Stop Smoking Start Living - Booklet

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    STOP SMOKING

    START LIVINGMake the break. Live life without smoking.

    LOCAL NHS STOP SMOKING SERVICES

    For one-to-one or group-based advice. Just text

    GIVE UPplus your postcode to 88088

    NHS Smoking Helpline

    7am-11pm every day0800 169 0 169Textphone

    0800 169 0 171For free advice, help and support

    For online help and support andthe chance to Ask an Expert

    GOSMOKEFREE.CO.UK

    Your local GP or pha rmacist

    FOR PRODUCTS TO REDUCE

    NICOTINE CRAVINGS

    NHS Pregnancy Smoking Helpline

    12pm-9pm every day0800 169 9 169

    NHS Asian Tobacco Helplines1pm-9pm Tuesdays

    0800 169 0 881 URDU

    0800 169 0 882 PUNJABI

    0800 169 0 883 HINDI

    0800 169 0 884 GUJARATI

    0800 169 0 885 BENGALI

    Produced by the Department of Health Crown copyright.Order No. 6000A Smokefree Guide. April 2007. DOH 273950.

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    3CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK

    THINK 4

    Why its great togo smokefree

    PREPARE 12

    Where to go for support,

    products and advice

    GO 22

    How to stop smoking withour SMOKEFREE Planner

    STAY 40

    When a smokefree lifebecomes a brand new life

    LIFECHANGINGImagine the best thing youll ever do in your life. Imagine

    making your next break a complete break from smoking.What would it be like to wake up and feel absolutely fresh?

    How would you spend all the new time you suddenly have

    in your life? Stopping smoking can be a life changing

    experience. Get ready for a smokefree world. Make your

    mind and body smokefree today.

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    Irelandissmokefree.Scotlandiss

    mokefree.Wales,

    NorthernIrelanda

    ndEnglandarejoiningin.We

    rebecoming

    asmokefreenatio

    n.Sowhywaittos

    topsmoking?Especially

    whenyoucansave

    money,feelhealth

    ier,smellfreshera

    nd

    avoidtheseriousd

    iseasesassociated

    withsmoking.

    SMOKEFREE

    ENGLANDGo smokefree and look forward to years of better health.Reduce your chances of getting

    lung cancer. Help yourself to

    breathe more easily.

    Cut down on the phlegm in

    your lungs. Wake up withoutthat nasty cough.

    Cut your chances of getting a

    heart attack. Cope better with

    having to run down the street.

    Reduce your stress levels.

    Take control of your life.

    4 5CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK

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    7CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK6

    NOTHINGTO LOSE

    EVERYTHINGTO GAINYou might think you have lots of reasons to put off the

    moment when you have to stop smoking its a crutch,

    a stress-buster, a confidence-booster. You might think

    its hard to stop when everyone around you still seems tosmoke. But every year thousands of people go smokefree.

    You can do it too.

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    MINUTESYour blood pressure and pulse return to normal.Circulation improves especially in your hands and feet.

    HOURSYour blood oxygen levels return to normaland your chance of having a heart attack falls.

    HOURSCarbon monoxide leaves your body.Your lungs start to clear out mucus and debris.

    HOURSCongratulations. Your body is now nicotine free. And haveyou noticed how your sense of taste and smell have improved?

    HOURS

    Your breathing is easier. You have more energy.

    WEEKSCirculation is now improved throughout your body.Its easier for you to walk and exercise now.

    MONTHSYour lung efficiency is up by 5-10 per cent. Breathingproblems are fading away. Say goodbye to coughing,shortness of breath and wheezing.

    YEARSYou now have only half the chance of getting a heartattack compared to a smoker.

    YEARSThe chance of you getting lung cancer is now half thatof a smoker. Your chances of having a heart attack arenow the same as someone w hos never smoked.

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    48

    722-12

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    MINUTESLIFETIMEGoing smokefree is the one single thing you can do to

    dramatically increase your chances of living a longer life.

    Once your body is smokefree, it will begin to heal within

    20 minutes, repairing the damage done by all those years

    smoking. Go smokefree and put your body on the mend.

    9CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK8

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    11CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK10

    STOPSTARTThousands of people in England have already gone smokefree.

    And they all went on the same journey. Youll take the same

    steps as you become smokefree. Dont worry if you step

    backwards and start smoking again. It takes most people

    more than once to succeed. The great news is that by picking

    up this booklet, youve already taken the first step.

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    POSTPONEPREPARE

    Preparing to go smokefree is about being practical.This is not a test of your will power. Its about having

    a plan. Choosing a day to go smokefree. And a way

    to go smokefree. Understanding why you smoke.

    And having people on your side.

