"Not lighting up": a case study of a woman who quit smoking.
OBJECTIVE
To review the prevalence, incidence, and risks of smoking by American women; to outline services, treatments, and educational options for smoking prevention and cessation; and to present the conceptual link between the epidemiologic and research literature and experiences of one individual in the target population--an adult female former smoker with a 30-year habit who began smoking during her teenage years.


METHODS
Published literature, expert opinion, and an interview with a former smoker--a female healthcare professional who had a 30-year habit.


RESULTS
Literature was reviewed and the content was evaluated for relevance, accuracy, and timeliness. The relevant content was augmented with the author's practical experience and applied to the case study to make recommendations.


CONCLUSIONS
Oncology nurses may use a number of strategies to assist people to never start or to stop using tobacco products. The most effective strategy begins with collaboration between healthcare professionals and patients and a combination of instruction, counseling, and emotional support. Oncology nurses can participate in grassroots efforts to educate the public about addiction related to tobacco use, provide counseling for patients who smoke, and become actively involved in legislative solutions to the problem of tobacco use.


CONCLUSIONS
Oncology nurses may intervene to affect positive behavioral change and participate in grassroots efforts to educate the public. Substantial resources are available to professionals and patients who wish to quit smoking or prevent tobacco use by friends and relatives. Nurses should take every opportunity to support smoking cessation and tobacco use prevention.
Giarelli
Ellen
E
School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. giarelli@nursing.upenn.edu
Ledbetter
Nancy
N
Mahon
Suzanne
S
McElwain
Diane
D
D000293:Adolescent; D000328:Adult; D016739:Behavior, Addictive / Q000451:nursing*; D002423:Cause of Death; D002648:Child; D005260:Female; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000209:etiology / Q000401:mortality; D008297:Male; D008402:Mass Media / Q000639:trends; D008875:Middle Aged; D009538:Nicotine / Q000008:administration & dosage; D009859:Oncology Nursing / Q000379:methods*; D010344:Patient Advocacy; D010379:Peer Group; D010510:Periodontal Diseases / Q000209:etiology; D015995:Prevalence; D012056:Reinforcement, Social; D018570:Risk Assessment; D012649:Self Concept; D012907:Smoking / Q000009:adverse effects / Q000401:mortality* / Q000523:psychology; D016540:Smoking Cessation / Q000331:legislation & jurisprudence / Q000379:methods*; D000074606:Smoking Prevention; D015996:Survival Rate; D014481:United States / Q000453:epidemiology; D016387:Women's Health
D009538:Nicotine