Sample Nursing Coursework Paper on Client Profile: Smoking Cessation Intervention

Client Profile: Smoking Cessation Intervention

Client Information

The patient is a 40-year-old female named A.C who has been smoking since she was 21. She is of medium built and healthy in look, has been married for the last 18 years, and has 4 children. She also works as a corporate lawyer and has colleagues who also smoke. In the past, she had attempted to quit smoking using the cold turkey method but had failed mainly because of the influence of her peers. She can be described more as a social smoker than an addict. Currently, the client has the intention to cease smoking and has requested to be assisted through cognitive behavioral therapy to progress to complete cessation. To achieve this, the client’s strengths and weaknesses are to be explored by the social worker to ensure that they are used optimally to help the client.

Client Strengths

One of the reasons why the client currently has the motivation to cease smoking is because she is pregnant. This can be considered a strength in the sense that she understands the implications of her smoking in her condition on the health of her baby. Furthermore, since she is educated, understanding the rationale behind smoking cessation, comprehension of the cessation methods proposed and active participation in the smoking cessation-related activities that will be proposed during the intervention will not be a challenge. She is also willing to stop smoking and has personally reported her intention to be assisted. According to Farris et al. (2015), behaviors such as alcohol use, poor stress management, and adherence to certain cultural practices also foster smoking. However, A.C has not shown any indications of such behaviors hence it is deductible that her smoking is independent of any other negative behaviors. This makes it possible to help her cease smoking by focusing only on the actual smoking cessation activities.

Another strength that will be useful in smoking cessation is the support system that the client has. Besides her husband, A.C has other non-smoker friends who are very supportive of her decision to quit smoking. This support network will be favorable for complete smoking cessation. The work environment, in which the client commonly met smokers and would be influenced to continue smoking, has now turned into a smoke-free environment. This means that the client may find it easier to keep free from smoking compared to before.

Barriers to Smoking Cessation

Daoud et al. (2018) described some of the most prevalent barriers to smoking cessation among men. However, some of those barriers also affect women, resulting in lower probabilities of smoking cessation as well as higher risks of engaging in other negative behaviors. Such barriers include cultural/ social background and the social groups to which one belongs (Sussan et al., 2017). The client under consideration is a social smoker. This means that when she is with her smoker friends, she will most likely be lured to smoke. Other factors that enhance the smoking probability for A.C include stress, need for weight control, and concern about social outcomes of smoking cessation. Campbell et al. (2018) point out that one of the impacts of continuous smoking is weight reduction. While this is mentioned as a side effect of smoking, it is clear that A.C takes this seriously and uses the side effect to her advantage. This poses a challenge to the cessation efforts in that as soon as she delivers her baby, she may decide to reduce the baby fat through smoking.

Another barrier that could possibly come up is the client’s concern about withdrawal effects that she may face once she stops smoking, the loss of the pleasure associated with smoking and handling boredom. Farris et al. (2015) also point out that anxiety is one of the enablers of smoking since smoking induces relaxation. For an individual who has been used to smoking for relaxation, dealing with life anxieties such as fear of failure can be difficult.

Overcoming the Cessation Barriers

To get more positive outcomes through the intervention, various approaches have been proposed for dealing with the barriers to smoking cessation. One of these approaches will be through positive reinforcement. The client and the social worker can agree on the most viable positive reinforcement practice for the times when she fails to heed to the cravings for smoking. A sheet will be provided to enable the client record such instances including the dates and time. This sheet can also be used for evaluating intervention progress and efficiency as described by Campbell et al. (2018). Secondly, providing alternative activities such as mediation can help to address the challenge of relaxation. Since one of the issues that the client has with cessation is the fear of failure, alternative activities can help address this effectively. Such activities can also promote stress management.

The actual intervention will begin with attending formal classes for smoking cessation and scheduling of counseling sessions. Formal classes will help the client to identify their personal needs with regards to smoking cessation, the gaps between where they are and where they need to be and the most viable methods towards smoking cessation. Counseling on the other hand, will help the client by providing evidence-based information on smoking cessation and possibly combine counseling programs with medical adjunct therapy to help the client deal with withdrawal issues during the initial stages of smoking cessation. The best way to achieve all these is to involve the client’s family in the intervention process.

References

Campbell, K.A., Fergie, L., Coleman-Haynes, T., Cooper, S., Lorencatto, F., Ussher, M., Dyas, J. & Coleman, T. (2018). Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence them? Application of theoretical domains framework. International Journal of Environmental Research and Public Health, 15(2), 359. Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC5858428/

Daoud, N., Jung, Y.E., Muhammad, A.S., Weinstein, R., Qaadny, A., Ghattas, F., Khatib, M. & Grotto, I. (2018). Facilitators and barriers to smoking cessation among minority men using the behavioral-ecological model and Behavior Change Wheel: A concept mapping study. PLoS One, 13(10). Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC6200188/

Farris, S.G., Allan, N.P., Morales, P.C., Schmidt, N.B., & Zvolensky, M.J. (2015). Does successful smoking cessation reduce anxious arousal among treatment seeking smokers? Journal of Anxiety Disorder, 36, 92-98. Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC4658244/

Sussan, T.E., Shahzad, F.E., Tabassum, E., Cohen, J.E., Wise, R.A., Blaha, M.J. et al. (2017). Electronic cigarette use behaviors and motivations among smokers and non-smokers. BMC Public Health, 16, 686. Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC5590123/