Chapter 14. Lessons. Bellringer

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1 Tobacco Tobacco Lessons Lesson 1 Tobacco Products: An Overview Lesson 2 Tobacco s Effects Lesson 3 Tobacco, Disease, and Death Lesson 4 Tobacco and Addiction Lesson 5 Quitting Lesson 6 Why People Use Tobacco Lesson 7 Being Tobacco Free Lesson 1 Tobacco Products: An Overview Bellringer List as many different tobacco products as you can.

2 Lesson 1 Tobacco Products: An Overview Objectives Identify three chemicals found in cigarettes. Describe how nicotine from smokeless tobacco enters the bloodstream. List four smokable tobacco products besides cigarettes. Lesson 1 Tobacco Products: An Overview Start Off Write Why do you think smoking is a health risk? Lesson 1 Tobacco Products: An Overview Tobacco and Cigarettes Nicotine Tobacco products contain nicotine. Nicotine is a highly addictive drug found in all tobacco products. Other Dangerous Chemicals Two dangerous chemicals in cigarette smoke are carbon monoxide and tar. Carbon monoxide is a gas that makes it hard for oxygen to reach the blood. Tar is a sticky substance that can coat the airways and can cause cancer.

3 Lesson 1 Tobacco Products: An Overview When a person inhales cigarette smoke, thousands of chemicals enter the lungs. Lesson 1 Tobacco Products: An Overview Smokeless Tobacco Chewing Tobacco Chewing tobacco can be loose or pressed together to form a small bunch. Snuff Snuff is more powdery than chewing tobacco and is either loose or wrapped in a pouch. Lesson 1 Tobacco Products: An Overview Other Tobacco Products Pipes, Cigars, and Cloves Most tobacco products contain similar chemicals. Pipe tobacco, cigars, and clove cigarettes are smokable tobacco products. Bidis Bidis are unfiltered cigarettes that are wrapped in brown leaves and tied with thread. They come in flavors, such as strawberry and chocolate.

4 Lesson 2 Tobacco s Effects Bellringer Draw a picture of someone who uses tobacco products. Label the parts of his or her body where he or she would notice the effects of the tobacco use. Lesson 2 Tobacco s Effects Objectives Describe immediate and chronic effects of smokable and smokeless tobacco. Describe the effects of environmental tobacco smoke. Explain how tobacco affects social and emotional health. Lesson 2 Tobacco s Effects Start Off Write How can smoking affect a person s social health?

5 Lesson 2 Tobacco s Effects Early Effects of Smoking Chronic Effects Many of the early effects of smoking are chronic. A chronic effect is a consequence that remains with a person for a long time. Some Chronic Effects Bad breath, persistent coughing, excess mucus, and discolored teeth occur shortly after a person begins smoking. Because of tar and carbon monoxide in tobacco products, smokers soon experience shortness of breath and impaired physical abilities. Lesson 2 Tobacco s Effects Lesson 2 Tobacco s Effects Effects of Smokeless Tobacco Gum Disease In addition to bad breath and yellow teeth, smokeless tobacco can cause gum disease soon after a person begins to use them. Cancer After a person uses smokeless tobacco for a while, white sores often appear in the mouth and on the gums. Eventually, these sores may become cancerous and require surgical removal.

6 Lesson 2 Tobacco s Effects Environmental Tobacco Smoke ETS The mix of exhaled smoke and smoke from the end of lit cigarettes is called environmental tobacco smoke (ETS). Effects of ETS Nonsmokers who breathe ETS can experience some of the same health problems that affect smokers. Lesson 2 Tobacco s Effects Reducing Tobacco s Effects Smoking Laws Until recently, smoking was permitted in most buildings in the United States. Once people understood the dangers of ETS, many cities made laws against smoking in public places. Stop Using Tobacco A more effective way to reduce the effects of tobacco is for people to stop using it. This would reduce the effects on both nonsmokers and people who use tobacco. Lesson 2 Tobacco s Effects ETS may affect people in nonsmoking areas if the smoking areas are not fully enclosed by walls and doors.

7 Lesson 2 Tobacco s Effects Social and Emotional Health Effects Losing Friends Tobacco use can put friendships in danger. Some friends may be uncomfortable around people who are using tobacco. Emotional Difficulties Some smokers also have emotional difficulty because they know that they are risking their health. Being unable to stop smoking can be confusing and frustrating. Lesson 3 Tobacco, Disease, and Death Bellringer List all of the respiratory diseases that you know of. Place a check mark next to the diseases that you think may be caused by smoking. Lesson 3 Tobacco, Disease, and Death Objectives Describe how cancer is related to tobacco use. List two respiratory diseases caused by tobacco. Explain how tobacco makes the heart work harder.

