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Why Quit Using Tobacco?

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Why Quit Using Tobacco? Why Quit Using Tobacco ? We are here to help! AARC Tobacco-Free Lifestyle Roundtable As your health care providers, we can tell you the MOST important thing you can do for your health now and in the future is to stop using tobacco. PATIENT GUIDE TO SMOKING CESSATION Produced by members of the AARC Tobacco-Free Lifestyle Roundtable Jonathan Waugh PhD, RRT, Roundtable Chair Gaylene Lee MEd, RRT, TTS, Coordinator Michael Anders PhD, RRT Robert Fluck Jr MS, RRT Alisa French MBA, RRT-NPS, AE-C Jody O'Farrell RRT, AE-C, TTS-C Jan Salo-Korby RRT, AE-C Karen Schell MHSc, RRT-NPS, CTTS Steven Schroeder MD Jay Taylor RRT, TTS Laura Van Heest RRT, NCTAS Steven Nelson MS, RRT, AARC Liaison Copyright ARCF, 2010 Printing and distribution provided by ARCF through a patient education grant from Pfizer 1 TOP FIVE REASONS FOR QUI TTING 1. YOUR HEALTH • The two forms of COPD (Chronic Obstructive Pulmonary Disease), chronic bronchitis and emphysema, are high on the list of risks of smoking tobacco. These two diseases would diminish drastically if everyone stopped smoking. Smoking causes over 90% of all cases of COPD. • Smoking increases the risk of blood clots, which can lead to a heart attack or stroke. • Smoking makes it almost impossible to keep asthma under control. Each time a person lights up, it can trigger an asthma attack. • Smoking can lead to diseases of the blood vessels outside the heart and brain. Poor circulation can lead to the removal of toes, feet, and even parts of a leg. • Smoking decreases the amount of oxygen delivered to the body due to the presence of a gas called carbon monoxide (CO). Carbon monoxide is present in smoke from any source. People who die in a fire most often perish because of CO poisoning. When CO is in the blood, it takes the driver’s seat, and oxygen takes the back seat. As CO increases, oxygen decreases. As a result, people who smoke become increasingly short of breath. • If you have diabetes and use any form of tobacco, it may be very difficult to control your blood sugar. • If you use tobacco and have surgery, you may not heal as fast due to the nicotine and carbon monoxide in your body. • Burning tobacco produces more than 4,000 harmful chemicals, some 60 of which are known to cause cancer including, but not limited to, these organs: • Lung: Ninety percent (90%) of all lung cancer is due to smoking. – Lung cancer is the number one cancer killer for both men and women. • Mouth, larynx (voice box), pharynx, and esophagus (the tube that takes food from your mouth to your stomach) • Pancreas, kidney, stomach, and bladder • Heart Smokeless tobacco contains more than 2000 harmful chemicals, 28 of which cause cancers including the following: • Lips, tongue, cheeks, gums, and the top and bottom of the mouth • Pancreas • Esophagus Other health problems associated with smokeless tobacco are: • Gum disease • Sores in the mouth • Tooth decay • Wearing down of teeth • Heart Attack • Possible diabetes and heart disease • Increase in Cholesterol NOTE: People often get most upset about cancers found in the area of the mouth because surgery may cause many changes in how a person looks 2 2. HEALTH OF FAMILY AND FRIENDS Secondhand smoke and thirdhand smoke are very dangerous and can kill. Secondhand smoke comes in two forms – sidestream and mainstream. Sidestream smoke comes from the burning end of a cigarette. Mainstream smoke is the smoke exhaled by a smoker. NOTE: There is no risk-free level of tobacco smoke. Until a person is Even brief exposure is unhealthy. ready to quit smoking, he or she Some of the health consequences resulting should at least from inhaling secondhand smoke are: make the home and car smoke free • Lung cancer for the health and • Asthma safety of family and friends. Using • Heart disease tobacco in any form around • Colds and flu children can • Ear infections in children increase their risk of taking up the • SIDS (Sudden Infant Death Syndrome) habit later in life. • Learning disabilities in children • Smaller birth-weight babies and increased risk of death Thirdhand smoke is what clings to a person's clothes, hair, furniture, drapes, and carpeting. Some particles are cancerous and even radioactive! Infants and children who are being held or who are on the floor or furniture may ingest these dangerous particles. A study on second hand smoke and its effects can be found at: www.jointogether.org/news/research/summaries/2009/ secondhand-smoke-a-killer.html Summary: The report, requested by the U.S. Centers for Disease Control and Prevention (CDC), said there is no safe level of exposure to secondhand smoke, and that people with heart conditions could risk heart attacks with less than an hour's exposure to environmental tobacco smoke, which restricts blood vessels and increases clotting. 