Monday, June 18, 2018

Smoking Management Freedom Team


I have worked my way through tobacco control state laws, city ordinances, and company policies (there is no national law). All of these controls depend heavily upon self-compliance. And they work fairly well.
Consistent violators are reported, and shamed into compliance, by the rest of the endangered community. A peculiar behavior I have observed is that the bluff and bluster of an addicted smoker disappears after the community sets the effective date for the end of smoke exposure in some manner.
There is an explanation for this change in behavior. Over half of smokers living in multi-unit housing vote for tobacco smoke free exposure.
The often-quoted “70% of smokers wanting to quit” shows here. They see an environment free of smoke as an important aid in quitting. The smell of tobacco smoke is a powerful trigger.
So it turns out that the last grouping I need to consider is also the foundation for tobacco control compliance; that group is not just smokers. It is everyone in the community.
A group larger than five, needs to be divided into functional teams. Each team needs to have at least one smoker interested in managing his/her addiction.
The teams need names. This provides a sense of accountability for prizes without needing to publish names. (Many smokers feel rejected and isolated. It is important to feel part of a positive supportive team. This is the main function of a team.)
Suggested times for teams to celebrate:
1. Each member's first smoke free day, first week, first month.
3. Entire site first smoke free day, first week, first month.

Team prizes are important and should be significant (equal to $60 per month per employee reported at one company in town). The new non-smoker is the star, but as in all sports, it is the team that wins, that earns recognition for their support. [Consider traveling trophies between participating sites.]
Promote the formation of freedom teams. Then each member calls 1-800-LUNGUSA for a free copy of their “Freedom from Smoking” self-help workbooks, that guide the team to success. (it takes about a week for delivery).
[Also contact the local city/county health department and CDC 1-800-QUIT-NOW (1-800-784-8669) for free 2-week alternative nicotine supplies.] 
Viral bylaw: After becoming comfortable with my own nicotine management or becoming a non-smoker, I will assist in at least one more team, at this location or at another location.     


New Over the Counter Safe Nicotine Sources

Frequent Sales in a Competitive Market 
         

Saturday, June 9, 2018

A New State Tobacco Control Law


The term “Tobacco Control” comes from the days of “Alcohol, Tobacco and Fire Arms. The emphasis was on controlling tax revenue.
A new law must be based on “tobacco smoke exposure”; a recently recognized public health problem of great importance, and continue with addiction as a serious illness.
Education has been the most successful tool in controlling the use of tobacco (1).

Well to do, educated, and tobacco knowledgeable people have self-regulated their exposure down to no tobacco smoke by living in totally tobacco free condominiums and multi-unit housing (2). This is comparable to the self-regulated single family occupants at all socio-economic levels (3).
Heavily regulated hospitals have now arrived at the “tobacco free” status that includes not hiring people who are addicted to nicotine; that they obtain from smoke or from alternative nicotine sources (4). The air is clear for employee and patient. [Hospitals (health care) have given themselves the same status (in Missouri law) as health promoters (American Lung Association, for example), by charging for smoking cessation consultations.]
Private pay, less regulated, assisted living and memory care, sites have not arrived at the “tobacco free” or “exposure free” status in Missouri (5). They are only “smoke free” workplaces (6). The public regards them as “free of smoke”.
Here is the problem: The low wage workers are drawn from lower socio-economic levels where up to 50% are heavily addicted to nicotine (7).  
Here is the result: A caregiver, needing to adjust blood nicotine levels, can step out of a “smoke free” area to smoke, and step back in. Within a minute the next resident could have just as well have been smoking too, but now from the third hand tobacco smoke released from hair, clothes, and body.
Transitional competitive market solution (0-90 days): Hire smokers who are given to understand that nicotine addiction is a serious illness that affects everyone exposed. No tobacco or smoke are allowed on the property. They must take part in an effective smoking cessation program directed by a qualified person to manage their addiction while at work, and to set a low stress quit date. The job is conditional until nicotine addiction is under control.
Fully funded and updated tobacco control law solution (2-5 years): The enemy is a profit-seeking cult (8) that holds onto 70% of its members (9) by addiction (10). Pass company non-smoker health insurance benefits into paychecks. Fund tobacco initiation and smoking cessation programs at the CDC recommended level. Encourage effective “exposure free” company policies (11) and city ordinances (12) that can support an effective state law.
For details please see: https://residentialcarefortwo.blogspot.com.

