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Prenatal Smoking
Cessation Training

Developing a plan
with your client: 8 Steps

One Determine the Type of Smoker

Since there are different types of smokers you will need to customize each cessation plan to meet the clients needs:

Reasons for smoking Why smoking affects them Tips to help them quit
Smokes for energy

Nicotine acts as a stimulant for some people
  • Get enough sleep
  • Exercise regularly
  • Take a brisk walk instead of smoking
  • Drink lots of water
  • Avoid getting bored
Likes to touch and handle cigarettes

Oral fixation - nervous: needs to do something with their hands
  • Pick up a pen or pencil instead of a cigarette and doodle
  • Play with a coin, twist a ring, rub a worry stone
  • Keep low-fat, low-sugar, snacks handy such as a carrot
  • Suck on a lollipop, hard candy, or mints
Smokes for pleasure

Nicotine acts as a depressant

Nicotine acts as a stimulant for some people

  • Educate on the health benefits of quitting
  • Enjoy pleasures of being tobacco-free
Smokes when tense or upset

Nicotine acts as a depressant

Many smokers have an underlying depression

  • Use relaxation techniques when angry or upset
  • Avoid stressful situations
  • Take a hot bath, lie in outside and relax, listen to soothing music
  • Remember smoking never solves the problem, find what else will
  • Ask the doctor about Wellbuterin or Zyban.
Addicted to nicotine

Some people are genetically or socially predisposed to nicotine addiction. 

Addiction can be physical or psychosocial. 

Those physically addicted will have the most challenge during withdrawal.

  • Be aware of withdrawal symptoms and how to counteract them
  • Will need some form of nicotine replacement therapy as well as smoking cessation counseling to be successful at quitting
  • Does best when "go cold turkey"
  • Needs support from friends and family
  • Remove all cigarettes and smoking paraphernalia from the home.
Smoking is habit

Smoking has become a part of a routine such as talking on the phone, after dinner, etc.  

Often lights up a cigarette but let it burn out in the ashtray.

  • Change smoking routine
  • Keep cigarettes in a different place
  • Don't do anything else while smoking
  • Limit smoking to a certain place
  • Be aware of cigarette smoked
  • Ask self if you really want this cigarette
  • Set a date to quit and stick to it

< Step #1

< #4 - Assist

Step #3 >

#5 - Arrange >


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Last update: 01/14/03
URL: http://www.hcet.org/training/psc/fiveAs/8steps/type.html