8 Lesson 3 Tobacco, Disease, and Death Start Off Write How can smoking lead to cancer? Lesson 3 Tobacco, Disease, and Death Cancer What Is Cancer? Cancer is a disease in which damaged cells grow out of control and destroy healthy tissue. Tobacco and Cancer All tobacco products contain cancer-causing chemicals. Smoking causes about 20 percent of all cancers. Lesson 3 Tobacco, Disease, and Death Respiratory Disease Chronic Bronchitis Chronic bronchitis is a disease in which the lining of the airways becomes very swollen and irritated. Emphysema Emphysema is a disease in which the tiny air sacs and walls of the lungs are destroyed.

9 Lesson 3 Tobacco, Disease, and Death About 51 percent of all smokingrelated deaths are caused by lung diseases. Lesson 3 Tobacco, Disease, and Death Cardiovascular Disease What Are Cardiovascular Diseases? Cardiovascular diseases are diseases of the circulatory system. Smoking and the Heart Smoking causes the heart pump faster. In addition, smoking constricts, or tightens, the blood vessels. This tightening makes it difficult for blood to flow and causes the heart to work even harder. Lesson 3 Tobacco, Disease, and Death Other Health Problems Caused by Tobacco Gum and Dental Disease Most tobacco products increase the risk of gum and dental diseases. Smoking and Pregnancy Smoking during pregnancy can lead to pregnancy complications, such as premature birth. Eye Disease Smoking cigarettes can also cause several eye diseases.

10 Lesson 3 Tobacco, Disease, and Death Tobacco use causes more than twice the number of deaths caused by alcohol, illegal drugs, motor vehicles, and firearms combined. Lesson 4 Tobacco and Addiction Bellringer List as many things as you can that a person can become addicted to. Lesson 4 Tobacco and Addiction Objectives Explain why nicotine is addictive. Explain how someone can form a tolerance to nicotine. Describe the different kinds of dependence. Explain how individual differences affect addiction.

11 Lesson 4 Tobacco and Addiction Start Off Write How does nicotine affect people? Lesson 4 Tobacco and Addiction Nicotine Nicotine and Nerves When nicotine attaches to a nerve receptor, the brain sends chemical messages through the body. These messages cause nicotine s effects, such as increased heart rate and increased blood pressure. Nicotine Is Poison Most people feel dizzy and nauseous and may even vomit when they first use tobacco. This happens because their bodies are not yet used to nicotine s effects. Lesson 4 Tobacco and Addiction

12 Lesson 4 Tobacco and Addiction Tolerance and Dependence Tolerance The process of the body getting used to a drug is called tolerance. Dependence Physical dependence is a state in which the body needs a drug to function normally. Addiction Drug addiction is the state of being dependent on a drug. Lesson 4 Tobacco and Addiction As tolerance increases, a smoker needs nicotine just to feel normal. Lesson 4 Tobacco and Addiction Psychological Dependence What Is Psychological Dependence? Psychological dependence is a state in which you think that you need a drug in order to function. Parts of Drug Addiction Psychological and physical dependence are both parts of drug addiction. However, it is possible to be addicted without feeling psychologically dependent.

13 Lesson 4 Tobacco and Addiction Withdrawal What Is Withdrawal? Withdrawal is the way in which the body responds when a dependent person stops using a drug. Symptoms of Withdrawal Withdrawal from nicotine can cause people to feel anxious, irritable, and tired. Lesson 4 Tobacco and Addiction Lesson 4 Tobacco and Addiction Different Responses to Tobacco Social and Physical Factors Social factors and family history may influence the way in which different people respond to tobacco. Some people grow up in places where smoking is acceptable. Others are born with a brain chemistry that makes nicotine more enjoyable.

14 Lesson 5 Quitting Bellringer Write a list of all the reasons a person who uses tobacco should quit. Lesson 5 Quitting Objectives Explain why quitting a tobacco habit is so difficult. Describe strategies for quitting a tobacco habit. Explain how tobacco-free nicotine products help people quit smoking. Lesson 5 Quitting Start Off Write Why is it hard to quit using tobacco?

15 Lesson 5 Quitting Quitting Isn t Easy Many People Want to Quit Each year, nearly 20 million people in the United States try to quit smoking. But only 3 percent have long-term success. Why Is Quitting So Tough? Quitting is difficult because physical and psychological dependence and fear of withdrawal make nicotine very addictive. Lesson 5 Quitting Quitting is hard even for smokers who realize that smoking is dangerous. Lesson 5 Quitting Planning Quitting Successfully Making a serious attempt to quit using tobacco takes thought, commitment, and planning. Getting Help Most people need help from doctors, health professionals, or cessation counselors to quit using tobacco products.