    TOP TIPS

    Contact your local NHS StopSmoking Service. Trained advisors

    are waiting to help you.

    Identify your smoking triggersand plan ahead.

    Take it one day at a time andreward yourself every day.

    Buddy up with a friend so youcan support each other.

    Use nicotine replacementproducts to cope with the

    withdrawal symptoms.

    Avoid situations where you mightbe tempted to smoke again.

    Note how much cash youre saving and treat yourself.

    Keep telling yourself you can do it.

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    OLD WAYSNEW WAYS

    Many smokers want to go smokefree but arent surehow to do it. Here, youll find four different ways to go

    smokefree. Pick the method that best fits with your

    life. And remember, you can always mix and match.

    People who use medication or professional help can

    double their chances of success.

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    SMOKEFREE ADVICE AND SUPPORTGet free help from trained expertsat your local NHS Stop SmokingService. Talk one-to-one or shareyour experiences as part of a group.

    TOGETHER PROGRAMMELots of support at the critical time iskey to going smokefree. Sign up withthe Together Programme and well callyou, send you text messages and emailyou at the crucial moments.

    NICOTINE REPLACEMENTPRODUCTSThere are lots of products out thereto help with the nicotine addictionsuch as patches, gum and inhalators.

    SMOKEFREE PLANNERRelying on willpower alone isnot something wed recommend.Whichever way you choose togo smokefree, it helps to keepa record of your progress. Goto page 22 for your personalSMOKEFREE Planner.

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    CANTCAN

    Cant cope on your own? You can see a local NHS StopSmoking Advisor face-to-face. Cant spare the time?

    NHS Stop Smoking Services are nearby and easily accessible.

    Cant handle the expense? All support from your local

    NHS Stop Smoking Service is free.

    If you want to go smokefree theNHS offers plenty of support and it works.

    Well get you working with a trainedadviser, either in a group or one-to-one. One of the things you can dois use a carbon monoxide monitor,to check how addicted you are andmeasure the fall in carbon monoxidein your body.

    Well also give advice about NicotineReplacement Therapy (NRT), andwhich product or combination ofproducts could work for you. Youre

    up to four times more likely to besuccessful if you go to your localNHS Stop Smoking Service anduse NRT, than if you try to gosmokefree using willpower alone.

    SHARE YOUR EXPERIENCESMost groups meet for an hour or twoa week for six or seven weeks. Youllusually spend the first two sessions

    planning and preparing to stop, thengo smokefree in the third week. Manypeople find that sharing the experiencewith others is helpful in itself.

    TALK FACE-TO-FACEIf you would prefer one-to-onesupport, you can get it in most areas.

    To find your nearest localNHS Stop Smoking Service:

    call the helpline on0800 169 0 169

    visitGOSMOKEFREE.CO.UK

    or textGIVE UP with your fullpostcode to 88088

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    Well be with you every step of theway. Well ahead of your stop date, justbefore it and after it well be in touchwith help, advice and encouragement.After three months, well offer youadvice on staying smokefree.

    ALONETOGETHER

    Why go smokefree on your own when you can join theTogether Programme? Developed by ex-smokers and

    professionals, its a way of going smokefree with the support

    of others. You dont even need to leave your home the

    programme delivers free information packs, supportive

    text messages, phone calls and emails at the crucial stages.

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    STRUGGLECOPE

    The initial few days without any nicotine are often thehardest part of going smokefree, as this is when you

    are fighting the physical addiction. Nicotine replacement

    products can help you get past this. You use them in the

    early stages. After the nicotine cravings pass, youll find it

    much easier to overcome the mental side of the habit.

    NICOTINE GUM Nicotine is absorbed through the liningof your mouth when you chew the gum.

    NICOTINE PATCHES Nicotine patches work well for mostsmokers, and can be worn around theclock (24 hour patches) or just duringthe day (16 hour patches).

    MICROTABS These are small tablets containingnicotine that dissolve underyour tongue.

    LOZENGES Lozenges are sucked slowly to releasethe nicotine and take about 20-30minutes to dissolve.

    NICOTINE NASAL SPRAY The spray delivers a swift andeffective dose of nicotine throughthe lining of your nose.

    INHALATORS Much like a plastic cigarette, theinhalator releases nicotine vapourwhich gets absorbed through yourmouth and throat. If you miss thehand to mouth aspect of smokingthese may suit you.

    ZYBAN As well as NRT, there are other products(BUPROPION HYDROCHLORIDE) that do not contain nicotine that can

    help you go smokefree, such as Zyban.You take Zyban tablets for two monthsand should be ready to stop smokingduring the second week. Its availableonly from your doctor on prescription.

