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Week 9 Group Discussion Essay.

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Week 9 Group Discussion

Implementation Strategies for Community Programs for Health Promotion

(Erika) Fu, Ryn, Burgess, Nelson, Cloither, Thomas, Nyman, and Joseph (2014) has stated that there is a elevated occurrence of smoking and high burden of tobacco-related conditions in the midst of low-income populations.  Therefore, the focus for our group community project focuses on health disparities in Webb City, Missouri.  Some of the most common health disparities include obesity, heart disease, diabetes, and smoking. Week 9 Group Discussion Essay.

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It was recognized that the most prevalent and preventable is smoking.  It is estimated that approximately 20.6% of adults in Missouri smoke cigarettes (United Health Foundation, 2015).   Smoking cessation interventions have become an important focus for health promotion due to its negative impacts on health. Week 9 Group Discussion Essay.

The United States Preventative Services Task Force (USPTF) recommends that providers inquire about smoking at every office visit and provide behavioral interventions as well as FDA approved pharmacotherapy for cessation to adults who smoke (USPTF, 2015).  Due to the high relapse rates in individuals who quit smoking, our group decided to use a multidisciplinary approach with multiple strategies.

    1. Ensuring that the patient possesses a desire to quit smoking or else the treatment will likely result in failure.
    2. Prescribe pharmacological therapy that is the most appropriate for the patient (example: Chantix or Nicotine patches).  (Erika) Studies have also shown that increased rates of “smoking cessation” were linked with “Nicotine Replacement Therapy (NRT) and Bupropion” whereas Chantix and a combination nicotine replacement treatment”, such as the “patch and an inhaler” were most successful for accomplishing smoking cessation (Cahill, Stevens, & Lancaster, 2014).
  1. Continually assess for the presence of symptoms throughout therapy. Some of the symptoms may include depressed mood, insomnia, irritability, difficulty concentrating, and severe cravings (Caponnetto, Keller, Bruno, &Polosa, 2013).  This will allow the provider to recognize a need to titrate medication therapy.Week 9 Group Discussion Essay.

Typically therapy fails because the symptoms have not entirely subsided before therapy is stopped (Caponnetto, Keller, Bruno, &Polosa, 2013).  Continuing treatment through the withdraw phase will likely restore normal brain function, alleviate adverse symptoms of cessation, and promote abstinence (Caponnetto, Keller, Bruno, &Polosa, 2013).

Many challenges may arise when trying to implement smoking cessation strategies into a population group but more so in a rural community. One challenge that might present within our community setting is lack of funds to purchase the pharmacotherapy treatment. According to Fu et al.  (2014) low-income smokers are less apt to take advantage of NRT, particularly the most inclusive type that includes a mixture of “pharmacotherapy and intensive behavioral counseling.”Week 9 Group Discussion Essay.

Ways to Mitigate Challenges of Smoking Cessation

  1. Centers that specialize in smoking cessation
  2. Utilize the train the trainer approach
  3. Provide Support groups for patient
  4. Provide Telephone hotline for patient

Healthcare providers who receive training about tobacco cessation are more likely to intervene with patients who smoke than those who do not. A meta-analysis of eight studies confirmed that educational programs for healthcare professionals had a positive impact on quitting (Sarna, Bialous, Kraliková, Kmetova, Felbrová, Kulovaná, & Brook, 2014, p. 315).  According to Carson et al., (as cited by Sarna et al., 2014), a review of 17 randomized trials evaluating training of health professionals in smoking cessation on patient smoking outcomes at least 6 months after intervention found that those who received education were significantly more likely to intervene with smokers (p. 315)Week 9 Group Discussion Essay.

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