Quit Smoking Case Study Essay - 4989 Words

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†¦show more content†¦Ã¢â‚¬ ¢ Advise to quit through personalized messages. †¢ Assess willingness to quit. †¢ Assist with quitting. †¢ Arrange follow-up care and support. Brief behavioral counseling (ie, under 10 min) and pharmacotherapy are each effective alone—although they are most effective when used together.[12] The task force also advises clinicians to ask all pregnant women, regardless of age, about tobacco use. Those who currently smoke should receive pregnancy-tailored counseling supplemented with self-help materials. Understanding the benefits and limitations of the available medications provides an important foundation for such a successful smoking cessation program. Assess smoking history, level of addiction, and the health status of the patient. See the image below. After the assessment, intervene with education and advice. [pic]Smoking cessation strategies for clinicians. Educate patients about the benefits of smoking cessation and the cessation process. Provide a description of the expected withdrawal syndrome. Continue with a discussion of the possible cessation methods, which include counseling, nicotine replacement, antidepressant medications, behavioral training, group therapy, hypnosis, and quitting cold turkey. †¢ More than 90% of patients who attempt to quit smoking stop cold turkey. †¢ Professional group therapy or counseling achieves a 60-100% initial cessation rate and a 1-year cessation rate of approximately 20%. †¢ Hypnosis and acupuncture are popular programs thatShow MoreRelatedCase Study- Quit Smoking Essay2215 Words   |  9 PagesCASE STUDY TITLE- Quit Smoking ABSTRACT H (Pseudonym) is a 32 years old male nurse working on a children’s ward as a temporary bank nurse at the local hospital. He heard of me through a member of our local community whereupon he phoned me towards the end of April 2012, with a long history of smoking up to 40 cigarettes daily, wishing for help to Quit Smoking due to the total ban on Smoking introduced at the hospital and other issues relating to smoking. IRead MoreA Single Case Study Using Cognitive Behavioral Techniques to Quit Smoking3341 Words   |  13 PagesSingle Case Study Using Cognitive-Behavioral Techniques to Quit Smoking Cigarette smoking is a leading public health issue worldwide and has a negative impact on the health of millions of individuals each year (American Cancer Society, 2007). The health related effects from cigarette smoking include cancer, hypertension, stroke, and cardiovascular disease. Moreover, cigarette smoking is an addictive behavior (American Psychological Association [APA], 2000). Millions of people attempt to quit smokingRead MoreSmoking Essay1207 Words   |  5 PagesHow to Quit Smoking The smoking problem has become quite prevalent in our society. Several governments have had problems dealing with a huge healthcare burden due to diseases and conditions brought about by smoking. At the same time, individuals suffer several addictive and health issues due to smoking. While this information may be apparent to most of the smokers, studies have found that quitting a smoking habit is quite a challenge. The reason behind such challenge is attributed to Nicotine. NicotineRead MoreThe Problem Of Electronic Cigarettes1717 Words   |  7 Pagesbegan buying cigarettes and smoking regularly throughout the day. It progressed to smoking a pack per week. I knew it was a terrible habit and I was ashamed of it. The hardest part was hiding it from friends and family hoping they would not find out. I came to the realization that I had to quit. It was not as easy as I had anticipated it to be. A friend of mine named Issack showed me this new thing he was trying called vaping.He was a smoker too but he stopped smoking cigarettes and started vapingRead MoreThe Conduct Of Randomized Clinical Trials On E Cigarettes1147 Words   |  5 Pagesand in our case, e-cigarettes evolve so quickly that it is highly probable new devices with different characteristics to be available by the end of the trial. Furthermore, their findings may not reliable predict effectiveness in real world, as important features such as effects from the social and economic environment are not represented. Thus, in contrast to the much complex randomized controlled studies, observational studies are easierRead MoreSmoking Banning Public Areas Yield Positive Effects For All1211 Words   |  5 PagesSmoking Bans in Public Areas Yield Positive Effects For All One of the major reasons for death and preventable diseases is tobacco use. Just in the United States of America, smoking has found to be the cause of â€Å"over 40,000 deaths due to heart disease and over 200,000 episodes of childhood asthma per year† (Naiman et al 1). Some of these cases could be specifically linked to secondhand smoke, â€Å"defined as an involuntary exposure to a combination of diluted cigarette side stream smoke and the exhaledRead MoreEssay on The Difficulty in Quitting Smoking1350 Words   |  6 PagesThe Difficulty in Quitting Smoking Smoking is terrible. Statistically speaking, smoking is the most dangerous thing that we can choose to do with our own health. Yet so many people still smoke. The author will confess that he too is a smoker, but as a smoker, I feel shame about it under certain circumstances. It is a personal choice in my life, yet there is nothing but social pressure to conform and quit. Smokers make up 23% of the Canadian population, most likely more as a smokers wasRead MoreThe Effects Of Smoking Ban On Employees And Passive Smokers At Work Place And Home1295 Words   |  6 Pages Investigating the effects of Workplace Smoking Ban Contents Investigating the effects of Workplace Smoking Ban 1 Aim and Objectives 1 Literature Review / Research Background 2 Research Rationale 3 Learning Outcomes 3 Study Design 4 Type of Study 4 Type of Design 4 Data Types 4 Ethics 5 Risk 5 Required Resources 5 Research Time Frame 5 References 6 Aim and Objectives The kay aim of the research is to investigate the effects of smoking ban at work place on employees and these effects may includeRead MoreSmoking Is The Single Largest Preventable Cause Of Death And Disease1151 Words   |  5 Pageschemicals, and people still choose to smoke it. Smoking can cause many diseases and illnesses that can certainly lead to death varying on the case. Tobacco blackens the lungs and hurts the health of others nearby. It also takes away all of their money for other items. Quitting smoking will benefit them with better health, they won’t give others secondhand smoke, and they will have more spending money. In order to get started, I recommend them to quit on their own, or find a hobby they like to do.Read MoreDisease Study: Lung Cancer1390 Words   |  6 Pagesaddressed in Whiteside, et als (2007) report, the top three of which will be discussed here. These factors included tobacco use, sun exposure, and the lack of physical activity on a regular basis . Smoking has been a concern when it comes to cancer for some time, because studies have consistently shown that smoking is bad for the heart and lungs, as well as other systems within the body (Thun, Hannan, Adams-Campbell, et al, 2008). The majority of people who contract lung cancer each year are smokers,

