S M O K I N G C E S S AT I O N I N

PAT I E N T S W I T H C O P D

Tori McCormick
 OBJECTIVES

 Identify the risks and

complications of smoking to
patients with COPD
 Identify non pharmacologic
interventions to promote smoking
cessation
 Promote resources for patients to
receive help and support
  Smoking is the most preventable cause of death in the United States

 Approximately one-third of deaths from coronary heart disease are related

SMOKING to smoking and secondhand smoke

C E S S AT I O N  Smoking cessation has significant health benefits for men and women of all
ages, especially those who have been diagnosed with COPD
BEYOND THE • Even after being diagnosed with COPD, smoking continues to damage
BASICS the lungs and trigger COPD exacerbations which can be life
threatening

 The sooner the cessation occurs the greater the benefits

  Cigarettes are made up of:

KNOW • 1,3-Butadiene
• A chemical used in the manufacturing of rubber, that is attributed to

YOUR • Arsenic
specific blood cancers

SMOKE •
•
Benzene
Linked to lung, skin, liver and bladder cancers

• Attributed to causing leukemia

• Cadmium
• Used in the production of batteries; and is associated with with
kidney and prostate cancer.
• Chromium VI
• Associated with cancers of the nose, nasal sinuses, and lungs
• Formaldehyde
• Causes leukemia and cancer in respiratory tissues
• Polonium-210
• Shown to cause cancer in animals
• Tar
CUTTING SMOKING  By smoking cessation, patients reduce the risk of
CUTS RISKS • Cardiovascular disease
• Cancer
• Respiratory complications
• Osteoporosis
• Peptic ulcer disease
• Friends and families’ risk of disease from
second-hand smoke
 NON
PHARMACOLOGIC
I N T E RV E N T I O N S

 Avoid triggers such as stress, social gatherings, bars

 Get physical
• COPD may inhibit strenuous exercise, but when a craving
begins go for a walk or complete a physical activity
 Postpone
• Setting a goal of when to smoke or thinking I may smoke in 20
minutes and delaying as long, as possible may be beneficial
 Remind yourself of the benefits
 Call and emotional support person
 Self help programs
 Behavioral Therapy
 Exercise programs
 PUT IT OUT FOR GOOD
 Support Systems Available;
• 1-800-QUIT-NOW
• Available in Spanish, Mandarin, Cantonese, Korean, and Vietnamese
• The National Cancer Institute Quitline 1-877-448-7848
• The American Cancer Society Quitline 1-800-227-2345
• CDC’S Tips From Former Smokers campaign
• Nicotine-anonymous.org
• Smokefree.gov
• SmokefreeTXT
 REFERENCES

 Godtfredsen NS, Lam TH, Hansel TT, et al. COPD-related morbidity and mortality after
smoking cessation: status of the evidence. Eur Respir J. 2008;32(4):844– 853.
 Kupiainen H, Kinnula VL, Lindqvist A, et al. Successful smoking cessation in COPD:
association with comorbidities and mortality. Pulm Med. 2012;2012:725024.
 Lancaster T, Stead LF. Self-help interventions for smoking cessation. Cochrane Database
Syst Rev. 2005;(3):CD001118.
 Tashkin D, Kanner R, Bailey W, et al. Smoking cessation in patients with chronic
obstructive pulmonary disease: a double-blind, placebo-controlled, randomised
trial. Lancet. 2001;357(9268):1571–1575.