SMOKING CESSATION Presented by your Cigna Employee Assistance Program (EAP)
SEMINAR GOALS Understand your tobacco use habit Learn health consequences of smoking and tobacco use Become familiar with smoking cessation assistance and methods Lay the groundwork to be tobacco free Review the benefits of your Employee Assistance Program (EAP) 2
HEALTH CONSEQUENCES Nearly 1/5 of U.S. deaths result from tobacco use Smokers have two to four times the risk of heart attack and sudden cardiac death Smokers are 13-23 times more likely to die of lung cancer Smoking causes 30% of all cancer deaths Smoking is a major causal factor in emphysema, chronic bronchitis, and stroke Estimates show an average of 13.2 years of life lost for women and 14.5 for men, due to tobacco use Cigarette smoking is the largest preventable cause of death in the United States Source: American Cancer Society, Centers for Disease Control and Prevention 3
BENEFITS OF QUITTING SMOKING Most negative effects can be reversed Carbon monoxide levels in the blood begin to drop Circulation improves Nerve endings in the nose and mouth re-grow Ex-smokers have more energy and fewer colds and respiratory infections They feel more in control of life, have more money, and feel less negative social pressure Source: American Cancer Society, National Institute on Drug Abuse 4
FIND YOUR OWN MOTIVATION Money Health Self-Esteem Social Pressure Family Pressure 5
Quitting smoking is easy. I ve done it a thousand times Mark Twain 6
PHYSICAL EFFECTS OF NICOTINE ON THE BODY Tobacco use is an addiction Pleasurable effects of nicotine Physical reaction to nicotine in the body Source: The Endowment for Human Development 7
PSYCHOLOGICAL AND BEHAVIORAL ASPECTS OF NICOTINE Tobacco use is a habit Associated with daily activities Re-learn routines and activities Source: National Institute on Drug Abuse 8
TRIGGERS AND CUES Physical Settings: social events, work, home Emotional Events: anger, anxiety, stress Behavioral Setting: reward, habit, relax 9
P = Prepare alternatives in advance L = Look for pleasant, smoke-free activities A = Avoid temptation whenever and wherever possible N = Never allow smoking to be an option 10
STRATEGIES FOR QUITTING Set a date Enlist support Decide on a plan and anticipate challenges Disrupt your habits Prepare the environment Avoid smoking triggers Learn new skills and behaviors Continue to build your motivation 11
NICOTINE REDUCTION AND REPLACEMENT THERAPIES Nicotine Reduction Nicotine Patch Nicotine Gum Nicotine Lozenge Prescription Medication 12
NICOTINE REPLACEMENT THERAPY Nicotine Patch Nicotine Gum Nicotine Lozenges 13
ASK THE DOCTOR Prescription methods Buproprion Chantix Nicotine nasal spray Nicotine inhalers 14
ALTERNATIVE METHODS Hypnosis Acupuncture Acupressure Laser treatments Over-the-counter pills 15
MANAGE YOUR STRESS Healthy self-talk Mindfulness practice Visualization/guided imagery Relaxation techniques 16
REWARDS! Celebrate your success Be creative Financial rewards 17
SUMMARY Health consequences of smoking Products, programs and strategies to quit smoking Remember to PLAN Keep trying!!! 18
RESOURCES FOR SMOKING CESSATION American Cancer Society Toll-free hotline: 1-800-ACS-2345 (1-800-227-2345) www.cancer.org American Lung Association Toll-free hotline: 1-800-LUNGUSA (1-800-586-4872) www.lungusa.org National Cancer Institute Toll-free hotline: 1-877-44U-QUIT (1-877-448-7848) www.smokefree.gov Centers for Disease Control and Prevention Office on Smoking and Health Toll free hotline: 1-800-CDC-INFO (1-800-232-4636) www.cdc.gov/tobacco 19
BENEFITS OF THE EMPLOYEE ASSISTANCE PROGRAM (EAP) Face to Face Sessions Confidential Prepaid Unlimited Telephonic consultation Available 24 hours a day, 7 days a week Household benefit Work/Life Support such as eldercare, childcare and pet care Financial Services Legal Services Benefits vary by employer. Please check with your HR for your specific EAP benefits. 20
REFERENCES American Cancer Society. (2011). Cigarette smoking. Retrieved from http://www.cancer.org/cancer/cancercauses/tobaccocancer/cigarettesmoking/cigarettesmoking-who-and-how-affects-health American Cancer Society. (2012). Guide to quitting smoking. Retrieved from http://www.cancer.org/acs/groups/cid/documents/webcontent/002971-pdf.pdf Brainy Quote. (n.d.). Mark Twain Quotes. Retrieved August 14, 2012 from http://www.brainyquote.com/quotes/quotes/m/marktwain128157.html Centers for Disease Control and Prevention. (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses United States, 2000-2004. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5745a3.htm Endowment for Human Development, The. (2005). Facts on drugs: Nicotine. Retrieved from http://www.ehd.org/health_tobacco_17.php Mayo Clinic. (2011). Quit smoking. Retrieved from http://www.mayoclinic.com/health/quitsmoking-products/my00781/nsectiongroup=2 21
REFERENCES (CONTINUED) Medline Plus. (2011). Nicotine addiction and withdrawal. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/000953.htm National Cancer Institute. (2011). Harms of smoking and health benefits of quitting. Retrieved from http://www.cancer.gov/cancertopics/factsheet/tobacco/cessation National Institute on Drug Abuse. (2012). Research reports: Tobacco addiction. Retrieved from http://www.drugabuse.gov/publications/research-reports/tobacco-addiction/are-thereeffective-treatments-tobacco-addiction WebMD. (2011). Quitting smoking: Ready to quit today. Retrieved from http://www.webmd.com/smoking-cessation/quitting-tobacco-use-strategies-and-skills-forquitting WebMD. (2011). Bupropion (Zyban) for quitting smoking. Retrieved from http://www.webmd.com/smoking-cessation/bupropion-hydrochloride-zyban-for-quittingsmoking WhyQuit.com. (2011). What is nicotine addiction? Retrieved from http://whyquit.com/whyquit/linksaaddiction.html 22
This material is provided by Cigna for informational/educational purposes only. It is not intended as medical/clinical advice. Only a health care professional can make a diagnosis or recommend a treatment plan. For more information about your behavioral health coverage, you can call the customer service or the behavioral health telephone number listed on your health care identification card. "Cigna is a registered service mark and the Tree of Life logo and GO YOU are service marks of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. All models are used for illustrative purposes only. 832860a 08/12 2012 Cigna Some content provided under license.