Steep Roads in South Africa Sani Pass Should be Tarred...

The focus of this research project is weather Sani Pass should be tarred or not. This steep road was first built in 1948 by Godfrey Edmunds, who saw the opportunity to trade with the Basotho people who live in Lesotho. The people formerly travelled by foot and donkey down into South Africa to trade their products such as sheep wool and homemade products. This road was built following the contours of the river and this caused major problems such as flooding and snow or ice on the road, causing a loss of livestock and lives. The road being so dangerous was reconstructed by a man named David Alexander; this is the road we use today. It is still a steep gradient path and a 4X4 vehicle with very skilled driving is required to get up and down†¦show more content†¦Ã¢â‚¬ ¢ There are detailed articles on the topic of weather Sani Pass should be tarred or not. †¢ Many interviews and questions were done on the field trip with our specific tour guides. Validity of investigation: A large amount of the information is based on primary research. The interview is very reliable as it is from a qualified engineer and has a large amount of knowledge in this specific area and the interview was recorded first hand. All the pictures were personally taken while on the field trip so they are real and reliable and have not been altered. The worksheet that was completed during the field trip is an extremely reliable source as it was answered by experienced tour guides who understand and know Sani Pass and its behaviour extremely well. The articles that are used are reliable as they are from local Newspapers and are conducted through interviews and questionnaires. All information is dependable as it is first hand and primary research and cannot be altered or false such as many internet sources. Review of Literature The focus of this project is weather Sani Pass should be tarred or not and this has been examined by observing the advantages and disadvantages of socio-economic and climate factors with many newspaper and magazine articles over the past few years. According to an article written in the Mercury, November 13 2012 This article was written in 2009 for the Witness

The winters tale A monologue from the play by William Shakespeare Essay Example For Students

The winters tale A monologue from the play by William Shakespeare Essay A monologue from the play by William Shakespeare HERMIONE: Since what I am to say must be but thatWhich contradicts my accusation, andThe testimony on my part no otherBut what comes from myself, it shall scarce boot meTo say, Not guilty. Mine integrity,Being counted falsehood, shall, as I express it,Be so received. But thus: if powers divineBehold our human actions, as they do,I doubt not then but innocence shall makeFalse accusation blush and tyrannyTremble at patience. You, my lord, best know,Who least will seem to do so, my past lifeHath been as continent, as chaste, as true,As I am now unhappy; which is moreThan history can pattern, though devisedAnd played to take spectators. For behold meA fellow of the royal bed, which oweA moiety of the throne, a great kings daughter,The mother to a hopeful prince here standingTo prate and talk for life and honor foreWho please to come and hear. For life, I prize itAs I weigh grief, which I would spare. For honor,Tis a derivative from me to mine,And only that I stand for. I appealTo your own conscience, sir, before PolixenesCame to your court, how I was in your grace,How merited to be so; since he came,With what encounter so uncurrent IHave strained t appear thus; if one jot beyondThe bound of honor, or in act or willThat way inclining, hardened be the heartsOf all that hear me, and my nearst of kinCry fie upon my grave!

