Smoking cessation interventions and older adults.
Daniel M Doolan1, Erika Sivarajan Froelicher
1School of Nursing, University of San Francisco San Francisco, CA 94117, USA. dmdoolan@usfca.edu
Progress in Cardiovascular Nursing
|December 2, 2008
Summary
Older adults benefit significantly from smoking cessation interventions, which are underutilized in this population. Evidence shows older smokers, especially those with cardiovascular disease, can quit successfully with proper support and nicotine replacement therapy.
Area of Science:
- Gerontology
- Public Health
- Cardiovascular Medicine
Background:
- Older adults experience severe health issues due to smoking.
- Smoking cessation interventions are recommended for all ages but are underprovided to seniors.
- Nurses in inpatient settings can play a key role in smoking cessation for older adults.
Purpose of the Study:
- To examine the current research and practices of smoking cessation interventions for older adults.
- To highlight the suboptimal rates of intervention delivery to this demographic.
- To emphasize the potential for nurses to improve cessation rates in older smokers.
Main Methods:
- Review of health care literature regarding smoking cessation interventions for older adults.
- Analysis of recent research on intervention effectiveness in older smokers, particularly those with cardiovascular disease.
- Evaluation of the safety and efficacy of nicotine replacement therapy in this population.
Main Results:
- Older smokers, especially those hospitalized with cardiovascular disease, achieve high quit rates with interventions.
- Nicotine replacement therapy is safe and effective for older adults with cardiovascular disease.
- Smoking cessation interventions are offered to older adults at suboptimal rates despite recommendations.
Conclusions:
- Older adults can successfully quit smoking and improve their health outcomes.
- Targeted smoking cessation interventions are crucial for the older population.
- Nurses are well-positioned to deliver effective smoking cessation support to older smokers, including those with cardiovascular disease.
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