Cigarette smoking contributes to the development and severity of coronary artery

Question

Cigarette smoking contributes to the development and severity of coronary artery disease. Educating patients and families regarding risk reduction related to the cardiovascular system is an essential component of patient centered care. Read the following articles: • Johnson, M. and Pennington, N. (2015). Adolescent use of electronic cigarettes: An emergent health concern for pediatric nurses. Journal of Pediatric Nursing. doi:10.1016/j.pedn2014.11.006 • U.S. Food and Drug Administration (2016) FDA takes significant steps to protect Americans from dangers of tobacco through new regulation. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm499234.htm Initial Discussion Post: Are there sufficient evidence-based findings for the RN to have an informed conversation with a patient and their family about the risks versus benefits of e-Cigarettes? Why or why not? Based on your reply to the risks versus benefits of e- cigarettes, develop a teaching plan that addresses stopping or limiting the use of e-cigarettes. Base your initial post on your readings and research of this topic.

Explanation / Answer

Electronic cigarettes (e-cigarettes) are nicotine containing products that are sold for use as an alternative to cigarettes and may potentially reduce harm and the risk of tobacco-related diseases, particularly for those who are unable or unwilling to quit.

Regulating e-cigarettes creates unique challenges. The evaluation of the effect of e-cigarettes on public health require a wide range of evidence, including studies on the composition of a product, studies of human exposure, health effects, the likelihood of addiction and abuse, the perception and understanding of the product by the public, and the effect of marketing of the product. Furthermore, the effects of e-cigarettes not only on users of the product, but also on nonusers and on the population as a whole, need to be evaluated.

Regulation of e-cigarettes is a necessary precondition for assuring that the health of the public is protected. In many countries, national regulatory agencies have authority to regulate sale, distribution, labeling, and advertisement of nicotine containing products, and to set product standards. In the US, the Food and Drug Administration (FDA) has a broad authority to regulate the manufacturing and marketing of all tobacco products, including e-cigarettes. In the European Union, nicotine containing products currently do not fall under the Tobacco Products Directive (TPD), but in the on-going revision of the Directive different options regarding regulation of e-cigarettes are being evaluated.

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