Friday, June 1, 2018

A Transition Tobacco-free Policy


The “Sample Tobacco-free Workplace Policy” is dated 2013. This is in the era of “tobacco free” property. The property placed a shield around “smoke free” areas. Thirdhand tobacco smoke (THS) had not risen to the regulatory level of public consciousness.
Areas and properties remain in place. THS is left behind or carried about with people. THS penetrates the assumed safe “tobacco free” property.
The terms 100%, tobacco, smoke, and free have been combined in several ways to distinguish advances in, and reasons for, tobacco control beyond a source of taxes. Tobacco free, tobacco-free, and tobaccofree have generally referred to workplaces, restaurants, and bars. They may apply to assisted living and memory care as a “workplace”, and more recently, to “multi-unit housing”.
Tobacco-free in 2013 did not include THS. The American Lung Association (ALA) policy uses “complete” (without THS). I am using “complete” with THS rather than “Final” or some other term signifying the end for a need for new names.
Line and a half spacing is used to increase readability. A clean one page draft policy is located at the end of this post in text and in an image. New, Original, and Deleted. Provision Living has been inserted for EMPLOYER and ORGANIZATION NAME as this is where my wife and I live in Columbia, MO.
I have learned that effective tobacco control legislation starts from the bottom up. I have also obtained many meaningful insights into how assisted living and memory care actually operate in the past 2.5 years. This is a good place to start.
Sample Provision Living Tobacco-free Workplace Policy
A tobacco-free environment An environment free of tobacco smoke helps create a safe and healthy living and workplace. Smoking, and secondhand and thirdhand smoke are known to cause serious lung diseases, heart disease, heart attacks, strokes and cancer. [Provision Living] recognizes the hazards caused by tobacco use and exposure to secondhand and thirdhand tobacco smoke. Our policy to provide an environment for all employees, residents, and visitors was established to keep a safe and healthy workplace environment; an ideal environment to break out of any nicotine addiction. This policy covers the smoking of any tobacco product and the use of oral tobacco products, “spit” tobacco and e-cigarettes, and it applies to both employees, residents, and non-employee visitors of Provision Living.
Definitions
Smoker: A person so ill (nicotine addicted) that a nicotine adjustment must be made during the time spent on the property.
Smoke free: an area in which there is no smoking, but which secondhand tobacco smoke can drift into. A “smoke free” sign signifies smoking somewhere.
Secondhand tobacco smoke: the smoke that is inhaled by non-smokers, is deposited everywhere, and can be carried about on hair, clothes and bodies as thirdhand tobacco smoke (THS) where it can become re-airborne in restricted areas.
Tobacco-free: a property onto which no tobacco nicotine materials can be brought, but which thirdhand tobacco smoke can be carried into.
THS Level 1: New hires using non-toxic nicotine replacements, as needed, to adjust nicotine levels during their shift (before arriving until after leaving the property).
THS Level 2: After quitting or 30 days, using non-toxic replacements, as needed, to adjust nicotine levels all 24 hours of the day. [Protects worker, workplace, and family; reduces sick call ins.]
Smoker free: All occupants (employees and residents) living and working on the property no longer smoke. [The ultimate goal of any smoking cessation program.] In time, this status may be included in "tobacco-free", plus the effective date.
Stealth smoking: A facility is presented to the public as an environment free of tobacco smoke and free of tobacco control signs, when in fact, smoking is occurring and may even be accommodated. We found this a common practice in assisted living facilities in MO and TX. It is one reason we selected Provision Living at Columbia.
Policies
OPTION 1 – COMPLETE TOBACCO-FREE POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of [Provision Living] at any time.
OPTION2 – COMPLETE TOBACCO-FREE  IN DESIGNATED OUTDOOR AREAS ONLY POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of [Provision Living] at any time. No third hand tobacco smoke (THS) is permitted after probationary period.
THS is managed at three levels on the property: THS 1 (on shift), THS 2 (24 hours), and Smoker Free (no smokers) to accommodate hiring smokers into a caring, radiant person, family type community that is mindful, of the stress involved in continuing and in curing an addictive illness, and the freedom and benefit of being cured: a new non-smoker. At no time is smoke generated on the property.
Procedure
1. Employees will be informed of the [Provision Living] Tobacco-free Policy through signs posted throughout properties owned and operated by [EMPLOYER] including company owned vehicles during regular staff meetings prior to 30 days of being effective.
[Smoking signs in an environment free of tobacco smoke are a constant reminder for those quitting to think about smoking as well as smokers getting ready to quit. These people need to feel how good it is to be free from smoke for 9 hours.]
2. Visitors will be informed of the [Provision Living] 100% Tobacco-free Policy by their hosts, the meeting invite and email correspondence and signs posted throughout the properties owned and operated by [ORGANIZATION NAME].
[The old tradition of asking permission to smoke is reviving again. A free lozenge is available for visitors needing to adjust their nicotine levels. Stealth smokers often act embarrassed when encountered.]
3. Provision Living will help employees who want to quit smoking by helping them prepare to quit, set a quit date, and access recommended smoking cessation programs and materials. This includes a Freedom Team of never smokers, former smokers, new hire quitting smokers and smoking cessation counselors. (Visit www.lung.org/stop-smoking for more information.)
4. Any violations of this policy will be handled through the standard disciplinary procedure.

