Smoking Cessation Smoking is one of the most preventable causes of death and disease in the United States. Ratchford and Evans states, “On average, smokers die 10 years earlier than non-smokers, and smoking causes almost one in every five deaths in the United States” (2016). Smoking can cause many risk factors that predisposes smokers to serious health conditions. According to Mospan (2016) some of the major risk factors for smoking are cardiovascular disease, lung disorders, cancer and diabetes mellitus. Although the risk factors of smoking are well known, smoking cessation interventions are rarely seen as a priority amongst patients. This topic was selected because smoking cessation can avert several comorbidities and improve patient
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The screening can be done using a Fagerstorm Test for nicotine dependence. This test is a measurement that calculates the amount of time a patient wait to smoke after awakening (Chaney & Sheriff, 2012). Nurse practitioners should complete a history and physical on these patients during the primary care setting. Family history and past medical history of heart disease and cancers should be noted. In addition, the patient should be assessed for present illness and the number of times the patient has attempted to stop smoking. After collecting the data above, the nurse practitioner should find individualized smoking cessation intervention therapies. Studies also show that a patient receiving counseling from a nurse practitioner in addition to NRT are two times more likely to quit smoking (Chaney & Sheriff, …show more content…
With the use of counseling and nicotine replacement therapy the patients will be more adherent to treatment. In this study there will be two groups. The intervention group will only receive NRT for six months. The comparison group will receive NRT and counseling for six months. The counseling will be done twice a week with a nurse practitioner. According to Chaney and Sheriff (2012) “Smokers are four times more likely to quit if they are given behavioral/counseling support”. During these counseling session the patients will be taught coping skills, stress reduction techniques, healthy behaviors, relaxation techniques and NRT adherence. The participants will also be taught how to decrease their urge to smoke by participating in nonsmoking activities. Within this counseling their will be random nicotine urine test to measure
The screening can be done using a Fagerstorm Test for nicotine dependence. This test is a measurement that calculates the amount of time a patient wait to smoke after awakening (Chaney & Sheriff, 2012). Nurse practitioners should complete a history and physical on these patients during the primary care setting. Family history and past medical history of heart disease and cancers should be noted. In addition, the patient should be assessed for present illness and the number of times the patient has attempted to stop smoking. After collecting the data above, the nurse practitioner should find individualized smoking cessation intervention therapies. Studies also show that a patient receiving counseling from a nurse practitioner in addition to NRT are two times more likely to quit smoking (Chaney & Sheriff, …show more content…
With the use of counseling and nicotine replacement therapy the patients will be more adherent to treatment. In this study there will be two groups. The intervention group will only receive NRT for six months. The comparison group will receive NRT and counseling for six months. The counseling will be done twice a week with a nurse practitioner. According to Chaney and Sheriff (2012) “Smokers are four times more likely to quit if they are given behavioral/counseling support”. During these counseling session the patients will be taught coping skills, stress reduction techniques, healthy behaviors, relaxation techniques and NRT adherence. The participants will also be taught how to decrease their urge to smoke by participating in nonsmoking activities. Within this counseling their will be random nicotine urine test to measure