An Examination of Policies Addressing Resident Smoking in Nursing Homes

Watt, Celia A.; Lassiter, Jill W.; Boyle, Jennifer R.; Kulak, Jessica A.; Ossip-Klein, Deborah J.

doi:10.1016/j.jamda.2008.11.004

Cited by 6 publications

(8 citation statements)

References 14 publications

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“…Again this raises issues of autonomy, particularly where a resident pays for their cigarettes and is denied access—this may be in breach of human rights, per s 20 of the Charter of Human Rights & Responsibilities Act () (Vic). A study of USA smoking policies in nursing homes found considerable gaps in policies including failing to adequately consider employee rights, supervision requirements and safety precautions (Watt, Lassiter, Boyle, Kulak, & Ossip‐Klein, ). Hence, it is imperative that nursing home smoking policies address all potentially harmful situations that are foreseeable.…”

Section: Discussionmentioning

confidence: 99%

“…If this is not considered, it may be more difficult to supervise and mitigate harm. Again this raises issues of autonomy, particularly where a resident pays for their cigarettes and is denied access-this may be in to adequately consider employee rights, supervision requirements and safety precautions (Watt, Lassiter, Boyle, Kulak, & Ossip-Klein, 2009). Hence, it is imperative that nursing home smoking policies address all potentially harmful situations that are foreseeable.…”

Section: Ta B L E 2 Coroners' Recommendationsmentioning

confidence: 99%

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Deaths due to thermal injury from cigarette smoking in a 13‐year national cohort of nursing home residents

Holmes

Bugeja

Young

et al. 2019

Int J Older People Nursing

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Objectives To examine the nature and frequency of deaths due to thermal injuries from cigarette smoking reported to Australian coroners and to examine the decisions which surround these deaths. Design Retrospective cohort study. Setting and participants Residents dwelling in accredited nursing homes whose deaths were reported to coroners between 1 July 2000 and 30 June 2013 and attributed to thermal injuries from cigarette smoking. Measures A descriptive analysis was undertaken to report socio‐demographic characteristics of the deceased, medical history, mobility, level of observation, safety equipment provided/used, nursing home location, decision to smoke, timing of incident, time from incident to death, incident findings, mechanism of death, formal reports attached and coroners’ recommendations. Results Ten deaths of nursing home residents due to thermal injury from cigarette smoking were reported in Australia over a 13‐year period. The median age of residents was 78 years (IQR = 15.25); nine residents were female and one was male. Seven residents had impaired mobility with three residents being wheelchair bound and one resident bed bound. None of the residents were supervised by staff while they smoked, and none of the residents utilised any safety equipment to minimise harm. Burns/thermal injury was the mechanism of harm in most cases. Conclusions This national study confirms that thermal injuries caused by cigarette smoking in nursing homes result in fatalities, particularly in the absence of supervision. It also demonstrates the complex tension arising from balancing autonomy with safety. Implications for practice Nurses and aged care practitioners should endeavour to give effect to each resident’s wishes while mitigating the risk of harm. The supervision requirements for cigarette smoking residents should be tailored to the needs of individual residents and staff should try to ensure that residents who require supervision receive it.

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Section: Discussionmentioning

confidence: 99%

Section: Ta B L E 2 Coroners' Recommendationsmentioning

confidence: 99%

Deaths due to thermal injury from cigarette smoking in a 13‐year national cohort of nursing home residents

Holmes

Bugeja

Young

et al. 2019

Int J Older People Nursing

View full text Add to dashboard Cite

show abstract

“…Even though the intervention did not have tobacco control components, it had a small but statistically significant effect in reducing cigarette consumption (7.12 cigarettes/week, d=−0.15), especially among low-wage workers such as nursing assistants where smoking was highly prevalent. Since nursing homes in New England are smoke-free worksites (without differences in smoking policies between experimental and control sites),35 the significant reduction in smoking intensity most likely happened outside the workplace.…”

Section: Discussionmentioning

confidence: 99%

Effects on cigarette consumption of a work–family supportive organisational intervention: 6-month results from the work, family and health network study

Hurtado

Okechukwu

Buxton

et al. 2016

J Epidemiol Community Health

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“…The reports indicate senior centers provide health programming on a variety of topics relevant to older adults; however, few senior centers mentions the provision of a smoking cessation program (National Council on Aging, 2016). Nursing homes have the potential to provide tobacco education and cessation assistance and could provide Medicare education as it pertains to smoking cessation, as older adults may not realize this is an included benefit (Watt, Lassiter, Boyle, Kulak, & Ossip-Klein, 2009). Medicare covers lung cancer screening (once every 12 months) and smoking/ tobacco cessation (up to eight visits per year; Fox & Shaw, 2015).…”

Section: Tobacco Control Policies and Programsmentioning

confidence: 99%

“…Medicare covers lung cancer screening (once every 12 months) and smoking/ tobacco cessation (up to eight visits per year; Fox & Shaw, 2015). Residential and nonresidential facilities' inclusion of cessation programs and related education support the missions of the facilities to support older adults' health and wellness (Watt et al, 2009), yet, this is an area of missed opportunity. Future research needs to formally assess the implementation and effectiveness of such programing.…”

Section: Tobacco Control Policies and Programsmentioning

confidence: 99%

Double Whammy for Older Smokers: Marginalized by Tobacco Control and Valued by the Tobacco Industry

Cataldo

2019

West J Nurs Res

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In the last 20 years, the United States has made stunning progress reducing the rate of adult smoking. However, the smallest reduction is among older adults. Compared to younger smokers, older smokers are more likely to be lower socioeconomic status (SES), have several tobacco related comorbidities, and are less likely to be treated for tobacco addiction yet, in tobacco policy, they are not considered a marginalized group. The tobacco industry’s interest in older smokers contrasts with the lack of interest shown by tobacco control. A double whammy is a set of two bad events or situations that have an effect at the same time. The purposes of this article are to use the health disparity paradigm to (a) discuss the “double whammy” of marginalization by tobacco control and valuation by the tobacco industry on the health of older smokers and (b) provide strategies to promote health equity for older smokers.

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An Examination of Policies Addressing Resident Smoking in Nursing Homes

Cited by 6 publications

References 14 publications

Deaths due to thermal injury from cigarette smoking in a 13‐year national cohort of nursing home residents

Deaths due to thermal injury from cigarette smoking in a 13‐year national cohort of nursing home residents

Effects on cigarette consumption of a work–family supportive organisational intervention: 6-month results from the work, family and health network study

Double Whammy for Older Smokers: Marginalized by Tobacco Control and Valued by the Tobacco Industry

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