____________________________________        ________________________
 SIGNATURE CEO or PRESIDENT                          DATE  

American Lung Association 2013 (fits on one page)


One Page Image



Draft                      Provision Living Tobacco-free Policy                Draft
An environment free of tobacco smoke helps create a safe and healthy living and work place. Smoking, secondhand and third hand smoke are known to cause serious lung diseases, heart disease, heart attacks, strokes and cancer. Provision Living recognizes the hazards caused by tobacco use and exposure to secondhand and third hand tobacco smoke. Our policy to provide an environment for all employees, residents, and visitors was established to keep a safe and healthy workplace environment; an ideal environment to break out of any nicotine addiction. This policy covers the smoking of any tobacco product and the use of oral tobacco products, “spit” tobacco and e-cigarettes, and it applies to employees, residents, and non-employee visitors of Provision Living.
Policies
OPTION 1 – TOBACCO-FREE POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of Provision Living at any time.
OPTION2 – COMPLETE TOBACCO-FREE POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of Provision Living at any time. No third hand tobacco smoke (THS) is permitted after probationary period.
THS is managed at three levels on the property: THS 1 (during shift), THS 2 (24 hours), and Smoker Free (no smokers), to accommodate hiring smokers into a caring, radiant person, family type community that is mindful, of the stress involved in continuing and in curing an addictive illness, and the freedom and benefit of being cured: a new non-smoker. At no time is smoke generated on the property.
Procedure
1. Employees will be informed of the Provision Living Tobacco-free Policy during regular staff meetings prior to 30 days of being effective.
2. Visitors will be informed of the Provision Living Tobacco-free Policy by their hosts, the meeting invite and email correspondence.
3. Provision Living will help employees prepare to quit, to set a quit date, and to access recommended smoking cessation programs and materials. This includes a Freedom Team of never smokers, former smokers, new hire quitting smokers and smoking cessation counselors. (Visit www.lung.org/stop-smoking for more information.)
4. Any violations of this policy will be handled through the standard disciplinary procedure.

