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PATIENT INFORMATION
PATIENT INFORMATION
PATIENT INFORMATION
PATIENT INFORMATION
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INFORMATION PATIENT INFORMATION PATIENT INFORMATION PATIENT INFORMATION PATIENT INFORMATION
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PATIENT INFORMATIONI
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How to stop smoking: a self-help guide
A collectable guide for you to use with your patients
s
Think positively – concentrate only on
the benefits
s
Take it one day at a time. Reward
yourself daily
s
Ask a friend to stop with you and help
each other
s
Ask your doctor about using nicotine
replacement therapy or bupropion
(Zyban) to reduce withdrawal symptoms
s
Call the free NHS smoking helpline on
0800 169 0 169 for information and
support
s
Keep busy, start a new hobby or finish
a project
s
Count the money you save. Treat yourself
to something special
s
Don’t smoke ‘just one’ cigarette – it will
set you back
NHS smoking helpline 0800 169 0 169
(7am-11pm daily)
Corbis Stockmarket
This free and friendly service can provide
you with an information pack and details of
your local NHS stop smoking services. At
certain times, senior advisers are available
who can talk about your situation and give
you advice to stop smoking.
It is never easy giving up smoking, but it is
always worthwhile. People who prepare for
change are the most successful. Ask your
nurse or doctor how stopping smoking will
benefit you.
Visit the NHS quitting smoking web site at
www.givingupsmoking.co.uk
Smoking questionnaire
How long have you been smoking?
To become a non-smoker you will need to:
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Understand your reasons for smoking
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Really want to stop and know why you do
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Put time into planning the attempt to stop
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Know what to expect when you
stop smoking
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Be able to manage withdrawal symptoms
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Have support from other people
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Plan ahead for difficult situations
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See yourself as a non-smoker
___________________years
How much does smoking cost you annually?
£____________________
What else could you do with that money?
Are you ready to stop smoking? Fill in the
columns below:
What I enjoy about smoking
1.
2.
Top tips for stopping smoking
s
Pick a ‘quit date’ that will be as
stress-free as possible
s
Plan before you stop how you will cope
without smoking
3.
4.
5.
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Nursing Standard January 2 2002 Volume 16 Number 16
PATIENT INFORMATION
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1
How to stop smoking: a self-help guide
Why I want to stop smoking
1.
2.
3.
4.
5.
Study your answers. Do you want to stop smoking now?
Yes
s
No
s
Maybe
s
IPATIENT
INFORMATIONI
Weight gain
Not everyone puts on weight and the average increase after
a year is quite small. The reasons for weight gain are:
s
Appetite often improves when nicotine leaves the body
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Food tastes better after stopping smoking
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Smoking is replaced with snacking or eating sweet things
Any weight gained will be a small health risk compared to
smoking. If you eat carefully and keep active, you will find it
easier to control your weight gain.
If yes/maybe, carry on. If no, keep your answers and return
to them when you are ready to quit.
Withdrawal symptoms
People often return to smoking because of the withdrawal
symptoms they experience when they stop. These are
different for everyone and are caused by nicotine leaving the
body. They are signs that the body is starting to recover. The
most common symptoms are cravings, coughing, sleep
disturbances, hunger and changes in bowel movements.
Most people do not have all of these and some have none.
Getting ready to change
To help you prepare to stop, make a list of when you smoke
the most, for example, at times of stress. Think of ways to
handle these situations without a cigarette. Old habits take
time to change. Practise new ones before your quit date, for
example, talking to a friend at times of stress, rather than
lighting up.
Nicotine replacement therapy
Nicotine replacement therapy (NRT) can double your chances
of success when you try to stop smoking. NRT reduces
withdrawal symptoms, letting you concentrate on breaking
the habit of smoking. It is safer than cigarettes and does not
contain chemicals, tar and carbon monoxide or cause cancer.
NRT includes patches, chewing gum, lozenges, nasal sprays
and inhalators, which are all equally effective. Your doctor
can supply NRT on prescription. It is also sold in supermarkets
and chemists. For the best results, NRT should be used for
ten to 12 weeks at the dose recommended. Follow the
instructions and, if in any doubt, seek medical advice.
Planning other ways of coping
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It will be easier if you’ve planned in advance for difficult
times. Ask yourself:
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When do you smoke the most?
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Why do you smoke then?
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What will you do instead when you stop?
s
Use the answers to help you plan your first smoke-free days.
Make a commitment
My quit date will be: __________________________________
The people I will ask for support are: ____________________
____________________________________________________
The rewards I will give myself for stopping after one day,
one week and one month are:__________________________
____________________________________________________
Bupropion hydrochloride (Zyban)
Zyban is a tablet. It reduces withdrawal symptoms and the
desire to smoke. It is available only on prescription and you
must see your doctor to find out if it is suitable for you. A
course lasts two months with the stopping date set on day 11.
Some people cannot take Zyban so it is essential that
you tell your doctor your full medical history.
Preparing for the quit date
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Put your reasons for stopping smoking on a card to carry
with you
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Check your diary for ideas on handling the first days
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Practise changes. If you cannot think of alternatives,
spend more time preparing. Being unprepared can result
in relapse
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Ask your doctor, nurse or pharmacist for advice on
stopping smoking. Find out if nicotine replacement
therapy is suitable for you
s
Get details of your local NHS ‘stop smoking’ services from
NHS smoking helpline (0800 169 0 169)
Emergency advice
If you have a cigarette, make a decision to stop again
immediately. Throw away any remaining cigarettes. Call the
NHS smoking helpline on 0800 169 0 169. Try to change
the situation you’re in, if you think it’s adding to the
pressure to smoke. Remember why you want to give up. Be
patient with yourself, it takes time.
Jennifer Percival
Royal College of Nursing tobacco education project
Nursing Standard January 2 2002 Volume 16 Number 16
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