tobacco cessation ppt

8/3/2019 Tobacco Cessation Ppt

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TOBACCO

CESSATIONPresented By

Mrs. Sivalakshmi .M.sc (Nsg)

Lecturer


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STATE TOBACCO CONTROLCELL DIRECTORATE OFPUBLIC HEALTH &PREVENTIVE MEDICINE

GOVERNMENT OF

TAMILNADU


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THEMEFRAMEWORK

CONVENTION ON

TOBACCO CONTROL


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INCIDENCE

Globally . tobacco kills -5.4million people every year


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>80% of the death occur due totobacco usage

India 8-9 lakhs death

40% cancers due to tobacco


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TOBACCO TYPES

TOBACCO TYPES

Smokedigarettes,beedies)

Inhaled(snuff)

Chewed(gutka,khaini,etc)


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CONSTITTUES OF TOBACCO

SMOKE


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EFFECTS OF TOBACCO

Tobacco kills in three

main ways..


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Cancer of lung , liver , oral cavity ,throat, larynx, pancreas and stomach,

oesophagus.
http://www.google.com/imgres?imgurl=http://www.glogster.com/media/3/14/28/6/14280669.jpg&imgrefurl=http://tylerm.glogster.com/stomach-cancer/&usg=__3WrnUMMzYzuXbfex0NDlCQF4Dv4=&h=375&w=500&sz=18&hl=en&start=1&zoom=1&itbs=1&tbnid=P5EqblxHdRY9rM:&tbnh=98&tbnw=130&prev=/search%3Fq%3Dcancer%2Bin%2Bstomach%26hl%3Den%26biw%3D1174%26bih%3D435%26gbv%3D2%26tbm%3Disch&ei=Z8YATqL3LMmurAeBkqGqDQhttp://www.google.com/imgres?imgurl=http://www.cancersocietytt.org/wp-content/uploads/2010/04/Lung-Cancer.jpg&imgrefurl=http://www.cancersocietytt.org/lung-cancer.html&usg=__kVuInA5Cy1L7FjqidCxm785vgVc=&h=522&w=650&sz=172&hl=en&start=1&zoom=1&itbs=1&tbnid=UFDO02mpgYV3rM:&tbnh=110&tbnw=137&prev=/search%3Fq%3Dcancer%2Bin%2Blung%26hl%3Den%26biw%3D1174%26bih%3D435%26gbv%3D2%26tbm%3Disch&ei=RMYAToW_DsrirAfx7sSTDQ


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Cardio-vascular diseases (IHD,stroke).
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Respiratory disease (COLD ,bronchitis,pneumonia)
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.and is linked over 50

conditions.

Such us Impotency

Lower fertility

Birth defects in children

Blindness

Brain shrinkage

Immune system impairment
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Decreased lung function

Osteoporosis

Reduced sperm count

Tuberculosis Increased sperm abnormalities

DepressionHearing loss and so on..
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14/59

STAGES OF DEVELOPMENT OF

ADDICTION

Forming attitudes and beliefs abouttobacco

Trying tobacco

Experimenting with tobacco

Regularly using tobacco

Becoming addicted to tobacco This process generally takes about 3

years.
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hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DAhttp://www.google.com/imgres?imgurl=http://trialx.com/curetalk/wp-content/blogs.dir/7/files/2011/05/diseases/Cardiovascular_Diseases-1.jpg&imgrefurl=http://trialx.com/curebyte/2011/05/22/cardiovascular-diseases-photos-and-a-listing-of-clinical-trials/&usg=__2LQpwrBfci-fsRW2GxyWM1c5iaA=&h=362&w=365&sz=95&hl=en&start=7&zoom=1&itbs=1&tbnid=RJQqvq7gXjOf-M:&tbnh=120&tbnw=121&prev=/search%3Fq%3Dcardiovascular%2Bdisease%26hl%3Den%26sa%3DX%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=08YATr3RBs3wrQfRutT9DA


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The addiction triangle to assess

treatment needs

behavioral

Physical psychological
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16/59

BEHAVIORAL:

(habit training)

1.change routine2. break use patterns

3. find substitutes
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17/59

Physical stimulation

tension reduction

Craving

1. NRT2. exercise

3. relaxation therapy
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Psychological pleasurable relaxation

tension reduction

craving

1. relaxation2.Excecise

3. thought stopping

4. stress management
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BENEFITS OF QUIT SMOKINGAFTER 20 MINS--- Heart rate & blood

pressure comes to normalAFTER 8 HOURS---CO level comes to

normal

WITHIN 2 to 3 WEEKS circulation willimprove lung function increases upto30% .

WITHIN 6 to 9 MONTHS--- experiencesless coughing, sinus congestion, less

tiredness and shortness of breath.

O
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istant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQ


20/59

AFTER ONE YEAR----risk of coronaryheart disease is reduced to 50%.

AFTER 5 YEARS---- stroke risk isreduced

AFTER 10 YEARS--- cancer risk is

reducedWITHIN 15 YEARS ----- your risk of dying

from a heart attack is equal to a person

who never smoked
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COMPREHENSIVE MULTI

COMPONENT STRATEGY

1.Education

2.Legislation demand

3.Regulation reduction

4.Enforcement tobacco

5.Taxation control

6.Other fiscal measures supply

7.Economic alternatives reduction

8.Support for cessation

9.Community mobilization
http://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQhttp://www.google.com/imgres?imgurl=http://ateneocord.org.ph/wp-content/uploads/2010/03/training.gif&imgrefurl=http://ateneocord.org.ph/2010/03/training-assistant-development-program-april-15-16/&usg=__LOEcKRi-vt0ROr4kJsyFujjsu5w=&h=596&w=480&sz=11&hl=en&start=2&zoom=1&itbs=1&tbnid=DnQjhkzaCfNp2M:&tbnh=135&tbnw=109&prev=/search%3Fq%3Dtraining%26hl%3Den%26gbv%3D2%26biw%3D1174%26bih%3D435%26tbm%3Disch&ei=HcgATrXmLMrorQfyuqmWDQ


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SOLUTIONS TO THE PROBLEM:ASK about tobacco use

ADVICE to quit

ASSESS commitment and barriers tochange

ASSIST users to committed to change

ARRANGE- followup to monitor

progress
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