Tobacco Documents Online

{ { l i PATIENT INFORMATION Are you addicted to nicotine? Take this test to find out. 1. 2. 3. QUESTIONS How soon after you wake do you smoke your first cigarette? Do you find it difficult to refrain from smoking in places where it is forbidden, eg, at the library, in Church, at the theater, etc.? Which cigarette would you hate most to give up? How many cigarettes a day do 4. you smoke? Do you smoke more frequendy during the 5. first hours after waking than during the rest of the day? Do you.sinokc when you are so il1 that you 6. are in bed most of the day? ANSWERS POINTS Within 5 minutes 3 6-30 minutes 2 Yes 1 No 0 The first one in the morning 1 All others 0 10 or less 0 11-20 21-30 2 31 or more 3 Yes 1 No 0 Yes 1 No 0 s I What is a psychological addiction? A majority of tobacco users are not only addicted to nico- tine, they're also dependent on tobacco products because of the way the products make them feel emotionally. Cigarette smoking gives many people energy or, alterna- tively, relaxes them; many find handling tobacco products to be pleasurable or tension-releasing; and many smoke because it's simply a habit, like brushing their teeth - they may not even notice they're doing it A quarter of smokers say they smoke because it pushes away negative emotions or increases positive emotions.z What is a "hard-core" smoker? A hard-core smoker is someone who smokes more than 25 cigarettes a day; today, there are about 12 million heavy smokers in the United States. Hard-core smokers typically are.addicted both physically and psychologically to smoking. That means their bodies need nicotine to function normally, and their minds need tobacco prod- ucts to feel good. Such people find it hard to go for long periods of time without smoking and are highly likely ro reach for a cig3rette first thing in the morning: They also experience more difficulty quitting andoften need help and support to break their habit.4 S ® 2023668658 I f you score four points or more on this test, you may very well be addicted to nicotine. For assistance in quitting smoking, consult an oral bealth pro fessiorral or physician about breaking nicotine addiction. Rcf&cow L. htarioa Mwrdl Dow pea Masq Q.us Hdps SwoEYS Detuwa.a ase Yor.tAdiaed w. Hioooind S1mokug casari0n pm Mdc+6e- !lvhat is Nicotine Addiction? Ntcotine is a chemical with a powerful ability to affect the heart rate, blood pressure, the brain, and other important body fiwaions. With continued use of nicotine products, the brain and nervous system become dependent on the presence of this chemical in your system to function nor- mally. This is called addiction - and about 90% of all smokers are physicallyy addicted to nicotine.'-1 Because they need nicotine, when they stop using tobacco products, stnak-dtoften will experience withdrawai symptoms, such as intense cigarette cravings, sleep disturbances, irritability, increased appetite, and the like.2 How does nicotine addiction fit into the other addictions? Many tobacco users who are addicted to nicotine also are dependent on other chemicals, such as caffeine, sugar, .t alcohQl,.cocaine,.or: marijuana..It is also possiblk to. _. ._ .: become addicted to certain behaviors, like the high one can achieve when winning at gambling or from overexer- cising or from spending large amounts of money- One addiction may serve as the "gate%vay" to other addictions: when one addiction appears under control, another may occur, or multiple addictions may occur together. It appears that these addictions deyelop as a result of both inherited qualities and in response to everits in.a person's life.43

THE FOUR AWM ~ S3, l~idvise patients to stop. smoking PATIENT PROGRESS CARD NAME: PHONE (OFFICE) CONTRAINDICATIONS TO NICOTINE THERAPY SMOKING HISTORY (BRAND) Arrange follow-up services for patients PHONE (HOME): DATE OFBIRTH• - No. OF YFaRs MOSr RECFrrr No. OF QU1T ATfEmYiS IANGEST PAT)INRS RESPONSE FOR Q(ATI7NG SMOKING CATEGORY ID: 0 NOT Qd7FRFSZFD 0 LATF1t, R7rERFSCFD IN FcrivRE (] UNCTRTABN AT'rHI5 TIME QurrrQrG mN"r EASY. And stop-smoking efforts won't work unless you're really motivated to kick the habit and improve your health. But once motivated, there are a host of techniques, programs, and even drug products that you can use to help you stop smoking. Here's a sampling of techniques compiled by the .,- American Lung Association, all of which help smok- ers to overcome their urge to smoke. Group Programs Joining with others to quit smoking can be highly effective. Group programs are offered by many different organizations (both non- profit and for-profit): the YMCA, local hospitals, physicians, dentists, the American Lung Association, the American Cancer Society, and other groups. ' Hypnosis This technique works well for many people and is offered by licensed psychiatrists, . psychologists, and social workers. Live-i n Programs Hospitals and health resorts offer programs where you can go through an inten- sive stop-smoking program while staying at the facility. Nicotine Gum .or-Patch T'hese prescription prod- ucts provide your body with nicotine, so they reduce your urge to smoke. Physician/Dentist's Advice As your partners in health care, these professionals can be significant sources of support and information as you quit smoking. Ask your patients about tobacco use Mssist patients in efforts to quit Adapad wib Pa>+.is~iow fmn+Rqfnea+lts4.. Self-help Approaches If you want to try to stop smoking on your own, there are many books, audio- tapes, videotapes, and informational booklets available to help you.'Ihe American Cancer Society and - American Lung Society each offer self-help programs. . Q INTFRESTFD IN SMOlQNG PROGRAM 0 QUrr Reasons to Quit` • Long-term risks of cancer, heart disease, and lung disorders ' • Stained, yellow teeth, bad breath, gum disease • Cigarette odor on clothes, hair, and skin • Cough, raw throat •• Faster hearr rate, higher blood pressure • Risk of ulcers • Risk to others from passive exposure -- to your smoke ' • Risk of fires • Cost of tobacco products • Wrinkles • Risk of damage to unborn children (if you smoke while pregnant) :• Saiting a•poor example for others . Rdac.= 1. M.rioa Mn.dl Do....Camwon Qvest;ons ea. Nicodse Addiaiow a.d Snwo4;nt c- Uri:aq N:cwns w,eLJr.n,d Tbenpp. Smoluns C- P- w-kaa- 2. A &woknq Cewtio• Projrmw for t8e Dowtl Offioe. Ldi•oapalit, lok 4d'uea Uni.asiry sc6od o! Dt.u:ary; 1990:11-14. 3. Ch~e JA. GLe6xn AGCambined Tobacco and Aloohd AdNiaias A 14omtypie Faem . oE *olydnogAbure. Indu.ulwlis, lok Indun. Uni.=s:.Y.Selrool oE Dautiarq; Jww1992 4.' CheW. AG, OS.aorn JA. N~oodne addicooa.nd Iw.y amokeez tbe aest •Ir«"' '.a .+eokogoemdon. Hsdrb Va4az 1989;13(0-29-33. S. Sewk'inF SiePs to bely yor b.m4 ibe babit Ameriean Aodeany of Famly P.hlsidans.... 6. A Gride lo Yorr OyGons. Amaicsn Lun; Associarioa._ 2023668659