Louisiana Purchase free essay sample

Jefferson wanted to either expand land Or have other nations rule in the new mother land. After the purchase was done Thomas Jefferson had requested for the explore Meriwether Lewis and asked Meriwether Lewis to go explore the new land. Meriwether Lewis received help from Sewage who translated to other tribes for food and trading Sewage taught Lewis and Clark how to fish ,hunt and also how to grow crops, Sewage taught Lewis and Clark the basic skills to live off the land to make sure Lewis and Clark could survive off the land .Sewage also showed Lewis and Clark owe to use other resources to make sure that Lewis and Clark stayed healthy and keep them safe from harm on the excursion through the dangerous native filled land. Sewage also showed Lewis and Clark the After Meriwether Lewis and Clark came back, people started to move west and that is when the population started to grow. We will write a custom essay sample on Louisiana Purchase or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The Louisiana Purchase helped the nation grow not only in size but also in population and it helped us to gain new and stronger allies. President Thomas Jefferson is showing that he had made so pretty big accomplishments in his presidency. At Americas youth, President Jefferson, in one of his greatest achievements, more than doubled the size of the United States at a time when the young nations population growth was beginning to quicken (Louisiana Purchase 1). Selling most of what they owned in the new nation, the nation of France sold 828,000 square miles of land west of the Mississippi River to the United States of America in a treaty commonly known as the Louisiana Purchase (Louisiana Purchase).Jefferson had made some pretty big leaps by helping expand the size of the United States by double the size and France made a Treaty with America called Louisiana Purchase. Even being across the Atlantic Ocean, France controlled the vast stretches of land west of the Mississippi From 1699 until 1762, the year it gave the land to its Spanish all)/ (Louisiana Purchase 1). This new purchase consisted of much of the new nation, the Louisiana purchase stretched from the Mississippi river to the beginning of the Rocky Mountains (Louisiana Purchase 1).France had most of the United States owned then they passed it on to Spanish to have control over the land, Louisiana Purchase was from Mississippi to Rocky Mountains. Unfortunately without any authorization, [and] with no time to consult their government, Monroe and Livingston went ahead and closed the deal for $15 million (Dander et al. 201). Finally the purchase was completed, France officially transferred the territory to the Americans on December 20th, and the United States took formal possession on December 30th (Purdue 69).Jefferson sent Monroe to go buy the land and he got the deal for a pretty cheap price of $1 5 million dollars after everything was said and done United States took control of the Purchase in December 30th. United States of America got this land for a very reasonable price if America wouldve waited Jefferson wouldnt have got this land . France gave up a lot of land for a cheap price and Jefferson capitalized on the big accomplishment. After giving them the land in the first place, in 1800, Napoleon Bonaparte of France persuaded Spain to return the Louisiana Territory (Dander et al. 01). Fortunately Napoleon got his way, in 1801 , Spain signed a secret treaty with France to return Louisiana Territory to France (Monroe 4). France and Spain made a secret treaty behind the United States to give all the land back to France. With all the secretive meetings and untrustworthy treaties, to settle the matter by peaceful measures, President Jefferson in January 1803 appointed Monroe envoy extraordinary to France to aid Robert R. Livingston In purchasing the territory at the mouth of the Mississippi (Monroe 4).Needing a companion on this important trip, Monroe joined Livingston in Paris on April 12, and the two ministers, on finding Napoleon willing to dispose of the entire province of Louisiana, decided to exceed their instructions and effect its purchase (Monroe 4). Jefferson made Monroe envoy extraordinary to France to solve the whole treaty issue that France made with the United States. Getting there just a little too late, by the time that Monroe arrived in Paris in April 1 803, Napoleon had decided to sell the entire Louisiana Territory to the united States (Dander et al. 01). Making things short and sweet, on May 2, 1803, they signed a treaty and two conversations whereby France sold Louisiana to the United States (Monroe 4). Monroe got to France and already heard that France sold the Louisiana Purchase United States of America. Once America Purchased this land Jefferson had to sign a treaty, to make sure America wouldnt take over the land America wasnt given . France took over the Louisiana territory from the Indians.France had given up everything, in 1 762, during the French and Indian War, France ceded French Louisiana west of the Mississippi Riveter Spain and in 1 763 transferred nearly all of its remaining North American holdings to Great Britain (Louisiana Purchase 1). Knowing that this was an important purchase for the new nation, in a letter to U. S. Minister to France, Robert Livingston, Americas third President Thomas Jefferson, stated, The day that France takes possession of New Orleans E must marry ourselves to the British fleet and nation' (Louisiana Purchase 1 After conquering the Native Americans France took all of the land and gave some of it to Spain. People tried to rush the process, [even] though rumors of the purchase preceded notification from Monroe and Livingston, their message reached Washington in time for an official announcement on July 4, 1803 (Purdue 69). With much going on at the time for the French nation, France was slow in taking control of Louisiana, UT in 1802, Spanish authorities, revoked a U. S. Spanish treaty that granted Americans the right to store goods in New Orleans (Louisiana Purchase 1). When Spain heard that France sold the land to America Spain didnt