Cheryl Pearse, Specialist Nurse in Smoking Cessation at UHSM, Manchester gives the Aspergillosis Patients Meeting a presentation on giving up smoking. July 2012

1. Support Meeting for
Aspergillosis Patients
LED BY GRAHAM ATHERTON
SUPPORTED BY
MARIE KIRWAN, GEORGINA POWELL & DEBBIE KENNEDY
NAC CENTRE MANAGER CHRIS HARRIS
GIVING UP SMOKING, CHERYL PEARSE
NATIONAL ASPERGILLOSIS CENTRE
UHSM
MANCHESTER
Fungal Research Trust

2. Smoking Cessation
Service UHSM
Cheryl Pearse
0161 291 5030

4. Aim of Session
• To provide some information on
smoking, the chemicals in a
cigarette, benefits of stopping
• To let you know about things that
may help you to stop
• To let you know about the Stop
Smoking Service within the hospital

5. So why stop?

8. 4000 Chemicals
70 Known cancer causing
chemicals

9. 3 Main Chemicals …
Nicotine
• The only addictive chemical in tobacco
• Increases the heart rate.

10. 3 Main Chemicals …
Tar
• Contains over 60 known Carcinogens
• When smoke is inhaled 70% of tar is
deposited on the lungs

11. 3 Main Chemicals
Carbon Monoxide
• Poisonous, invisible gas released by a
burning cigarette
• Reduces the amount of oxygen in your
blood
• Causes low energy levels, shortness of
breath & tiredness.
• Increases your risk of heart disease, stroke
& circulation problems

12. Contaminants
• Fungal spores (inc. aspergillous),
pollen, insects & pesticide /
insecticide residues present in
tobacco
• Cannabis contains a lot more fungal
spores – up to 10,000 times more
• These higher level of contamination
are thought to be due to poorer
drying / storage procedures

13. Contaminants
• Exposure to fungal spores is also
possible when handling the product
to make a cigarette or joint
• Because cannabis is smoked
differently – inhaled deeply, right to
the very end & held for longer to get
the desired result it causes greater
‘deep’ lung damage

14. Contaminants
• Smoking can cause fungal spores to
be drawn deeply into your lungs &
also prevents your lungs getting rid
of spores – a double whammy!
• Illicit or ‘cheap’ tobacco contains
more chemicals & contaminants
either used as ‘fillers’ (ie grass,
twigs, hay) or to stop mould growth
(ie chloride)

15. Other reasons to stop

16. Less oxygen reduces
fitness

17. Gum disease & oral
cancer

18. Impotence

19. Children & family

20. Skin disease

21. Hospital Smoking Policy
• Wythenshawe Hospital operates a
NO SMOKING policy aiming to
improve the health of all patients,
visitors & staff
• During your admission you will be
encouraged to stop smoking. Support
is available to help you to stop.
Please ask a member of staff if you
would like to be referred to the Stop
Smoking Service

22. What about the benefits
of stopping smoking?

23. Blood pressure & Heart
rate return to your normal

24. Peripheral circulation
improves

25. Oxygen levels return to
normal

26. Energy levels improve

27. Carbon monoxide gone
from body after 24 hours

28. Taste & smell improves

29. Look younger / healthier
Maybe even…..

30. Be free of the habit of
smoking

31. Save money

32. Maybe a lot of money!
No. Cigs
Time
1 Day 1 Week 1 Month 1 Year
5 Cigs £1.38 £9.63 £41.82 £501.88
10 Cigs £2.75 £19.25 £83.65 £1003.75
15 Cigs £4.13 £28.88 £125.47 £1505.63
20 Cigs £5.50 £38.50 £167.29 £2007.50
25 Cigs £6.88 £48.13 £209.11 £2509.37
30 Cigs £8.25 £57.75 £250.94 £3011.25
40 Cigs £11.00 £77.00 £334.58 £4015.00

33. Other benefits of stopping
smoking
5 years
Risk of a heart attack falls about ½ that of a
smoker
10 years
Risk of lung cancer falls to about ½ of that
found in a smoker .
Risk of a heart attack falls to about the same as
someone who has never smoked

34. How can I help?

35. Nicotine Replacement Therapy
• NRT works by providing the body with a
cleaner form of the additive chemical
• It is safer to use NRT than smoke as it
contains only 1 chemical rather than 4000!
• Anyone can use NRT, even if you have a
heart condition
(seek advice from a Doctor before use)
• A full course of NRT is available on
prescription

36. Nicotine Replacement Therapy
• There are 7 types:
Patches
Lozenge / mini lozenge
Gum
Inhalator
Microtab
Nasal Spray
Mouth spray

37. Other options
• Champix
• Zyban
o Both in tablet form
o Do not contain nicotine
o I can assess you for these & then you
would achieve a prescription from
you GP

38. Dealing with Triggers
To make giving up easier I suggest you try to
change elements of your daily routine even
if its temporarily
For example:
• Eat breakfast
• reduce your caffeine/alcohol intake
temporarily
• Change the order in which you do things
• Tell family & friends you’re trying to quit

39. How else can I help ?
• Regular Out-patients clinics available to
anyone considering stopping smoking
• Assessment of triggers & cravings with an
individualised plan of action
• Free or discounted Nicotine Replacement
Therapy
• Confidential, informal, friendly advice
• Advice on & access to Champix or Zyban

40. How else can I help?
• Consultation with free Nicotine
Replacement whilst admitted to hospital
• Ongoing support

41. How to refer ?
• You can refer yourself by
Calling me on 0161 291 5030
• You can ask your GP, your Hospital
Doctor or your Specialist nurse to refer
you
• If you want to see me when you are in
hospital ask a member of the ward
staff to refer you

42. Where else can you get help?
• Your GP
• Your Practice Nurse
• Your local Pharmacist
• The Manchester Stop Smoking
Service 0161 205 5998
• The NHS Quitline
0800 169 0 169

43. Feel free to call me for help,
advice or a clinic appointment
Cheryl Pearse
0161 291 5030

44. Any Questions