____________________________________        ________________________
 SIGNATURE CEO or PRESIDENT                          DATE  
                                           American Lung Association 2013, edited 25 May 2018

Monday, May 28, 2018

State Tobacco Control Laws


The time for a new round of state tobacco control legislation, based on our understanding of third hand tobacco smoke, is now in the offing. But more easily, we need to build support at the city/county level.
More importantly, the business/profit level can bypass legislation in the four states (Michigan, Missouri, Kentucky, and Mississippi) in which Provision Living operates. In all four states, more restricted control measures at lower levels of government and business are not preempted by the state.
Although states regulate assisted living operations, historically, they have done less to regulate tobacco usage. Successful tobacco control legislation is created by small groups, companies, and cities clearing their air first, which then generate the votes needed at the state level to pass effective legislation.
[“The Missouri Comprehensive Tobacco Control 2016-2021 Strategic Plan” is a 12-page compilation of everything and everyone who can help create a bill that could be a model for any state. It is now 2018. State funding for 2018 is $48,500, plus Federal $2,200,000, or 3% of the $73,000,000 recommended by the CDC. Prior to this, three ineffective attempts failed (fortunately) with the help of tobacco companies’ ingenious deceptions. A 2014 Kentucky tobacco control program has also failed to have an assisted living component implemented.]
The old laws and the understanding they reflect are prior to our current knowledge about how quickly toxic tobacco smoke injures, kills, and addicts (seconds to minutes rather than decades); both users and those around them.
In general, anything that was, or was assigned as, residential was exempt from smoking restricts under the belief that only the smoker was at risk. Restrictions were later applied to protect workers and caregivers rather than the patients, residents or customers. [Protecting workers may protect residents.]
Assisted living residences are best defined by what they are not. Housing for the ill, infirm, and elderly evolved, by about 1980, into three sets of services: Short term, hospital care; and long term, nursing home care, that were heavily regulated and supported by insurance and public funding.
What was left became private pay assisted living. Development was different in each of the four states. The classification of serves is confusing.

The Missouri Residential Association (MRA) formed in 1982 even had to be renamed the Missouri Assisted Living Association (MALA) in 1997 so the association name and Missouri law could use the same term for the same set of services. Other states used a variety of names.
The climate in which third hand tobacco control laws will now be written will be more difficult at the state level than the city/county level. This is indicated by the low support these four states make to prevention and smoking cessation.
The American Lung Association has a “Sample Tobacco-free Workplace Policy” (2013) that updates “Smoke Free” areas to “Tobacco-free” properties. This does not satisfy the problem of nicotine addicted smokers working directly with memory care or other residents, patients, or customers (third hand tobacco smoke exposure).  I will update the policy in the next post.
Each state needs a comprehensive tobacco control law that includes the effects of third hand tobacco smoke. The law should include all classes of people wherever they live. Assisted living should no longer be excluded from full protection. Assisted living needs a voice in this process including votes at all levels of government. 
The Public Health Law Center found no mention of Mississippi laws (2012) protecting residents in assisted living residences or their equivalents.

References:
Missouri Comprehensive Tobacco Control 2016-2021 Strategic Plan https://health.mo.gov/living/wellness/tobacco/smokingandtobacco/pdf/strategicplan.pdf  (or copy and paste) Created but not implemented.

Tobacco-Free Assisted Living Resources (2016)  (January 2016)  http://www.publichealthlawcenter.org/resources/tobacco-free-assisted-living-resources-2016  State and local tobacco control laws often exempt residential care settings, including assisted living, adult foster care, nursing homes and similar environments, where many of the most vulnerable members of society live and where a disproportionate number of residents (and staff) either use tobacco products or are exposed to secondhand smoke. This collection of resources presents the legal landscape of state regulations and provides the public health rationale for reducing tobacco use and secondhand smoke exposure in assisted living and similar residential care settings.”

U.S. Assisted Living Residence Smoke-free Regulations: A 50-State Review.  (January 2016) http://www.publichealthlawcenter.org/sites/default/files/tclc-guide-ALR-50-state-review-2016.pdf  (or copy and paste) An annotated directory to state smoke-free regulations specific to assisted living residences.