agree with the treat with France. Due dates were coming up soon, [and] the purchase treaty had to be ratified by the end of October, which gave Jefferson and his Cabinet time to deliberate the issues of boundaries and constitutionally (Purdue 67). Making all of the hard work and everything put into the purchase final, the Senate ratified the treaty on October 20th by a tote of 24 to 7 (Purdue 69).When Jefferson heard that Spain revoked the Treaty Jefferson only had a little bit of time to make boundaries for the new land Jefferson had purchased. France had fought for the land against the Native Americans because France probably thought that if the land is theirs France can sell it back to America for a really high price . The Louisiana Purchase benefited us in many ways. The Louisiana Purchase helped the nation grow not only in size but also in population and it helped us to gain more technology through out time. This benefited our society a lot. Louisiana Purchase free essay sample As well as the Louisiana Purchase, the Mexican- American War and the Californian Gold Rush of 1848, the Homestead Act of 1862 and the Exodus movement from 1879 were all key turning points which eloped the process of Westward Expansion. The key criteria for judging a turning point is if the event created opportunities to go west, if it opened up land to settle in and if it had a psychological impact on the nation. The Louisiana Purchase was a very significant event as it increased the size of the United States by double overnight for only $15 million.This was a key turning point in expansion as it opened up a huge amount of land for more settlers (an extra 828,000 square miles). Alongside this it created opportunities for people to travel west as it gave access to the Mississippi river which was important for travel and commerce. This purchase was also significant in the fact that it created a more secure environment for settlers as it eliminated the French from imperial competition, Jefferson believed the French were restricting US commerce and that they tried to control surrounding territory. We will write a custom essay sample on Louisiana Purchase or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Therefore this event affected the process of change as it allowed America to spread its resources and encouraged people to move west, such as the Indians which were encouraged to settle there. The most important reason for this event being a turning point was that it opened up a large amount of and to settle in, a lot of the further events which take place would not have happened if it wasnt for this territory being the United States and so provided many reasons for expansion to continue. Another key event which took place was the Mexican American War of 1 848 which begun because Texas was a gateway to the pacific and was a great agricultural prospect. This was a key turning point as it had a big psychological impact on the people of America as many believed in the Manifest destiny, in that America had a right to expand, and so supported the annexation of Texas which increased their purists on westward settlement. Polk deliberately provoked a war as he knew they could easily be overcome.The treaty of Guadalupe Hidalgo was signed in 1848 which ceded California, Texas and New Mexico. Another reason for this being a turning point is that it gave access to the pacific meaning that farming was capable so created further opportunities to go west and again meant that transportation was made easier for commerce. The key reason this was a turning point was manifest destiny which was completed after this event. America had managed to secure land coast-to-coast which was a huge psychological moral boost for America who now knew they had a lot of power with a lot of land. The Treaty of Guadalupe Hidalgo led to California being ceded to America. In 1848 there was the Californian Gold rush which primarily lasted until the early 1 asss with millions of families traveling from around the world to California and surrounding areas in search for fortune. In 1850, California (now a new state) had nearly 40% foreign born inhabitants, showing that this event increased the diversity of people settling West, but also inspired many to go as they believed a new life could be made from theGold being found. Furthermore it dramatically increased the speed of people moving out west, by 1853 the population was approximately 250,000 whereas in 1848 the Californian territory had less than 1000 inhabitants. The Gold caused a great economic boom which created infrastructures leading to many people settling here and encouraged more to move west. The Californian Gold Rushs most important reason that it is a turning point in west;radar expansion is that it created opportunitie s.It allowed people to make a lot of money from the Gold, but also from new businesses which were now being rated due to a new market of people, and because of this and the great boom, many people started to settle here at a very fast rate. In 1 862 the Homestead Act was put into place, this allowed farmers to acquire 160 acres of land if they lived there for 5 years, or for 6 months with an additional payment of $1. 25 per acre. This was significant as it allowed small scale settlement to develop.In some ways this could be seen as a turning point as it gave farmers a chance to be economically dependent, which gave them opportunities to expand or to do other thing with their money. It also inspired any people to go west and take up these lands which could be seen from figures that show that 400,000 families set up there taking 285 million acres of land. On the other hand, there were points which showed that this wasnt as significant as it seemed.Most significantly, there was a 43% failure rate for those trying to get land in Nebraska under the Homestead Act showing that it wasnt as easy to settle west as the act tried to make it. Furthermore, land was put into the hands of men who had no sufficient foresight so even though this land was meant for farming, many people who didnt know what to do with it kook it up and eventually a lot of the land went to waste.