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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.
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