Frequently Asked Questions  May 2016 http://www.publichealthlawcenter.org/sites/default/files/resources/tclc-fs-assisted-living-tobacco-free-FAQ-2016.pdf   Definitions and funding.Although eleven states include assisted living residences (or adult foster care equivalents) in their smoke-free laws, all but three of them (Massachusetts, Michigan and Montana) allow smoking in designated areas of these residences.
Our Initiatives >Tobacco >Smokefree Environment www.lung.org includes (1) Smokefree Policies in Multi-Unit Housing, (2) Expanding Smokefree Communities, and (3) Workplace Wellness. These all apply to assisted living and memory care.
Support and Community > Corporate Wellness www.lung.org includes an “Improve Indoor Air Quality Tobacco-free” policy that can be edited for Third Hand Smoke Free in memory care.
State of Tobacco Control    www.lung.org/sotc   (January 24, 2018) An annual report on how the process of shutting down the marketing and sales of tobacco products is progressing without creating an extensive bootlegging operation.
SLATI (State Legislated Actions on Tobacco issues) www.lungusa2.org  (2018) A detailed, annotated, easy to use, copy of state tobacco control laws.
Historical Evolution of Assisted Living in the United States, 1979 to the Present  Keren Brown Wilson, PhD The Gerontologist, Volume 47, Issue suppl_1, 1 December 2007, Pages 8-22, https://doi.org/10.1093/geront/47.Supplement_1.8

tobacco.org    www.tobacco.org/tagged/real-estate  The latest news on tobacco control and banning smoking.


Saturday, May 19, 2018

Missouri Statewide Comprehensive Tobacco Control Law


Missouri Statewide Comprehensive Tobacco Control Law
19 May 2018

The State of Missouri can now write a final comprehensive statewide tobacco control law. It needs to; or lose millions of dollars. Toxic tobacco smoke is no longer needed to manage nicotine levels. (See references below.)
Toxic tobacco smoke is the leading cause of preventable illness and early death. There is no safe level of tobacco smoke exposure. Nicotine addiction is of such a public health concern that smoking cessation is now free to every smoker.
Individuals at both ends of their life span (newborn, and the ill and infirm) are extra sensitive to toxic tobacco smoke to the extent that it can result in sudden death. Between these two extremes all individuals suffer from the aggravation of a large number of illnesses that can shorten a life by as much as 10 years.
The response time to tobacco smoke exposure is no longer 20-30 years (cancer). It is now known to be as short as 3 minutes (stroke and heart attack); 3 seconds to restrict blood flow and to irritate cell membranes (oxidative stress).
No one living in multi-unit housing (of any kind; memory care, assisted living, independent living, residential housing, condominium, nursing home, etc.) should be subjected to second hand tobacco smoke drifting into their living space; or third hand tobacco smoke carried into their living space on hair, cloths or bodies of caregivers and guests.
Any tobacco free property (combined with the use of nicotine replacements, when on duty), can satisfy the requirement of being free of all tobacco smoke exposure. Having no smokers guarantees clean air.
Low paying, high turnover rate, occupations need active smoking cessation programs in place when nicotine-addicted individuals (smokers who cannot resist adjusting their nicotine levels) are hired. Smokers who are that ill (addicted) must be restricted from working closely with patients, residents and customers.
Missouri needs a law that clears the air where uninformed addicted individuals and corporations fail to use free tools to promote smoking cessation. We need everyone to be aware of successful long term smoking cessation programs.
Educate everyone, restrict tobacco usage, and tax to reduce the known harm from tobacco smoke exposure. Vote YES. Half of any new tobacco tax money must be mandated to support prevention and cessation of smoking or vote NO.

Richard A. Hart, PhD.   www.residentialcarefortwo.blogspot.com     rahart1@outlook.com



Annotated References:
The Internet is loaded with exaggerated, dated, and intentionally misleading information. The same source may post opposing views at different times: consider the use of nicotine lozenges and vaping.
The strict separation of smoking and nicotine lozenges has evolved into using a lozenge to avoid smoking in restricted areas. Vaping has gone from ritualistic clouds of theater smoke (falsely labeled water vapor) to cloudless devices that resemble computer thumb drives leaving the CDC and FDA confused as to how to regulate the devices: smoking cessation and/or nicotine addicting.
Most of the information needed for tobacco smoke exposure control is provided by the best authorities, at the time, based on a review of numerous publications and a consensus with other authorities. They do no always agree: research, medical, marketing, and cult need to be identified and dated. 
           American Lung Association   www.lung.org   
This is a massive website with something for everyone. I have picked out what I found most useful and how to find it again.
Freedom From Smoking® Self-Help Guide  Self-guided workbook including key activities in an easy-to-follow format. Call 1-800-LUNGUSA to get a copy.
Facilitator Training   Become certified to lead a Freedom From Smoking group clinic and to conduct an in-house smoking cessation program as a part of new-hire training. Eight hours. $350. Clayton, MO, 7745 Carondelet Avenue, Suite 305    314-449-9145
Our Initiatives >Tobacco >Smokefree Environment includes (1) Smokefree Policies in Multi-Unit Housing, (2) Expanding Smokefree Communities, and (3) Workplace Wellness. These all apply to assisted living and memory care.

