Anne: How much are you smoking?
Mary: About a pack a day. That’s 20 cigarettes. I light up first thing in the morning. If I don’t, it’s all I think about. My body craves it. It is just so frustrating, especially since it is upsetting my daughter and son in law so much. I don’t know where I will go if they kick me out of their home.
Anne: I’m sure that is very upsetting to think about, Mary. Let me take a quick listen to you and then we can discuss some options that may be available to you.
Mary: Sure, that would be fine.
While viewing, reflect on what you have learned about tobacco use and the role that nurses and other interdisciplinary team members play in helping to assist tobacco users with quitting. While viewing, it is also important to keep in mind that tobacco users move through stages of change in the process of quitting. They move from pre-contemplation to contemplation, contemplation to preparation; preparation to abstinence; abstinence to maintenance. Every stage requires a different strategy by a nurse.
After watching the video, and reflecting on the information presented, address each of the following questions.
1. What are the common symptoms associated with an exacerbation of COPD?
2. What assessment techniques will you use to assess Mary?
3. Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
4. Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
5. What will you do to follow-up on Mary’s smoking cessation process?
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