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Supporting a Patient’s Choice to Smoke When Dying of Stage IV Lung Cancer

AONN+ Blog published on August 13, 2021 in Lung Cancer
Lillie D. Shockney, RN, BS, MAS, HON-ONN-CG
Editor-in-Chief, JONS; Co-Founder, AONN+; University Distinguished Service Professor of Breast Cancer, Professor of Surgery, Johns Hopkins University School of Medicine; Co-Developer, Work Stride-Managing Cancer at Work, Johns Hopkins Healthcare Solutions
Victoria Atkinson, MD
Princess Alexandra Hospital, Gallipoli Medical Research Foundation, University of Queensland, Australia

Patients who have smoked for decades are usually not surprised when they are diagnosed with advanced lung cancer. However, they may be unwilling to stop smoking when asked to do so by their treatment team. Will it save their life if they stop now? No. Will it help extend their life by a few months potentially? Maybe. We know that smoking is an addiction, and we also know that people smoke more when under stress, making it difficult to ask a patient to stop smoking at this point in their life.

 
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