Pulmonary rehabilitation by C F Donner; N Ambrosino; Roger Goldstein

By C F Donner; N Ambrosino; Roger Goldstein

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A sure sign of nicotine stimulated, will trigger pleasant feelings by stimulating a reward Effects of environmental tobacco smoke in the elderly (23) • A limited number of studies have found a significant relationship between ETS exposure and asthma. COPD, pneumococcal infections and stroke in the elderly. to seek nicotine (16-18). Nicotine is a simple alkaloid, a ter­ tiary amine, capable of binding to nicotinic acetylchoLinergic receptors. Nicotine receptors are freed from nicotine very quickly, so that the smoker needs to smoke again.

1. In conclusion, active smoking unequivocally causes several respiratory and vascular conditions. Exposure to ETS (passive The panel reviewed studies showing the association between smoking) should also be questioned in the diagnosis of smoking and lung cancer, chronic respiratory disease and car­ patients with puJmonary diseases and must be addressed as diovascular disease. They also concluded that involuntary part of the management of those with documented lung dis­ smoking can also have small effects on pulmonary function.

The suc­ cess in smoking cessation is closely related to the time allocated The importance a person ascribes to a treatment will determine to it (41). Thererore. a chest physician should be able to admin· how that person manages the difficulties associated with it. In ister minimal interventions when encountering patients during smoking cessation motivation is a key factor. Prochaska and an acute illness, as they are highly receptive to smoking cessa­ Di Clemente (38) proposed five stages of motivation to quit: tion at that time, as well as more intensive interventions dur­ pre-contemplation, contemplation, preparation.

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