921-Dones,+Dana

Dana Dones University of Rhode Island EDC/586-921 Final Deliverable May 4, 2010 Rn4mom1@aol.com

Lesson Plan

Introduction: This 3 weeks session is designed to educate current smokers on the detrimental effects of tobacco use and to develop the tools and strategies to become smoke free.

Goals:

1. To acknowledge that it’s hard to quite smoking, but it can be done and its worth it 2. To identify adult smokers participating in the class and the actions they can take to quit smoking 3. To identify factors that will help people quit. 4. To create a smoking cessation blog with weekly input 5. To sign a smoking cessation contract

Pre assessment questionnaire:

Why did you start smoking? How long have you been smoking? Have you ever been able to quit? If so for how long? What do you think it will take to help you quit smoking? Do you know anyone who has quite smoking?

Health Promotions Contract Prescription: //Quit smoking// For: __Date:__ _ Quit date: _ Just before your quit date: • Write down your personal reasons for stopping. Look at your list often. • Keep a diary of when and why you smoke. • Get rid of all of your cigarettes, matches, lighters and ashtrays. • Tell friends and family that you’re going to stop and what your quit date is. • Get the medication or supplements you plan to use. Name:_ • Practice going without cigarettes in places where you spend a lot of time, such as your home or car. On your quit date: • Stop smoking! • Ask your friends, co-workers and family for support. • Change your daily routine. • Avoid situations where you’d typically smoke. Avoid situations where you’d typically smoke. • Drink plenty of water. • Stay busy. • Do something special to celebrate. Right after you stop: • Develop a clean, fresh nonsmoking environment around yourself, at work and at home. • Try to avoid drinking alcohol, coffee or other beverages you associate with smoking. • If you miss the sensation of having a cigarette in your mouth, try carrot or celery sticks, flavored toothpicks or a straw. • Chew sugarless gum or mints to help with cravings. • Stay away from people who smoke. • Reward yourself for successes — one hour, one day or one week without smoking. • Start an exercise program. Additional recommendations:

Lesson 1

Objectives At the end of this lesson the audience will be able to: a. Understand the health risks of cigarette smoking b. Understand the benefits of smoking cessation c. Understand strategies to help quit smoking

A. Smoking cigarettes is a major cause of disease in the United States. It is responsible for over 4000,000 deaths each year in the U.S. Smoking also causes or dramatically contributes to heart disease, lung cancer, and chronic obstructive pulmonary disease. B. General effect of life expectancy. Smoking is a major cause of early death. Recent studies reveal that about half of all regular cigarette smokers will eventually be killed by their habit. People who quit smoking before age 50 have ½ the risk of dying over the next 15 years compared to those who continue to smoke. C. The recommended first step in smoking cessation is to pick a quit day. The quit date represents the date when you will completely stop smoking. The date ideally should be within two weeks or on a special occasion in the near future (e.g., birthday, anniversary, new years day).

Lesson 2

Objectives At the end of this lesson the audience will be able to:

a. Understand where to find help in coping with tobacco smoking addiction and resources b. Creation of an online blog will be started in this session. The name of the blog will be up to the participants to chose. (Differentiated instruction)

A. Tobacco cessation resources are available at: Your local clinic or hospital and these links. [|www.surgeongeneral.gov/tobacco]. []. [] B. The online blog will be incorporated into the lesson plan and participants will be required to log on once per day and post obstacles or any events that are related to their progress with their smoking cessation.

Lesson 3

Objectives: By the end of the lesson the participants will be able to: a. Identify some short and long-term withdrawal symptoms and/or some unpleasant symptoms they may experience after they stop smoking. b. Discuss preparation and strategies for smoking cessation and resources available c. Discuss relapse

A. Withdrawal symptoms, or unpleasant symptoms one may experience after they quit are common. They generally peak by day 3 and gradually subside over 3-4 weeks. Periodic cravings for cigarettes may occur over months. Short-term withdrawal symptoms, which most likely represent withdrawal from nicotine include: Sleeplessness Irritability Frustration and ager Anxiety Difficulty concentrating Restlessness Decreased heart rate Some people who quit smoking may experience mild depression. Depressive symptoms may be severe enough to require counseling or anti-depressant medication. The prevent relapse, recognition and treatment is vital. Report your symptoms to a health care provider for evaluation.

B. Preparation for smoking cessation :Two basic approaches to quitting smoking exists: behavioral and drug therapy. Behavioral therapy includes the identifying triggers to smoking, such as stressful situations, and ways to cope with these triggers, such as exercise or relaxation techniques. Group therapy, acupuncture, and hypnosis are also sometimes helpful.

Drug therapy, or pharmacotherapy, most commonly employs nicotine replacement or buproprion medication. Nicotine replacement therapy serves to minimize the symptoms of nicotine withdrawal. It appears to be safe although smoking while on nicotine replacement therapy is not recommended.

C. Relapse is common when trying to quit smoking. It takes most smokers several times to quit before achieving final success. Each quitting attempt is a victory. If you do not succeed. Learn from the difficulties you experience and try again. Consider trying different cessation techniques. Most relapses occur during the first week, when withdrawal symptoms are the strongest.

D. Each student will be assigned a sponsor who has successfully completed a smoking cessation class and is currently smoke free.