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About smoking

August 12, 2008
by Kathleen Mears
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Ah yes, the facility smoking issue—I have thought about that for a long time. When I first came to live in a nursing home 12 years ago, residents were allowed to smoke four times a day (two cigarettes per session) either in the dining room or outside on the front porch with an aide observing them. Employees could smoke in their break room or anywhere outside. It did not take me very long to figure out that the residents who smoked got much more one-on-one time with the activity aide then the rest of us. I was not a big activity person per se. Bingo is not my thing, and there were few other activities I could participate in with my functional limitations.

I remember telling an activity aide how I felt about smokers being given extra one-on-one time. She responded by inviting me to come outdoors with the smokers as the weather warmed that spring. Longing for company—especially with the activity aide who was close to my age—I took her up on it. I eagerly went outside at least twice a day and would sit up wind from the smokers. Then, the activity aide and I would have a nice chat along with those smokers who chose to join in. Some were painfully quiet and said very little. Most had to be watched to make sure they did not drop their cigarette on themselves and get burned. I liked the idea that I was helping out with that.

When the weather turned cooler smoking moved indoors for the most part, but I did not spend much time in the dining room at the indoor smoking sessions. The special ashtrays that were supposed to remove the smoke did not do that good of a job and I only went if I was really starved for company and conversation.

Residents or their family members were responsible for buying cigarettes. If my friend ran low, I sometimes purchased cigarettes for her. Before that I had never bought cigarettes in my life. I remember thinking when I bought them, “You so disapprove of this.” But I felt that residents in nursing homes had to give up so much and I felt that smoking two cigarettes four times a day was not that bad. Cigarettes were normally locked up, so I was always concerned that my friend might never get the cigarettes that I gave her. I had observed that sometimes staff borrowed cigarettes from the residents' cigarette stash. I remember shuddering at the thought and could not imagine taking anything away from these residents.

A few years later the facility required employees to smoke outside only ... behind the building. Meanwhile, the residents were encouraged to smoke outdoors whenever possible. I could tell that management was attempting to limit the smoking indoors. With employees smoking outside, and residents smoking outside more, the smell of smoke dissipated in the building. But you could definitely tell from the color of the walls near the break room where the employees used to smoke. I hate that smell. I had banished cigarette smoking from my home long before I came to the nursing home, and I myself have never smoked.


Kathleen Mears



Kathleen Mears is a long-time blogger who has been a nursing home resident for 21 years. She is...



Good insight into the difficulties faced by residents - both those who smoke and those who don't smoke. It's a shame that you have to accompany smokers on their smoke breaks just to have some quality time with staff members. Keep up the good writing!

wow i remember you buying cigaretts for that special resident. you forgot about the one lady who started to smoke because we had fun in cigarette gro. Many a staff and volunteers bought the residents cigarets most only got $30 per month extra spending. I t hink in the 12 years i was there i only smoked the residents 5 times. Where I am now they smoke every 2 hours thats alot of smoking,

Great article Kathy! I agree with alot you had to say can't wait to read the next one!!!

Hey everyone needs an outlet and for some its smoking huh Kathy!! How have you been??

nice job Kathy. keep up the good work.

however, my question is, doesn't it bother you, being a non-smoker to be around those that do smoke. i find the odor (breath, clothes, even hands) from most smokers is just overwhelming. how about you?

This article has a lot of great points and care issues.
That brings it in to view from both sides.

great article one of the best i have read in a long time.
most people forget to think of others as well as our selves.
but this puts great care into both views. great job Kathy
can't wait to read your next blog. Thursday 14,2008
by Austin.

Nice article. Good input.