1. CAPSTONE PROJECT. Setting the scene- why smoking cessation is important in the treatment of COPD

2.  Definition  Introduction  Problem  Statistical value  Tool  Level 1 evidence  Implication

3. What is COPD?  Chronic Obstructive Pulmonary Disease  Serious lung disease that over time makes it hard to breathe  Emphysema  Chronic Bronchitis  Blocked (obstructed) airways make it hard to get air in and out

4. Did You Know?  4 th leading cause of death  Kills more than 120,000 people per year  2 nd leading cause of disability  12 million+ have COPD  Another 12 million may have it but don’t know it

5. How Does COPD Affect Breathing?

6. What Are the Symptoms?  Coughing - “smoker’s cough”  Shortness of breath  Excess sputum or phlegm  Feeling like you can’t breathe  Can’t take deep breath  Wheezing

7. SMOKING CESSATION IN COPD.  Introduction.  Tobacco smoking is the major etiological factor for the development of COPD.  About 15-20% of all smokers will develop COPD.  Smoking cessation is the only therapeutic intervention that can cure and avoid chronic progression of COPD.

8. Are You At Risk?  Smoking  Most common cause, however, as many of 1 out of 6 people with COPD never smoked  Environmental exposure  Chemicals, dusts, fumes  Secondhand smoke, pollutants  Genetic Factor  Alpha-1 antitrypsin (AAT) deficiency

9. SMOKING CESSATION IN COPD.  30-70% of COPD patients are still smokers.  COPD smokers are a “hard-core” group.  Evidence based effective psychological and pharmacological interventions for smoking cessation among COPD smokers..

10. SMOKING CESSATION IN COPD.  Smoking characteristics of smokers with COPD.  Number of cigarettes smoked daily.  Inhalation pattern.  Nicotine dependence.  Motivation to quit.  Self-efficacy. Self-esteen  Depression.  Gain weight.

11. TOOL A; TOOL B

12. SMOKING CESSATION IN SMOKERS WITH COPD  CONCLUSIONS  Smoking cessation is the only measure that has proven to be effective for controlling the progression of COPD  COPD smokers are a hard-core group.  NRT, Varenicline and Bupropion have proven to be effective and safe for helping smokers with mild and moderate COPD to quit.  Our clinical experience have shown that NRT, varenicline and bupropion are effective and safe for helping smokers with severe or very severe COPD to quit.