ARISE Nursing Newsletter May 2018

ARISE NEWSLETTER ISSUE 14 | MAY 2018

INSIDE THIS ISSUE

INTRODUCTION

CAMPAIGN AIM

HELPING PATIENTS TO QUIT

SMOKING ROLE OF NURSES

INTRODUCTION A dirham for a stick, a minute to relax, one puff at a time.

However, even just one puff of tobacco is harmful to the body; just one puff can be enough to get a person hooked. This addictive habit can put a person at risk of coronary heart disease, stroke, and peripheral vascular disease.

Every year, on 31 May, WHO and partners mark World No Tobacco Day (WNTD), highlighting the health and other risks associated with tobacco use, and advocating for effective policies to reduce tobacco consumption. The focus of World No Tobacco Day 2018 is "Tobacco and Heart Disease”.

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ARISE Newsletter | May 2018

CAMPAIGN AIM The campaign aims to: Highlight the links between the use of tobacco products and heart and other cardiovascular diseases.

Increase awareness within the broader public of the impact tobacco use and exposure to second-hand smoke have on cardiovascular health.

Provide opportunities for the public, governments and others to make commitments to promote heart health by protecting people from use of tobacco products.

Encourage countries to strengthen implementation of the proven MPOWER tobacco control measures contained in the WHO FCTC.

SAVE

It !

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HELPING PATIENTS TO QUIT SMOKING Here are some ways to help your patient quit the addictive habit of smoking: A. Educate your patients regarding the risk from smoking emphasizing the dangerous effects to the heart.

B. Advised your patients on the economic impact of tobacco use Tobacco smoking takes away not just the smoker’s health but wealth. It is estimated that 5-15% of a smoker’s disposable income is spent on tobacco, which could be an enormous economic burden on them and their family. You can use the cost calculator below to help patients find out how much money they have spent on cigarettes.

The Smoking Cost Calculator Number of packs you smoke a year*

X

Number of years you have smoked

Be Heart Healthy

The average cigarette pack price

X

=

How much you have spent on cigarettes during your lifetime

*: For day to year conversion, see below table

1 pack a day 365 packs a year

1 ½ packs a day

2 packs a day

3 ½ packs a day

3 packs a day

548 packs a year 730 packs a year 913 packs a year 1095 packs a year

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ARISE Newsletter | May 2018

C. Counsel your patients about the social consequences of tobacco use Smoking affects social interaction and relationships negatively. In most cultures, people see smokers negatively. There is a stigma attached to smoking (for example, people may think the smoker is smelly, disgusting/dirty, unhealthy). As a smoker, their personal relationships may be affected because many people don’t consider being in a relationship with a smoker. As a smoker, their children are more likely to smoke and to be heavier smokers at young ages.

D. Emphasize to your patients the benefits from smoking cessation Time Since Quitting Within 20 minutes 12 hours

Beneficial health changes that take place The heart rate and blood pressure drop.

The carbon monoxide level in the blood drops to normal.

2-12 weeks

Circulation improves and lung function increases.

1-9 months

Coughing and shortness of breath decrease.

1 year

The risk of coronary heart disease is about half that of a smoker.

5 years

Stroke risk is reduced to that of a non-smoker 5 to 15 years after quitting.

10 years

The risk of lung cancer falls to about half that of a smoker and the risk of cancer of the mouth, throat, esophagus, bladder, cervix, and pancreas decreases.

15 years

The risk of coronary heart disease is that of a non-smoker’s.

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E. Learn the ABC approach to help our Patients Quit Smoking The ABC approach is a simple and easy-to-remember aid for busy nurses who have only 1 to 3 minutes to initiate the subject of tobacco use cessation.

ASK - and document status of tobacco use for every patient.

“Do you smoke or use any other forms of tobacco?” For patients who smoke or have recently stopped using tobacco, the tobacco use status should be checked and updated on a regular basis.

Systems should be put in place to ensure tobacco use status is documented at each visit.

BRIEF ADVICE - to stop tobacco use for every patient who uses tobacco regardless of intention to quit. Brief advice appears to work by triggering a quit attempt. Advice can be strengthened by linking it to the smoker’s existing tobacco-related medical condition.

Cessation Referral - Cessation support for every patient who expresses the intention to quit.

For tobacco users who are willing to quit: Refer to a Smoking Cessation Clinic. For tobacco users who are not willing to quit: Ask for their reasons for not wanting to quit.

Reinforce the advantages and acknowledge the disadvantages.

Provide information on smoking leaflets and smoking cessation services if they are agreeable, in case they change their mind about quitting in the future.

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ROLE OF NURSES Nurses play an important role in raising the issue of smoking cessation with patients since nurses make up the largest proportion of healthcare workers, and their role putsthem in contact with patients in a wide range of settings.

Every nurse should consult their patients about giving up smoking. This is an important public health role but in order to fulfil it, nurses need to have an understanding of the motivations and barriers that underpin smoking cessation. Furthermore, nurses need to know the options available to support the patient. This review provides an overview of the stages and motivations behind smokers' intentions. It aims to increase the knowledge of nurses and provide them with a greater understanding of the issues which smokers face. This review identified smoking cessation as a continuum. Nurses can help patients to educate on adverse effects of smoking and can provide balanced perspective on the challenges they might face during the process of quitting.

References:

http://www.who.int/tobacco/quitting/benefits/en/ http://www.searo.who.int/maldives/documents/tobacco-cessation-toolkit.pdf?ua=1 http://www.searo.who.int/maldives/documents/tobacco-cessation-toolkit.pdf?ua=1 http://www.moh.gov.bn/SiteCollectionDocuments/Downloads/GUIDELINES/Smoking%20Cessation%20Guideline.pdf

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Don’t Forget

UHS Medical Times 1

Newsletter | May 2018

To Check UHS Medical Times For

May

HYPERTENSION THE SILENT KILLER

This

WHAT IS HYPERTENSION? Each time your heart beats, blood is pumped through your arteries and veins, the blood vessels of your circulatory system. Arterial blood pressure is created by the force exerted by the blood against the artery walls, as they carry blood around your body.

Hypertension refers to a persistent elevation of arterial blood pressure.

Hypertension, also known as high blood pressure, is when the pressure of the blood being pumped through your arteries is higher than it should be.

High blood pressure, or hypertension has been called the "silent killer", because it often has no warning signs or symptoms, and many people do not even know they have it. Over time, the constant pressure overload causes accumulating damage that eventually becomes more than your circulatory system can handle, often leading to serious health problems.

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We Would Love to Hear

edition

brings attention on Hypertension which is becoming a common health concerns in developed countries. The changing lifestyle and food habits has contributed to the rise of hypertension cases among the younger population of the region.

This month’s edition discusses the signs indicating hypertension and how individuals can avoid it.

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