SMOKING CESSATION
- Smoking cessation is the first step as a treatment modality in COPD patients, as well as those smokers who do not manifest any symptoms and signs suggestive of COPD.
- It has been proved that by stopping smoking, the following effects are observed:
- Decline in lung function is decreased ( as measured by Spirometry, PEFR).
- Blood Pressure and pulse rate tend to normalize.
- Fall in the blood carbon monoxide level.
- Decrease in the risk of developing heart attacks, stroke and lung cancer.
- Improvement in the life style of the individual, both physically as well as financially.
- Protocol for smoking cessation : Smoking cessation is usually done under the joint guidance of a physician and a psychiatrist.
- Psychological evaluation of the patient is done, and a detailed history of smoking is taken.
- The patient is to be explained clearly regarding the benefits of smoking cessation. Patient counseling regarding the harmful effects of smoking should also be done.
- Depending upon the degree of dependence, the target date of quitting can be set, either with immediate effect or gradually over a period of time.
- Heavy smokers generally take a longer time to quite smoking as their dependence on smoking is very high. Such patients need constant motivation and should keep some chewable pepper mint / gum for use in case of a strong urge for smoking.
- The patient should spend more time in keeping himself busy in places where smoking is prohibited.
- One can start a regular exercise program.
- Avoid company of friends who smoke, stressful situations and from being alone.
- In case of nicotine withdrawal (severe) symptoms, the patient can be allowed to smoke minimally or use transdermal nicotine patches or nicotine mouth sprays, which can be tapered off gradually.
- A social group of non-smokers can be formed, so as to help one to quit smoking.