Tobacco Cessation and Prevention |

Effective Nonpharmacological Strategies for Smoking Cessation in Geriatric Long Term Care Residents FREE TO VIEW

Aleksander Shalshin, MD; Greg Krichmar, DO
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Franklin Center for Nursing and Rehabilitation, Greenvale, NY

Chest. 2013;144(4_MeetingAbstracts):1006A. doi:10.1378/chest.1701974
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SESSION TITLE: Tobacco Cessation and Prevention

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Sunday, October 27, 2013 at 10:45 AM - 11:45 AM

PURPOSE: To evaluate effective non - pharmacological strategies that help geriatric residents of long term care facilities in smoking cessation

METHODS: From January 2011 - December 2012, all active smokers over the age of 65 and current residents of long term care facility were invited to participate in a prospective study to evaluate effectiveness of smoking cessation strategies. In total 74 patients agreed, and were followed for a minimum of one year after initial intervention. Successful tobacco cessation was defined as abstinence for 6 months and more. Interventions included individual counseling from (primary care physician, nurse and a pulmonary consultant), educational self-help written and video material, family involvement and support. Each participant had consumed tobacco for more than 5 years and smoked on average half of pack per day.

RESULTS: Out of 74 patients recruited 34 (46%) patients had successfully quit smoking, 8 (11%) patients had initial success, but relapsed within 6 months. In the period of at least 12 months follow up each patient was visited by multidisciplinary team consisting of nurse, primary care physician and pulmonary consultant complemented by self-help material, video and written on benefits of smoking cessation. Each participant’s family was encouraged to provide additional support and educated on the benefits of multifaceted approach to tobacco addiction treatment. Remaining 32 (43%) of patients expressed interest in smoking cessation, but did not favor non - pharmacological approach, however, at the end of this trial were even more motivated to quit with nicotine replacement therapy.

CONCLUSIONS: Previous research shows that medical advice to quit smoking produces 1 year abstinence rates of 5 - 10 percent. In combination with self-help material, family support and education our data shows that individual counseling from every level of healthcare provider increases success rates in geriatric residents of long term care facility.

CLINICAL IMPLICATIONS: Today’s generation of older adults had smoking rates among the highest of any American generation. Quitting tobacco use has proven benefits at any age and every level of healthcare system must be supportive of smoking cessation efforts through policy and incentives.

DISCLOSURE: The following authors have nothing to disclose: Aleksander Shalshin, Greg Krichmar

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