Smoking

Smoking Risk

Category / Primary Body System

• Respiratory System / Safety

Problem

• Patient is at risk for injury due to smoking.

Goal

• Patient will not have a smoking-related injury for the next 90 days.
• Patient will abide by the facility’s smoking times as needed.

Plan/Approach

1. Smoking Cessation Education

   • Educate the patient about smoking cessation as needed, providing information on the benefits of quitting and available resources.

2. Safety Assessment

   • Assess the patient for smoking safety on admission, quarterly, and as needed to ensure they understand and follow safety protocols.

3. Medication Management

   • Administer medications as ordered to manage withdrawal symptoms and support cessation efforts.

4. Diversional Activities

   • Offer diversional activities as needed to keep the patient engaged and reduce the urge to smoke.

5. Scheduled Smoking Times

   • Schedule patient smoking times as needed to ensure smoking occurs in a controlled and safe environment.

6. Supervision During Smoking

   • Supervise the patient during smoking to ensure safety and adherence to facility policies.

7. Safe Storage of Smoking Materials

   • Keep smoking materials stored safely to prevent unauthorized access and potential fire hazards.

Rationale

1. Smoking Cessation Education

   • Providing education on smoking cessation can motivate the patient to quit and reduce health risks associated with smoking.

2. Safety Assessment

   • Regular safety assessments help ensure that the patient understands and adheres to safety protocols, reducing the risk of smoking-related injuries.

3. Medication Management

   • Proper medication management can help control withdrawal symptoms and support the patient's efforts to quit smoking.

4. Diversional Activities

   • Engaging the patient in alternative activities can help distract them from the urge to smoke and promote healthier habits.

5. Scheduled Smoking Times

   • Scheduling smoking times ensures that smoking occurs under safe and controlled conditions, minimizing risks.

6. Supervision During Smoking

   • Supervising the patient while smoking helps ensure compliance with safety protocols and reduces the risk of injury.

7. Safe Storage of Smoking Materials

   • Keeping smoking materials secure prevents accidental fires and unauthorized access, ensuring a safer environment.

Actions

1. Smoking Cessation Education

   • Provide educational sessions and materials about the benefits of quitting smoking and available support programs.
   • Discuss smoking cessation options with the patient, including medications and counseling.

2. Safety Assessment

   • Conduct a smoking safety assessment on admission, quarterly, and as needed, documenting findings and interventions.
   • Review smoking safety protocols with the patient regularly.

3. Medication Management

   • Administer prescribed medications to manage withdrawal symptoms and support smoking cessation efforts.
   • Monitor for side effects and effectiveness of smoking cessation medications.

4. Diversional Activities

   • Offer a variety of activities such as crafts, games, exercise, and social events to keep the patient engaged.

5. Scheduled Smoking Times

   • Establish and communicate a schedule for smoking times, ensuring the patient understands and adheres to it.

6. Supervision During Smoking

   • Assign staff to supervise the patient during smoking times, ensuring safety and adherence to policies.

7. Safe Storage of Smoking Materials

   • Store smoking materials in a secure location, accessible only to authorized staff.
   • Conduct regular checks to ensure that smoking materials are stored safely.