Case Report: Nicotine Replacement Therapy (NRT) in Hospitalized Surgical Patient

Hospital surgical services are often reluctant to offer nicotine replacement therapy (NRT) to inpatients due to concerns that nicotine leads to vasoconstriction and impaired wound healing. However, multiple potential health benefits result from offering NRT to hospitalized surgical patients who use...

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Bibliographic Details
Published inJournal of smoking cessation Vol. 10; no. 1; pp. 2 - 4
Main Authors Sisler, Laurel, Trout, Susan, Ripley-Moffitt, Carol, Goldstein, Adam O.
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.06.2015
Subjects
Hospitalization
Smoking cessation
Surgery
Transdermal medication
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Summary:Hospital surgical services are often reluctant to offer nicotine replacement therapy (NRT) to inpatients due to concerns that nicotine leads to vasoconstriction and impaired wound healing. However, multiple potential health benefits result from offering NRT to hospitalized surgical patients who use tobacco products. A 28-year-old female patient, hospitalized following a motor vehicle accident, experienced severe nicotine withdrawal symptoms and a strong desire to smoke. After a Tobacco Treatment Specialist (TTS) consultation, the Physical Medical and Rehabilitation service at the hospital began her on NRT with positive outcomes. The patient experienced decreased cravings and withdrawal symptoms, as well as an increased desire to remain tobacco free after discharge. More surgical patients may have an increased commitment to remain tobacco free after discharge, if their withdrawal symptoms are treated during hospitalization using NRT.
ISSN:1834-2612
1834-2612
DOI:10.1017/jsc.2015.5