Our Initiatives > Support and Community > Corporate Wellness that includes an Improve Indoor Air Quality Tobacco-free policy that can be edited for Third Hand Smokefree in memory care.

State of Tobacco Control    www.lung.org/sotc   (January 24, 2018) An annual report on how the process of shutting down the marketing and sales of tobacco products is progressing without creating an extensive bootlegging operation.

SLATI (State Legislated Actions on Tobacco Issues) www.lungusa2.org  (2018) A detailed, annotated, easy to use, copy of state tobacco control laws.



Monday, May 7, 2018

Existentialism and Memory Care


This course by Jack Kultgen (Osher 1) has given me a new framework in which to think about death; the topic for the last of the eight meetings, this week. Death is always close in memory care (two living in adjoining apartments passed last week).
It is our concern for others while we are alive that matters. We will no longer be conscious after our own death; unless we build a framework in another dimension.
Existentialism starts with no external framework beyond one’s own existence.  We are only conscious of what we experience. Humans, dogs and cats seem programmed to seek new experiences, as extroverts and introverts (Osher 2).
Last year I ran onto “The Origin of Consciousness in the Break Down of the Bicameral Mind” by Julian Jaynes” (Book 4). This provides an evolutionary explanation for the development of consciousness, hypnosis and religion; in many ways around the world, at about the same time.
Some 20 years later Marcel Kuijsten, a rabbi, published “Gods, Voices and the Bicameral Mind, the Theories of Julian Jaynes” (Book 5) which supports the origins of God voices, and also hypnosis, as a natural development of the human mind we have today“.
In old Testament times, it is theorized, the left brain perceived messages from the right brain as voices from God. Commands were carried out without question. This worked until living groups, small cities, became too large; and little was known about how the dynamic continuing creation works as we do today.
Having now dismissed the two above books totaling 803 pages in three short paragraphs, I will try now to do the same for Margaret and me in memory care.
Death was once a natural event. It happened. Life was a time to enjoy, one day at a time. Memory care can extent life several years with a remarkable ability to maintain near normal consciousness to within hours to a few days of passing. However expected, death always seems to be a surprise to everyone.
Some 3,000 years of religious developments have created a variety of after-lives not shared with milkweeds and Monarch butterflies. Most of the great religions seem to have descended from the voices of the Gods often experienced in dreams and visions. This can be replaced by guided meditation, self-hypnosis, today.
Maggie will live and die as a Baptist, with Jesus Christ as Savior of her soul. This belief has served her, and her generation, well during her lifetime, and after she passes.
All of the great religions are interested in saving souls; but in their unique and combative way. This view is changing. Not saving souls from Hell and the Devil but saving mankind by saving the earth for the living, is now in.
The old Christen denominations that sing hymens are being replaced with community mega-churches that sing praises. Be thankful for having been given a life.
When you pass, your body dies like a milkweed or a Monarch butterfly. We are all part of the same miraculous creation. Celebrating the life lived, is in; grieving the death, is out.
Develop and use your God given talents for the betterment of everyone. Our calling now is to continue the creation at a higher level of consciousness, or pay the price of blind evolution: extinction. Save the earth.
This view of life causes our two years in Hawaii to haunt me. To control overpopulation, some years ago, each newborn that could sleep overnight without feeding was taken to a temple ground on a cliff over the ocean. If the baby was still there in the morning, all was well. If the baby was gone it was either in the ocean or selected for the royal family to raise. The mother would never know.
The great religions promote peace, charity, and love. The USA constitution promotes peace, prosperity, and the pursuit of happiness (create wealth as well as share wealth). [Earning wealth is more dependable, and acceptable, than finding wealth.]
Humans are the product of a violent turbulent past (geographically, biologically, and socially) that has left, remnants of each level of development, access to the most advanced level, for good and evil. Quit violating other people with your tobacco smoke, for example.
Education or extermination, modified by effective communication (and miscommunication), will drive the future of what we now call mankind: savage, civilized, robot, warm chip implant, cold solid state being.
Dreams of the future, as dreams in the past, help make sense of what we are doing now for individuals, beliefs, and nations. We must dream it to achieve it, or as a non-existentialist, just act or follow and not think about consequences (Osher 2).
Do what can be done, and persist until the times are right for success (Osher 3).

