R U C K O H Q O Z H D K Z J V S H T W

Y Z D O O T S T R E S S E P O C D F O K

C G I N M K F R P W N P G R A N A G C H

U L A T C A Y T D O I I T M C F N R J I

S V B R Q G R P B C X T W M C N G G Z Z

U U E O R I S K C I G A R E T T E C Z O

Y E T L Q H G S R R K Q U U B I R Q I N

J O E B N K M U M C V L C S E H O B F G

D I S E A S E G D U N H Y X Q B U M Q B

C W N K N R E P Y L G F Z A P T S J C X

Y P G Y F J V I X A F R L C V D X N N K

Source: http://tools.atozteacherstuff.com/word-search-maker/wordsearch.php

- AMPUTATE - CIGARETTE - CIRCULATION - CONTROL - DANGEROUS - DIABETES

- DISEASE - EXAMINATION - PATIENT - RISK - SMOKE - STRESS

G K J L D H G H L T I F H U I I D H K I

O A K Y C C Q B L I M T Y X V D C C U E

D U N O H A W L I O G M Z A B D P D S U

Y H I B Z E L A P N J O A M P U T A T E


Crossword Puzzle Directions: Read the clues and fill in the spaces with the correct words listed in the box. - AMPUTATE - CIGARETTE - CIRCULATION - CONTROL - DANGEROUS - DIABETES - DISEASE - EXAMINATION - PATIENT - RISK - SMOKE - STRESS

1

2

3 4 5

6

7

8

9

10 11 12

Source: http://variety-games.com/CW

Down

Across

1. Lucia is Dr. Martinez’s ______. 2. Diabetes is a ________. 3. Diabetes and cigarette smoke are ________. 5. Pedro gets an ________ when he goes to the doctor. 7. The doctor had to ______ Lucia’s leg. 9. Pedro went outside to _______ a cigarette.

4. What disease does Lucia have? 6. Diabetes affects blood ________. 8. Pedro smokes a cigarette because he felt a lot of _____. 10. _______ smoke is dangerous to the body. 11. Pedro and Daniella are at _____ for diabetes. 12. You can ______ the disease if you take care of yourself.


Crossword Puzzle Directions: Read the clues and fill in the spaces with the correct words.

D I E X A M C I R C U L A T I N M A P T U C I G A R E T T E O A N C O N T R O E

P D D A I A B E T E S N I E G E A E N S R T E O N U S T R E S S M O R I S K L E Source: http://variety-games.com/CW

Down

Across

1. Lucia is Dr. Martinez’s ______. 2. Diabetes is a ________. 3. Diabetes and cigarette smoke are ________. 5. Pedro gets an ________ when he goes to the doctor. 7. The doctor had to ______ Lucia’s leg. 9. Pedro went outside to _______ a cigarette.

4. What disease does Lucia have? 6. Diabetes affects blood ________. 8. Pedro smokes a cigarette because he felt a lot of _____. 10. _______ smoke is dangerous to the body. 11. Pedro and Daniella are at _____ for diabetes. 12. You can ______ the disease if you take care of yourself.


Discussion on Smoking, Diabetes, and Quitting Directions: The questions in this section can be used to initiate discussions between the students the instructor. The discussion can be integrated with the social identification activites. x x x x x x

How many of you know someone who has diabetes? (Integrate with social identification activity) How many of you know someone who smokes? (Integrate with social identification activity) How do you feel about smoking? Have you ever shared with someone the harmful effects of smoking? If you were a smoker and decided to quit smoking, would you go for help? If you or someone you know decides to quit smoking, do you know where to go for help?

Did you Know? People who get help quitting are twice as likely to quit.


Social Identification (FOR INSTRUCTOR ONLY) The social identification activity is designed to assist the students in identifying people within their social environment who either have diabetes or smoke. Directions: Write your name in the center circle. Fill in the other circles with words that identify different people you know who smoke OR have diabetes. Choose the social connection from the list provided. You may use the connection more than once, if necessary. Identify those who SMOKE

"

Aunt (Tia)

"

Classmate (Compa単ero de clase)

"

Cousin (Primo/a)

"

Coworker (Compa単ero de trabajo)

"

Friend (Amigo/a)

"

Neighbor (Vecino/a)

"

Uncle (Tio)

"

Other (Otro/a)

Classmate

Classmate

Friend !

! !

Friend

Cousin

ME

!

!

Other

Uncle !

!

Coworker !

!

!


Social Identification (Part I) Directions: Write your name in the center circle. Fill in the other circles with words that identify different people you know who smoke OR have diabetes. Choose the social connection from the list provided. You may use the connection more than once, if necessary. Identify those who SMOKE

!

!

! !

Aunt (Tia)

"

Classmate (Compa単ero de clase)

"

Cousin (Primo/a)

"

Coworker (Compa単ero de trabajo)

"

Friend (Amigo/a)

"

Neighbor (Vecino/a)

"

Uncle (Tio)

"

Other (Otro/a)

!

ME !

!

"

!

!


Social Identification (Part II) Identify those who have DIABETES

!

!

!

"

Aunt (Tia)

"

Classmate (Compa単ero de clase)

"

Cousin (Primo/a)

"

Coworker (Compa単ero de trabajo)

"

Friend (Amigo/a)

"

Neighbor (Vecino/a)

"

Uncle (Tio)

"

Other (Otro/a)

!

ME !

! !

!

!


Information on Smoking, Diabetes, and Quitting Directions: Share the following basic information on smoking and diabetes with the class. Links and additional information can be found under the “Additional Resources for Instructors� section that you may use to setup your lesson plan. ! ! !

!

People who are diabetic are two to four times more likely to suffer a heart attack or stroke. If that person is a smoker, that risk is multiplied. People who have diabetes and are smokers are more likely to develop nerve damage and kidney disease. They are three times more likely than nonsmokers to die of cardiovascular disease. They are also more likely to have higher levels of blood sugar, which will make it harder to control their diabetes. !

Tips to Quit Smoking! x ! x

Keep busy doing things that make it hard to smoke, like working in the yard, washing dishes ! and being more active. Fight the urge by going to places where smoking isn't allowed and staying around people who don't smoke.

x

Avoid situations that tempt you to smoke, like drinking coffee or alcohol.

x

Find a substitute for smoking a cigarette. Try a sugarless hard candy or gum. Drink water.

x

Remind yourself that you're likely to feel better if you stop smoking.

x

Tell family members and friends that you need to quit smoking and need their support. If your husband, wife, son or daughter smokes, ask them to quit with you.

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!

! ! ! ! !

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Additional Resources for Instructors Listed are additional supplemental resources that can be used to gather more information about smoking and diabetes. x

American Diabetes Association http://www.diabetes.org

x

American Heart Association http://www.americanheart.org

x

American Lung Association http://www.lungusa.org! !

x

Florida Literacy Coalition http://www.floridaliteracy.org! !

x

Florida Healthy Kids https://www.healthykids.org

x

Nemours http://nemours.org

x

The Office of Minority Health http://minorityhealth.hhs.gov

x

Florida QuitLine http://www.doh.state.fl.us/tobacco/quitline.html

Community health centers provide medical care to all members of a community, regardless of ability to pay. To find a community health center in your local area, go to The Florida Association of Community Health Center website at www.fachc.org, or phone (800) 456-8263. In addition, The Florida Department of Health (DOH) strives to promote, protect and improve the health of all people in Florida. Local County health departments provide local health services. To find a local health department in your area you can call (850) 245-4330 or go to www.doh.state.fl.us. !


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