Smoking Cessation -Nursing Assignment Paper.

Smoking Cessation -Nursing Assignment Paper.

1. What smoking cessation information is currently being included in the discharge education of your patients in your practice setting?

2. What, if any, additions related to smoking cessation will you be adding to your discharge teachings as a result of this lesson? Please provide rationale. Smoking Cessation -Nursing Assignment Paper.

3. What are the common symptoms associated with an exacerbation of COPD?

4. What assessment techniques will you use to assess Mary?

 

5. 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. Smoking Cessation -Nursing Assignment Paper.

6. 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? Smoking Cessation -Nursing Assignment Paper.

7. What will you do to follow-up on Mary's smoking cessation process? Smoking Cessation -Nursing Assignment Paper.

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Week 5 Discussion Video Transcript
Video Audio
Anne at her
desk
reviewing a
patient
chart as she
expresses
her inner
thoughts
Anne: Let’s see… my next patient is Mary. She’s 53, Caucasian, and had a heart attack a
year ago. She is being seen today for an exacerbation of COPD. She also has controlled
Type II diabetes. She’s had depression that started when she lost her job a year ago. Smoking Cessation -Nursing Assignment Paper.
She’s still is unemployed but receiving government checks. But that isn’t enough
income for her to live independently. She had to move in with her daughter and sonin-law.
Today her chief complaint is a harsh productive cough and increased shortness of
breath. And she’s still smoking, which is upsetting her daughter who has a young child
who is bothered by the second-hand smoke. Smoking Cessation -Nursing Assignment Paper.
Anne and
Mary in an
exam room
Anne: Hi, Mary. How are you feeling today?
Mary: Overall, I feel pretty healthy. I walk for about half an hour every single day. And
I’ve been following the diet that the dietician suggested, watching what I eat. I’m
proud of the fact that my diabetes has never been better controlled!
Anne: So far, so good. Is there anything that concerns you?
Mary: Yes. Lately I’ve been coughing so hard and having difficulty catching my breath
which is causing me to feel like I might be having some twinges in my chest, and I’m
scared to death I’m going to have another heart attack. I want to know what more I
can do to prevent that from happening again. Smoking Cessation -Nursing Assignment Paper.
Anne: I’d be happy to explore healthy options. To start, I’d like to ask you a few followup
questions related to the history form you filled out in the waiting room. You’re still
smoking?
Mary: (Sigh…) Yes, cigarettes are my one remaining vice. I’ve been smoking over 40
years. My parents smoked and they taught me how to light their cigarettes when I was
12!
Anne: How much are you smoking?
Mary: About a pack a day.Smoking Cessation -Nursing Assignment Paper. 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. Smoking Cessation -Nursing Assignment Paper.
Anne: I’m sure that is very upsetting to think about, Mary. Smoking Cessation -Nursing Assignment Paper.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. Smoking Cessation -Nursing Assignment Paper.