Showing posts with label positive. Show all posts
Showing posts with label positive. Show all posts

Thursday, 7 December 2017

Tobacco use and smoking can be discouraged with a more positive approach

Tobacco use and smoking can be discouraged with a more positive approach
These habits can cause, among other things, heart diseases and eventually death

New Delhi, 06 December 2017: Tobacco use among children and teenagers claims about one million lives in India, indicate statistics. There is also a huge economic burden among people due to tobacco use. One of the major causes for continued tobacco consumption in India is the fact that it is a part of the country’s social culture. However, a recent study has also indicated that there have been many benefits due to the large pictorial warnings on product packs, higher taxes and an intensive awareness campaign against tobacco consumption.

Tobacco use is associated with many adverse health effects and is a major preventable cause of morbidity and mortality. As per the CDC, smoking increases the risk of coronary heart disease by 2 to 4 times, for stroke by 2 to 4 times, lung cancer by about 25 times. In addition, it reduces quality of life, and increases health care utilization and cost.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “India has a ‘National Tobacco Control Programme’ in place to make the public aware about the harmful effects of tobacco use, control tobacco consumption and minimize the deaths. ‘Smoking kills’ has been the message that has been conveyed in the campaigns on tobacco control with the expectation that highlighting the potentially life-threatening health consequences would deter people from smoking or using tobacco products. It’s time to alter the tone of such public health campaigns, from negative to positive. Quite often, we may rebuke a patient for failing in his efforts to quit smoking and say, ‘If you do not quit, you may die’. A statement worded as this may inadvertently sound discouraging to the patient. While it is important that people know the dangers of smoking or using tobacco products, a positive communication approach may have a more fruitful impact than a critical approach.

Kids start to smoke before they’re old enough to think about the risks; after starting they rapidly become addicted to smoking and then regret it later.

Adding further, Dr Aggarwal, said, “The chances that a patient would adhere to the lifestyle modifications are higher if communicated in an empathetic and supportive manner. IMA is committed to working closely with all National Health Programs alongside the government. As individual doctors, we too can contribute to the success of National Tobacco Control Program. Counsel your patients who smoke about quitting smoking but with a difference… Turn a negative situation to a more positive action.”
Some tips to help such people cope with and quit the habit are as follows.

  • Avoid violent communication. Do not condemn, criticize and complaint, the 3Cs of violent communication.
  • Use a nonviolent communication approach to help and support your patient in his efforts to give up smoking.
  • Tell your patient, who is trying to quit smoking, or other tobacco products, “Thank you for not smoking”.
  • Appreciate the hard work put in and their perseverance. This way the patient knows that he has your support and will have trust and faith in you. 

Saturday, 1 July 2017

Positive reinforcement key to help patients quit smoking

Positive reinforcement key to help patients quit smoking Doctors should say 'Thank you for not smoking' to patients and avoid the use of discouraging remarks New Delhi, 30 June 2017: As part of its commitment to working closely with all National Health Programmes alongside the government, the IMA has urged individual doctors to counsel their patients who smoke about quitting smoking. It has, however, said that such counseling should be done in a manner that turns a negative situation into a more positive action. According to statistics, more than one-third (35%) of Indian adults use tobacco in some form or the other. Of these, 21% adults use only smokeless tobacco, 9% only smoke and 5% smoke as well as use smokeless tobacco. Additionally, about 52% of the adults are exposed to second-hand smoke at home.
The National Tobacco Control Programme aims at making the public aware of the harmful effects of tobacco use, controlling tobacco consumption, and minimizing related deaths. Tobacco use has many adverse health effects and is a major preventable cause of morbidity and mortality. Smoking not only increases the risk of various diseases but also reduces the quality of life, and increases health care utilization and cost.
Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, "Campaigns on tobacco control convey the message 'smoking kills' with the intention of highlighting the potentially life-threatening health consequences of this habit based on the assumption that this would deter people from smoking or using tobacco products. However, many of these campaigns do not reinforce these messages in a positive manner. It is time to alter the tone of such public health campaigns from negative to positive. Quite often, we rebuke patients for failing in their efforts to quit smoking and tell them they may die if they do not quit. A statement worded in this manner can inadvertently sound discouraging to the patient."
People should know the dangers of smoking or using tobacco products. However, rather than adopting a critical approach, this message should be conveyed through positive communication for a more fruitful impact. Any violent communication should also be avoided.
Adding further, Dr Aggarwal, said, "It is best to avoid the 3Cs of violent communication - Condemn, Criticize, and Complaint. A nonviolent communication approach should be used instead to help and support patients in their efforts to quit smoking. It is important to say 'Thank you for not smoking' to the patients. Appreciate their hard work and perseverance in trying to quit this deadly habit. This way, they would know that they have your support and will in turn have trust and faith in you. Empathetic and supportive communication can increase the chances of patients adhering to lifestyle modifications." There is a very strong relationship between a doctor's communication skills and the patient’s capacity to follow through with medical recommendations, self-manage their medical condition, and adopt preventive health behaviors. It is imperative for a doctor to adopt a positive approach to explain, listen, and empathize with the patient. This in turn can have a profound effect on the biological and functional health outcomes.

Friday, 8 July 2016

Negative stress may lead to heart disease

Negative stress may lead to heart disease New Delhi, July 07, 2016: Marital disharmony and job dissatisfaction are the two main psychological risk factors for a heart attack. Many studies in the past have inferred that there is a strong correlation between a nagging wife and early heart attacks in men. "Similarly, literature has shown that work-related stress is related to early onset of high blood pressure, diabetes, stroke, and heart attacks," said Padma Shri Awardee Dr KK Aggarwal – President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA. A study from University College, London has shown that chronically stressed workers have a 68% higher risk of developing heart disease especially those under the age of 50. Whether it is stress-related chemical changes or stress-related behavior linked to heart disease, is yet to be answered. Stress-related lifestyle involves eating unhealthy food, smoking, drinking, and skipping exercises. Chemical changes related to chronic stress are increased levels of cortisol, epinephrine, and norepinephrine. Negative stress is more dangerous than positive stress and amongst the different kinds of negative stress; jealousy, anger, and cynicism are associated with heart attack. The answer lies in managing stress by acting on a personal situation and not reacting to it. In children the same type of stress, especially during exam days, can result in anxiety, insomnia, and suicidal attempts. To manage stress one should think positive, think opposite or think differently.