Tuesday, April 10, 2018

Inventory Story Addiction Management


  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

The quickest way to maintain clean indoor air, free of tobacco smoke, is to not have smoking. Nicotine replacement therapy (NRT) uses nicotine lozenges and other smoke free sources to calm withdrawal symptoms during a shift at work. Using these only at work is only a bit less expensive than smoking all the time (The Cost of Tobacco Addiction and Cessation).
Quitting is the ultimate goal of smoking cessation, the least expensive, and the most rewarding. But to quit, a person addicted to nicotine, must want to quit and know how to quit.


The “My Inventory Story” worksheet was designed to externalize the stories carried in the mind of a person addicted to nicotine. The worksheet can be used in two ways:
It can be used as a survey of all employees; documenting that they have had a hand in the initial cessation program, as well as new hires. It can be used as a weekly progress report for those getting ready to quit, for those quitting, and for those trying to stay quit in a self-help group setting.
The worksheet is designed to gain information that is of importance in designing the cessation program and setting the date for no tobacco smoke on the property, including third hand tobacco smoke carried in hair, clothes, and body.
[Smoking cessation counseling in a clinical setting (doctor or hospital) is found in the 5A's and the 5R's. Call the city/county public health department for free individual counseling and for free  company group cessation counseling. Call 1-800-QUIT NOW for national counseling.]

One of the three Osher courses (1) I am attending this semester taught me to look for a primary cause: Why take up smoking?
 [Smokers do not breathe in smoke. They avoid breathing smoke with their noses. They take the smoke into their mouths to let it cool and reduce the throat irritation that new smokers experience.]

The first three items cause respondents to reflect on how an activity (that became an addiction) got started in the first place. Is that reason still valid? Why am I still smoking?
Item 4 yields the amount of smoking in the respondent’s terms.
The cost by the month is specified, in item 5, as it makes the amount for a week four times as large; $140/mo is a more impressive number than $35/week or $5/day.
A smoker may not have to buy cigarettes during the 12-week cessation period. This money is now available for other uses when using health insurance. “Next month” requires a different answer than “today”.
Items 7 and 8 are related and at the same time independent. They require a bit of thinking too. Only if the “ready (desire) to quit” is high, and higher than the strength of addiction is a person ready to quit with a high chance of being successful.
Another Osher course (2) I am attending this semester pointed out that people need to be consistent in what they think, feel, and act to avoid stress and psychological problems. Item 9 is therefore a fully open ended question.
A single reason for continuing to smoke, or to quit, or to have never smoked is asked for in Item 10. Responses to this item can yield both quantitative and qualitative results.
Item 11 is again an open question to capture what is important to the respondent at this time and circumstance. It can be modified by a group smoking cessation leader.
The last seven items are important in tobacco smoking cessation. Weekly sessions are anticipated to collect changes in attitude and readiness to endure a few days of withdrawal in exchange for a lifetime free from an expensive, stressful, and harmful addiction.
This one page instrument is designed to capture the facts (numbers) and the stories needed for individuals quitting, for a residential health care facility to eliminate tobacco smoke exposure (especially in memory care units) and to prepare a city ordinance on tobacco smoke exposure.
My third Osher course (3) is on preparing a Missouri house or senate bill in such a way that the resulting law actually does what was intended. The state of Missouri is currently at the bottom of all the other states in promoting health with respect to tobacco smoke. Columbia, MO, is near the top!!
All five House of Representatives in the Columbia area have shown an interest in extending legislation from smokers to tobacco smoke exposure. They need examples (and stories) from residential health care facilities and residents.
These “health care” facilities can act on their own under existing law. Education is needed here as much as it is for individuals. Further legislation is only needed when facilities fail to protect residents from third hand tobacco smoke exposure for a number of reasons.

[There is a curious, and clever, use of terms in tobacco smoke legislation. Businesses that promote health (prevention) and businesses that cure diseases related to tobacco smoke are treated differently.  Until recently doctors and hospitals did not promote health and did not get reimbursed by medical insurance for promoting health. The classification of residential health care is also murky.]
For legislation to be effective, it must not be compromised by the usual tobacco company tactics of supporting a bill that looks good but which is deceptive. Residential health care facilities need to be active now before work on a bill starts this summer: clean up the air (profitably) or create laws with unknown consequences.
If interested, please comment on this post or email rahart1@outlook.com.  We have a lot of work to do before someone else does it for us and not necessarily for our benefit.

Thank you.


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.

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