    You can get lots of different typesof Nicotine Replacement Therapy

    (NRT) and they work. NRT doublesyour chances of successfully goingsmokefree by helping you manageyour withdrawal symptoms. Becauseit goes into your body differently tonicotine from cigarettes, its much lessaddictive. NRT does not contain tar,poisons or carbon monoxide the waycigarettes do, so it doesnt cause cancer.

    You can get a prescription for NRT,or buy it over the counter, and follow

    the instructions on the packet. Itssuitable for most adults, but if youhave a heart or circulatory condition,or are on regular medication, youshould get the OK from your doctor.Likewise if you are pregnant, youshould ask your doctor or midwifebefore using NRT.

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    MAKE EXCUSESTAKE ACTIONWhatever methods you use to go smokefree, youll

    find that keeping a record of your progress can play an

    important part in helping you. Thats why weve designed

    a SMOKEFREE Planner for you to complete. Its filled with

    useful self-help exercises and takes you all the way from

    the first to the last step of the smokefree journey.

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    STEP 1:THINK

    The first thing you need to do to become smokefree isto think seriously about stopping smoking. Everything

    else follows from that. There are four steps people tend

    to go through on their way to going smokefree for good.

    Step one is the simplest.

    Use this SMOKEFREEPlanner to keep trackof your progress. Itsa good idea to writein biro as other penscould smudge.

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    HOW MUCH DOES SMOKING COST YOU?

    Do this rough calculation you may find smoking costs you morethan you think.

    What you spend on smoking a week: _______ a week

    Multiply by 52 to give you the cost for a year: _______ a year

    SO THINK AHEAD.

    IF YOU DONT GO SMOKEFREE NOW...

    In another three years you woul d spend: _______

    In five years: _______

    In ten years: _______

    Spend the money you save on other things. New shoes. A kitchen.Maybe a weekend break...

    Most people who smoke have thought about going smokefree. But youhave to think about it seriously to begin to rid yourself of the addiction.

    Read through the following section and fill it in as you go along, and

    suddenly youll be a lot clearer about your reasons for going smokefree.

    27CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK26

    List your top five reasons for going smokefree here.

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    WHATS KEEPING YOU SMOKING?

    Smoking is usually a habit. There are probably certain times in the daythat you normally light up little triggers if you like. Its good to knowwhat these are and have a way of dealing with them.

    WHEN ARE YOU MOST LIKELY TO WANT A CIGARETTE?

    WHY DID YOU START SMOKING?

    Now youre planning to stop, its worth thinking about what got you s tarted.Do any of these sound familiar?

    Whatever your reasons for starting smoking,

    are they good reasons to keep doing it?

    Do the reasons to stop seem stronger? If they do, read

    on. If they dont, youre not ready to go smokefree yet.

    To look older

    To be cool

    Copying friends or family

    To feel grown up

    To be tough

    To be accepted

    Curiosity

    Just felt like it

    WHY GO SMOKEFREE

    REASONS TO SMOKE REASONS TO GO SMOKEFREE

    Any others?

    Anything else?

    Waking up

    Talking on the phone

    Having a drink

    Watching TV

    At social events

    After a meal

    With friends or family

    Reading the paper

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    Which of these still apply?

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    MANAGING YOUR TRIGGERS

    Here are some ways of coping with the difficult moments:

    Stay busy

    Think about something else

    Take a few slow, deep breaths

    Go for a stroll, or just into another room

    Drink a glass of waterTalk to a friend about it

    Look back at your list of reasons for stopping

    Try using some NRT products or Zyban

    STEP 2:PREPAREThe second stage in going smokefree is all about

    preparation. Youve thought long and hard and now

    its time to start planning for the big event.

    KNOW WHY YOU SMOKE

    To understand when you smoke and whats triggering it, fill in this plannerover a day or two.

    WHAT WHAT YOU HOW MUCH

    TIME YOU WERE DOING YOU WANTEDSMOKED TO SMOKE (1-10)

    Youve probably got some ideas of your own as well write them here.

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    33CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK32

    GETTING READY TO GO SMOKEFREE

    The day you stop smoking, youll be changing your life for the better.Use this list to help you prepare.

