Cheryl Pearse, Specialist Nurse in Smoking Cessation at UHSM, Manchester gives the Aspergillosis Patients Meeting a presentation on giving up smoking. July 2012
1. Support Meeting for
Aspergillosis Patients
LED BY GRAHAM ATHERTON
SUPPORTED BY
MARIE KIRWAN, GEORGINA POWELL & DEBBIE KENNEDY
NAC CENTRE MANAGER CHRIS HARRIS
GIVING UP SMOKING, CHERYL PEARSE
NATIONAL ASPERGILLOSIS CENTRE
UHSM
MANCHESTER
Fungal Research Trust
4. Aim of Session
• To provide some information on
smoking, the chemicals in a
cigarette, benefits of stopping
• To let you know about things that
may help you to stop
• To let you know about the Stop
Smoking Service within the hospital
9. 3 Main Chemicals …
Nicotine
• The only addictive chemical in tobacco
• Increases the heart rate.
10. 3 Main Chemicals …
Tar
• Contains over 60 known Carcinogens
• When smoke is inhaled 70% of tar is
deposited on the lungs
11. 3 Main Chemicals
Carbon Monoxide
• Poisonous, invisible gas released by a
burning cigarette
• Reduces the amount of oxygen in your
blood
• Causes low energy levels, shortness of
breath & tiredness.
• Increases your risk of heart disease, stroke
& circulation problems
12. Contaminants
• Fungal spores (inc. aspergillous),
pollen, insects & pesticide /
insecticide residues present in
tobacco
• Cannabis contains a lot more fungal
spores – up to 10,000 times more
• These higher level of contamination
are thought to be due to poorer
drying / storage procedures
13. Contaminants
• Exposure to fungal spores is also
possible when handling the product
to make a cigarette or joint
• Because cannabis is smoked
differently – inhaled deeply, right to
the very end & held for longer to get
the desired result it causes greater
‘deep’ lung damage
14. Contaminants
• Smoking can cause fungal spores to
be drawn deeply into your lungs &
also prevents your lungs getting rid
of spores – a double whammy!
• Illicit or ‘cheap’ tobacco contains
more chemicals & contaminants
either used as ‘fillers’ (ie grass,
twigs, hay) or to stop mould growth
(ie chloride)
21. Hospital Smoking Policy
• Wythenshawe Hospital operates a
NO SMOKING policy aiming to
improve the health of all patients,
visitors & staff
• During your admission you will be
encouraged to stop smoking. Support
is available to help you to stop.
Please ask a member of staff if you
would like to be referred to the Stop
Smoking Service
32. Maybe a lot of money!
No. Cigs
Time
1 Day 1 Week 1 Month 1 Year
5 Cigs £1.38 £9.63 £41.82 £501.88
10 Cigs £2.75 £19.25 £83.65 £1003.75
15 Cigs £4.13 £28.88 £125.47 £1505.63
20 Cigs £5.50 £38.50 £167.29 £2007.50
25 Cigs £6.88 £48.13 £209.11 £2509.37
30 Cigs £8.25 £57.75 £250.94 £3011.25
40 Cigs £11.00 £77.00 £334.58 £4015.00
33. Other benefits of stopping
smoking
5 years
Risk of a heart attack falls about ½ that of a
smoker
10 years
Risk of lung cancer falls to about ½ of that
found in a smoker .
Risk of a heart attack falls to about the same as
someone who has never smoked
35. Nicotine Replacement Therapy
• NRT works by providing the body with a
cleaner form of the additive chemical
• It is safer to use NRT than smoke as it
contains only 1 chemical rather than 4000!
• Anyone can use NRT, even if you have a
heart condition
(seek advice from a Doctor before use)
• A full course of NRT is available on
prescription
36. Nicotine Replacement Therapy
• There are 7 types:
Patches
Lozenge / mini lozenge
Gum
Inhalator
Microtab
Nasal Spray
Mouth spray
37. Other options
• Champix
• Zyban
o Both in tablet form
o Do not contain nicotine
o I can assess you for these & then you
would achieve a prescription from
you GP
38. Dealing with Triggers
To make giving up easier I suggest you try to
change elements of your daily routine even
if its temporarily
For example:
• Eat breakfast
• reduce your caffeine/alcohol intake
temporarily
• Change the order in which you do things
• Tell family & friends you’re trying to quit
39. How else can I help ?
• Regular Out-patients clinics available to
anyone considering stopping smoking
• Assessment of triggers & cravings with an
individualised plan of action
• Free or discounted Nicotine Replacement
Therapy
• Confidential, informal, friendly advice
• Advice on & access to Champix or Zyban
40. How else can I help?
• Consultation with free Nicotine
Replacement whilst admitted to hospital
• Ongoing support
41. How to refer ?
• You can refer yourself by
Calling me on 0161 291 5030
• You can ask your GP, your Hospital
Doctor or your Specialist nurse to refer
you
• If you want to see me when you are in
hospital ask a member of the ward
staff to refer you
42. Where else can you get help?
• Your GP
• Your Practice Nurse
• Your local Pharmacist
• The Manchester Stop Smoking
Service 0161 205 5998
• The NHS Quitline
0800 169 0 169
43. Feel free to call me for help,
advice or a clinic appointment
Cheryl Pearse
0161 291 5030