De Guzman, Lianmuel R. UNIVERSITY OF THE PHILIPPINES, MANILA COLLEGE OF NURSING Sotejo Hall, P. Gil St.

, Ermita, Manila HEALTH TEACHING PLAN Objectives In a teaching learning session, the client will be able to learn: A. Knowledge 1. The definition of smoking Learning Content Learning Strategy venue/date/ti me Rochelle de guzman 30 years old 1110 rizal avenue, fugoso street, sta. cruz manila. August 23,2011 9am-11am Resources - Computer - Internet - References /Books - Printer - Ink - Bond Paper - Pentel pen - Colored Papers - Glue - Scissors Evaluation

The Health Sciences Centre

A. Knowledge
1. Client would be able to define smoking. Client would be able to verbalize factors why people smoke

2. Factors why people smoke a. Stress

1. Smoking is an act of inhaling burning tobacco fumes such as cigarette, cigar or pipe. (Websters Dictionary, 2003) 2. a. Smoking is perceived by many to have a calming effect and may also be seen as an enjoyable activity over which people can retain control no matter how difficult other parts of their life may be. (retrieved from www.ceitc.org.au) b. Many children start smoking because their friends have tried it and

1. LectureDiscussion 2. LectureDiscussion

2.

b. Peers

c. Environment

d. Nicotine addiction

3. Diseases related to 3. smoking a. Cancer a. Smoking is a major risk factor for at least 20 types of cancers such as lung cancer (140% risk in women, 130%risk in men), laryngeal (748% risk), oropharyngeal (455% risk) and esophageal cancer (401% risk) (Aonuevo, et.al, 2003)

they want to be part of the group. (retrieved from www.helpwithsmoking.com ) c. Many children may have started as they have grown up in an environment where their parents, grandparents and older siblings smoke and so they smoke in order to look and act like them.(retrieved from www.helpwithsmoking.com ) d. Thats because tobacco products/cigarette contains nicotine, which is addicting. The smoking habit results from the need to maintain a nicotine level in the blood. (Aonuevo, et.al, 2003)

3.

3. LectureDiscussion

Client would be able to enumerate diseases related to smoking

b. Cardiovascular diseases and stroke

c. Smoking ang lung disease

d. Impotence and infertility

b. Smoking is a major risk for heart diseases in stroke. Smoking in combination with other established risk factors, greatly increase the risk for ischemic heart disease. Smoking also cause three times more CAD deaths from lung cancer. Among older men and women, cigarette smoking remains a significant risk factor for intermittent claudicating and stroke. (Aonuevo, et.al, 2003) c. Smoking is the single established major risk factor for COPD. The risk of a smoker for developing COPD is almost 10 times more than that of a non-smoker. (Aonuevo, et.al, 2003) d. The poisons in cigarette smoking can damage a mans sperm cell and may be less able to make a woman pregnant. Smoking may make it harder for women to get pregnant. The smoke causes problems with the fallopian tubes where the egg cell passes from the ovaries to the uterus. Women who smoke also increases their chance of getting cancer of the uterine cervix and may go

4. Benefits of smoking cessation a. Overall mortality

4.

through menopause earlier. (Aonuevo, et.al, 2003) a. The number of premature deaths prevented by stopping smoking is similar across midline and older ages because of the higher burden of smoking-related diseases in older smokers it is reasonable to consider whether their quality of life or quality-of-life-adjusted survival can really be improved. (Palmer, 2000) b. The relative risk of cardiovascular mortality among older smokers compared with nonsmokers is in the order of 1.6, i.e, there is an excess mortality of 60% attributed to smoking. (Palmer, 2000) c. a 50% risk reduction has been shown 10-15 years after smoking at age 60-64 years. Stopping smoking may reduce the incidence of second primary tumors in those achieving long term remission. (Palmer, 2000)

4. LectureDiscussion

4.

Client would be able to state benefits of smoking cessation.

b. Decreased risk for cardiovascular diseases

c. Decreased risk for lung cancer and other pulmonary diseases

B. Skills Client would be able to devise a plan. START

B. a. S set a quit date b. T tell friends, family and neighbor about quitting c. A anticipate quitting benefits d. R remove tobacco products at home e. T talk to a doctor for therapies (retrieved from www. Mayoclinic.com) C. Affective benefits of cessation extend to people of all ages. Qutting enhances life expectancy and quality, even in people older than 60 years. It is never too late to quit. (Andrews, 1998 in CarpenitoMoyet, 2008)

B. LectureDiscussion

B. Skills Client would be able to plan a strategy for smoking cessation.

C. Affective Have client verbalize her own reasons for quitting.

C. LectureDiscussion

C. Affective Client would be able to verbalize the benefits of smoking cessation for her.

References: Carpenito-Moyet, L.S. (2008), Nursing Diagnosis Application to Clinical Experience, Philadelphia: Lippincott Williams and Wilkins Palmer, Katharine J. (2000), Smoking Cessation, Hongkong: Adis International Limited. Aonuevo, C. A., et. Al, (2003), A training manual for health workers on promoting healthy lifestyles, Philippines: Manila www.mayoclinic.com/health/quit_cmoking www.leitc.org.au/why_people_smoke www.helpwithsmoking.com/why_people_smoke.php Websters Dictionary 2003