16 Lesson 5 Quitting Using Medicines Nicotine Replacement Therapy Nicotine replacement therapy (NRT) is a form of medicine that contains safe amounts of nicotine. Nicotine gum and patches are the most common forms of NRT. Lesson 5 Quitting Why Quit? Avoid Diseases Quitting at any age reduces the risk of getting diseases caused by tobacco. Keep Your Family Healthy Quitting also helps people who live with tobacco users. Getting rid of ETS reduces the risk of disease for nonsmokers. Lesson 6 Why People Use Tobacco Bellringer Write down reasons that might tempt a person to try tobacco products.

17 Lesson 6 Why People Use Tobacco Objectives Describe how peers can influence tobacco use. Explain how family and role models can influence people to use tobacco. Discuss how advertising can influence tobacco use. Lesson 6 Why People Use Tobacco Start Off Write How can peer pressure help a person avoid tobacco? Lesson 6 Why People Use Tobacco Why Would Anyone Ever Start? Peer Pressure Peer pressure often influences a person s ideas about tobacco. Just seeing other teens smoking can make cigarettes seem tempting. Seeming More Adult? Using tobacco may seem like an easy way to make friends or to act like an adult.

18 Lesson 6 Why People Use Tobacco Though some people who smoke think that smokers have more friends than nonsmokers do, most nonsmokers disagree. Lesson 6 Why People Use Tobacco Family and Role Models Following Example Watching someone you admire use tobacco can strongly influence your beliefs about tobacco. Modeling Basing your behavior on how others act is called modeling. Research has shown that children of parents who smoke are more likely to become smokers than children of nonsmokers are. Lesson 6 Why People Use Tobacco Advertising and Tobacco Promotion Selling Tobacco Promotion is making a product seem wonderful by hosting games or concerts, giving out free products, or setting up displays in stores. In 1999, $8.24 billion was spent promoting tobacco. Advertising to Teens Because of lawsuits against tobacco companies, there are now more restrictions against designing tobacco products for teens.

19 Lesson 6 Why People Use Tobacco Internal Pressures Curiosity About Tobacco Sometimes the strongest pressures to use tobacco come from our own thoughts. Some people like to take risks. Others are rebellious or curious. Emotional Problems and Tobacco People who have emotional problems can be easily tempted to try tobacco. Tobacco may give them a false sense of control. Lesson 6 Why People Use Tobacco Most People Don t Use Tobacco! About 75 percent of the people in the United States do not use tobacco. More and more people are deciding not to use tobacco. Lesson 7 Being Tobacco Free Bellringer List the different things that you could say to a person who offers you a cigarette.

20 Lesson 7 Being Tobacco Free Objectives Describe four ways to refuse tobacco products. Explain how positive peer pressure can help you resist tobacco. Describe how to have a tobacco-free social life. Lesson 7 Being Tobacco Free Start Off Write Why is it healthy to avoid places where tobacco is used? Lesson 7 Being Tobacco Free Rejecting an Offer Practice Refusal Skills Teens who practice refusing tobacco are less likely to start using tobacco. Being prepared makes a difference. Simply Say, No You never need to give a reason for not wanting to smoke or chew tobacco. Simply saying, No or No, thanks, is enough to make your opinion known.

21 Lesson 7 Being Tobacco Free Most teens your age do not use tobacco in any form. Lesson 7 Being Tobacco Free Avoiding Tobacco Environments Stay Clear of Smoke One of the best ways to resist trying tobacco is to avoid places where it is used. Leave the Area Sometimes you cannot predict where and when tobacco will be present. In this case, you can leave the area when a cigarette is lit. You can also ask the person to use tobacco outside. Lesson 7 Being Tobacco Free Setting an Example Be a Positive Influence By choosing not to chew or smoke tobacco, you can be a positive influence. Finding New Role Models You may want to look at other people who have chosen to be tobacco free as examples for your own decisions. Their actions and support could make refusing drugs easier for you.

22 Lesson 7 Being Tobacco Free Lesson 7 Being Tobacco Free Tobacco-Free Social Health Having Solid Friendships Friendships based only on tobacco are not as strong as friendships with people who share your interests. And friends who do not smoke may find being around you easier if you do not smoke. Proving You re Responsible When teens make healthy decisions about tobacco, their parents may trust them to make other good decisions.

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