Case study- Quit Smoking
A young adult man met his primary care physician for the first time, during which his prior military history came to light. The young man recalled the anxiety he experienced when he received his military orders for deployment to Iraq. Prior to the notice of deployment, he smoked cigarettes only occasionally, maybe 1 or 2 cigarettes a day. As the time for deployment approached, he started smoking more cigarettes and by the time he arrived in Iraq was up to a full pack a day. Throughout the 12-month deployment, he steadily increased his smoking with peak consumption of nearly 40 cigarettes a day. The soldier suffered several significant combat-related traumas resulting in mild physical injuries.
Upon return to the United States, the soldier completed his military obligation and left the service. Although still experiencing some lingering physical and emotional pain from his tour of duty, the former soldier was improving except in one area. His use of tobacco products stubbornly persisted, despite efforts to quit. The 2 packs of cigarettes a day was not only expensive, it was no longer enjoyable. When closely questioned he admitted that only the first cigarette of the day was truly enjoyable. His wife was complaining that the expensive habit was creating an unnecessary financial strain on their meagre resources.
Despite his apparent willingness to consider quitting the use of tobacco, the former soldier also readily admitted he was frightened by the prospect. He recognized that his unresolved, but currently under treatment, emotional issues from the war offered a reason not to tackle another problem at this time. The doctor appreciated this frank disclosure but took issue with the patient’s conclusion. The patient appeared motivated, probably contemplating change, but needed an additional boost to consider a smoking cessation program.
At this point, the doctor decided to discuss co-occurring disorders by explaining the common association of a mental disorder with substance misuse. The doctor further explained how tobacco use, at least in the beginning, helped the former soldier cope with anxiety. After the traumas suffered in the war, the patient developed posttraumatic stress disorder (PTSD). The continued use of tobacco made it difficult to distinguish the symptoms of nicotine dependence from PTSD, and it delayed recovery from the emotional disorder.
The doctor asked the patient to mull this information over and consider a smoking cessation program. As the doctor further proposed, various medications could alleviate nicotine withdrawal symptoms or reduce tobacco cravings. Medications, when combined with a behavioural strategy, offered the safest and surest route to a tobacco-free life.
Smoking cessation guidelines
Usually a person smoke through sheer excitement, to feed their inquisitiveness about Smoking, to be accepted by peers and mainly young children look-up to parents or other relatives take it upon themselves to copy them-Learned behaviour. Smoking begins as a voluntary habit turning into a compulsion or an addiction. Governments have a major role to play into changing the lifestyles of smokers by offering free advice and at home treatment. Also Health professionals should be allowed to motivate their patients to attempt and sustain cessation by offering encouragement, advice, and assistance. For patients who are not yet ready to attempt quitting, such advice can move them further toward that point. A willingness to help and to provide assistance is very important in motivating cigarette smokers in attempting to quit. The reassurance that a knowledgeable health professional stands ready to offer guidance and support is immensely beneficial to individuals addicted to nicotine.
According to the US Preventive Services Task Force (USPSTF) guidelines, clinicians should ask all adults about use of tobacco products and provide cessation interventions...