3 3. MONEY YOU WILL SAVE! All forms of tobacco are expensive. You will also have savings from damage caused by smoking – the burns in furniture, rugs, upholstery, and clothing. Add to that the money saved on cleaning bills for your clothing, house, and car. Use the example below to find out how much money you will save after you quit smoking. AFTER SAVED 1 day . $5 Prices are based on an average of $5.00 per pack. 1 week . $35 The cost of a pack of 1 month . $150 cigarettes may differ, 1 year . $1,820 depending on where 10 years . $18,200 you buy them. 20 years . $36,400 4. RETURN OF PLEASURE FROM EATING Smoking decreases the senses of taste and smell. For many people, this results in their adding more salt and sugar and in eating more fatty foods to improve the taste of the food. 5. LOOK BETTER AND SMELL BETTER Tobacco in any form stains teeth and results in bad breath. It also leaves the odor of smoke in clothing and hair. List the reasons YOU want to quit using tobacco. __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ 4 WHAT IS TOBACCO? Tobacco is the leaf of the tobacco plant (Nicotiana) that is harvested and dried but never cleaned. Tobacco comes in two forms, smokeless and smoking tobacco.Smokeless tobacco is available as chewing tobacco and snuff. Smoking tobacco is available as cigarettes (the most common form), cigars, pipes, bidis, kreteks, hookahs, and self-rolled cigarettes. Tobacco and the additives in tobacco are the killers NOT the nicotine. Cigarette manufacturers closely guard the list of hundreds of additives, many of which are toxic, used in the manufacturing process. WHAT IS NICOTINE? Nicotine is found in the tobacco leaf and can kill at high doses. In fact, nicotine has been used to kill insects on plants. The amount of nicotine in tobacco will not kill you, but it will enslave you by causing addiction. Some researchers believe nicotine is the most addictive drug, even more addictive than heroin, cocaine or alcohol. The two forms of nicotine are bound (pure) and free. In order for the body to use nicotine more quickly, the bound nicotine is freed by adding ammonia, a chemical used to clean a house! The amount of ammonia used is different for each type of tobacco. WARNING: Although a toxic dose of nicotine in children has not been established, it is estimated that symptoms may start as low as 1 mg of nicotine, and death may occur at 1 mg/kg of nicotine. WHAT IS NICOTINE ADDICTION AND DEPENDENCE? When the brain receives the free nicotine, the tobacco user gets a “kick.” You may have heard people say, “It is all in your head!” It really is in your head but not in the way people usually describe it. When people use tobacco, nicotine enters the blood stream and travels to the brain causing a release of chemicals that deliver the “kick.” It takes about 10 seconds for nicotine from cigarettes to reach the brain and deliver the “kick.” The amount of time varies with each form of tobacco. Nicotine causes changes in the brain that can lead to addiction and dependency. Changes can occur very quickly in some people, even after smoking the first cigarette. As nicotine levels decrease in the brain, withdrawal symptoms cause the brain to ‘scream for more nicotine.’ Unfortunately, because of the cycle of addiction, people feel like they have to smoke again to get rid of the symptoms. Over time, most people start needing more and more nicotine to get the same response. This results in more frequent use of tobacco or in changing to a stronger type of tobacco to feed the addiction. The addiction starts to rule the person’s life. Some people do not use tobacco daily, but still cannot quit. If a person is not able to quit using tobacco, he or she is ADDICTED ! 5 CHEMICALS RELEASED BY NICOTINE AND THE EFFECT ON THE BODY Dopamine (dope-a-mean) Dopamine excites the reward center of the brain and causes feeling of pleasure and calm. It causes people to think, “I can make it through the night.” It also gives a person that “aaah” feeling. Dopamine is what brings you back for more because it makes you think, “If I use tobacco, I will get a reward!” Adrenalin (a-dren-a-lin) Adrenalin gives the “fight or flight” feeling known as the “adrenalin rush.” Another example of adrenalin rush is when you are scared or excited. Your heart rate, breathing, blood pressure, and sugar level quickly rise. In addition, your blood vessels constrict or become smaller. NOTE: If you are a diabetic, you will have more difficulty controlling your blood sugar when using tobacco.
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