    DURING THE FIRST WEEK

    Keep busy

    Find a different regular daily routine

    Stick to non-smoking areas

    Get plenty of fresh air

    KEEP REMINDING YOURSELF WHY YOURE STOPPING

    That theres never just one cigarette

    That you want to be in control

    That youll be much healthier, smokefree

    And much wealthier, smokefree

    GET SUPPORT

    Call your local NHS Stop Smoking Service

    Talk to friends and family

    Talk to someone whos successfully gone smokefree

    Team up with someone else who wants to go smokefree

    Call the NHS Smoking Helpline on 0800 169 0 169

    AVOID TEMPTATION

    Choose a stop date thats unlikely to be highly stressful

    Dont have any cigarettes, matches or lighters on you

    Dont drink alcohol

    THE STOP DATE PLANNER

    DAY/DATE MONTH YEAR

    THINK ABOUT WHOLL SUPPORT YOU:

    1

    2

    3

    4

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    STEP 3:STOP

    Youve picked the day to go smokefree and now its here.Are you ready to take the big step? Call the NHS Smoking

    Helpline at any time if you need someone to help you.

    35CALL 0800 169 0 169 OR VISIT GOSMOKEFREE.CO.UK34

    SEE YOURSELF GETTING BETTER

    If you are using a carbon monoxide monitor, available at your local NHSStop Smoking Service, write the results here to show how quickly yourbody is recovering.

    DATE CARBON MONOXIDE READING

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    SYMPTOMS

    Intense desire to smoke

    Coughing, dry mouth

    Hunger

    Constipation or diarrhoea

    Trouble sleeping

    Dizziness

    Mood swings, poorconcentration,irritability

    WHATS HAPPENING

    Your brain is missingthe nicotine fix

    Your lungs are clearingof tar

    Your metabolism is

    changing, and foodtastes better onceyouve stopped smoking

    Its all part of your bodyreturning to normal andit will settle down

    This can be due tonicotine leavingyour body

    More oxygen is gettingto your brain instead ofcarbon monoxide

    These are signs ofnicotine withdrawaland will pass

    HOW TO COPE

    Cravings are worst forthe first few days andwill lessen over a fewweeks. Look at waysto cope on page 31

    Symptoms will improvequite quickly. Warmdrinks can help

    Eat fruit and vegetables,

    chew gum and drink lotsof water

    As above fruit,vegetables and plentyof water

    This shouldnt last morethan two or three weeks.Cut down on coffee andtea, and try to get morefresh air and exercise

    It should go away aftera few days

    Warn family and friendsand ask for their support.Look at ways to copeon page 38

    STEP 4:STAY

    Now youve reached the critical step in the whole processof stopping smoking and thats staying smokefree for

    good. We appreciate you need all the help you can get and

    thats why in this section youll find tips and advice to help

    you stay one step ahead of the cravings.

    COPING WITH WITHDRAWAL SYMPTOMS

    Lots of people start smoking again because they feel they cant copewith the withdrawal symptoms. The first few days may not be muchfun, but the symptoms are a sign that your body is starting to recover.

    Nicotine replacement products will help you to reduce the severity ofyour withdrawal symptoms and make going smokefree more manageable.

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    HANDLING THE STRESS

    It can take a while to get used to being smokefree and for new habitsto start feeling natural. If youve been using smoking as a way to dealwith stress, nows the time to find other ways like these:

    Be honest with yourself about whats really upsetting you

    Try different ways of doing things

    Talk problems over with someone you trustPrioritise tasks and make realistic plans for getting them done

    Do one thing just for you every day

    Take time out to relax and try to get enough sleep

    Remember, as a nonsmoker, youll be less stressedand find it easier to cope

    COPING WITH DIFFICULT SITUATIONS

    Glance back at the list of things that are keeping you smoking onpage 29. It helps to avoid these if you can. But just taking that stepback and being aware of them helps you cope.

    And if youve tried to go smokefree before, learn from your mistakesand try something new this time.

    IF I AM TEMPTED TO STARTSMOKING AGAIN I WILL:

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    STEP BACKSTART AGAIN

    Dont worry if you take a step back and start smoking again.It often takes people four or five attempts to stop for good.

    Next time you try, you can draw on the lessons you learnt this

    time round to help you go smokefree.

    EMERGENCY ADVICE

    If youve just had a cigarette:

    Revisit your decision to stop

    Bin any cigarettes youve got

    Get out of the s ituation thatmade you start go outside,or to a different room

    Call a friend or the NHS SmokingHelpline on 0800 169 0 169

    Dont let it undo all your hard work

    WHY PEOPLE START SMOKING AGAIN

    There are lots of reasons people giveup on going smokefree, but someof the most common are that they:

    Thought they could have just oneDidnt prepare well or think abouttheir smoking triggers

    Didnt work out other ways ofdealing with stress

    Put on weight

    Thought of themselves asex-smokers not non-smokers

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    YOURESMOKEFREE

    Once youre smokefree for good, youll look back and hardlybe able to believe all the time, money and sheer human

    energy youve wasted on the habit. Going smokefree means

    getting back in touch with the real you.

    To get a copy of this brochure in Braille

    or large print phone 0800 169 0 169