References:

Osher Lifelong Learning Institute at the University of Missouri, Spring 2018.

Osher 1: John Kultgen, Life Choices from Existential Perspectives: Kierkegaard and Sartre.

Osher 2: Cindy Claycomb, Understanding Behavior and Change Through Trans-State Induction Theory. [grounded in existentialism]

Osher 3: Michael Connelly, Before and After "How a Bill Becomes a Law:" The "How, What, Why and Why Not?" for Regular People.

Book 4: Julian Jaynes, 1976 & 1990. The Origin of Consciousness in the Break Down of the Bicameral Mind, 491 pages. ISBN: 0-618-05707-2  My posts: 
https://residentialcarefortwo.blogspot.com/2017/11/the-cost-in-lives-of-learning-to-use.html introspective minds. [Larry Brown, Faith in the Face of Tyranny. Osher Fall 2017]
https://residentialcarefortwo.blogspot.com/2017/10/who-we-are.html
https://residentialcarefortwo.blogspot.com/2017/06/mythos-and-logos.html

Book 5: Marcel Kuijsten, 2016. Gods, Voices and the Bicameral Mind: The Theories of Julian Jaynes, 312 pages. ISBN: 978-0-9790744-3-1  LCCN: 2016904044  My post: https://residentialcarefortwo.blogspot.com/2017/12/words-from-god-and-man.html

Tuesday, April 24, 2018

Smoking Cessation Worksheets


  1. Smoking Cessation Worksheets
  2. Inventory Story Addiction Management
  3. Before Preparing to Quit                           Free Sample Guided Meditation
  4. Preparing to Quit                                     
  5. Long Term Quitting 
  6. Behavior and Change

To the smoker who wants to quit to be a non-smoke:
Use these worksheets to externalize the many things that promote addiction and to create the new you: a former smoker a non-smoker. Be positive. Plan well.
To the smoker who wants to continue smoking:
Use these worksheets to externalize why and how you started smoking. Jot down other ways to solve your problems without using an expensive toxic smoke.
To the smoker who must stop smoking:
Quit! This order adds more stress to your day. This order may be the significant emotional event that makes you a non-smoker. Otherwise use the worksheets.
To the smoker who must stop smoking at work:
Use these worksheets to discover your smoking habit; those times you do not really need to smoke to control your addiction. Use smoke free nicotine sources.
To friends and coworkers:
Smoking leads to an addiction that is often difficult to break. Smokers often need the help of responsible (duty bound) friends and coworkers to quit.
To employers:
Corporate responsibility now includes freedom from tobacco smoke exposure. There is no risk free level of tobacco smoke exposure. Profit vs. illness.
To the city health department:
Thank you for the free individual smoking cessation program and the business group third hand smoke exposure programs. Prevention tops curing illness.
To the city council:
A draft ordinance to protect patients and residents in residential, health, and assisted living care facilities has been completed. Protect the infirm.
To the state of Missouri:
Writing a House bill to protect Missouri residents from third hand tobacco smoke exposure is scheduled for this summer. Educate, protect and tax.
To legal remedies:
The harm from tobacco smoke “beyond a reasonable doubt” is of a higher order than “the level of significance” of harm occurring. [State prison went tobacco free April 1st.]