Submit your final paper on your personal or professional quality improvement project. This project will incorporate key concepts discussed in the course, including the Model for Improvement, to guide...

QUALITY IMPROVEMENT PROGRAM 4
Name of the Student
Name of the College or University
Name of the Course
Date
Introduction    
Title: Quality Improvement Program for improving teeth health with the use of aligners to restrict the intake of smokeless tobacco products
Identification of the problem
           The patient is suffering from the excessive intake of smokeless tobacco causing harm to his health. He has been serving in the American Army for the last 9 years. This patient is suffering from a recession of his gums and borderline personality problem. Later he started suffering from teeth alignment problems as a side effect of the intake of excessive amounts of smokeless tobacco in his mouth. He decided to wear teeth aligners to keep his teeth in the proper orientation and proper shape. Further, his SMART goals include a reduction in the intake of smokeless tobacco dips from 4 dips a day to two dips and finally to 1 dip per day. He decided to wear the teeth aligners which day with the removal of the aligners only while
ushing and while eating food. The planning was ca
ied out for days spanning 3 weeks to limit the intake of tobacco dips in the mouth. After wearing the teeth aligners consecutively for several hours, the urge for the intake tobacco got significantly reduced and the teeth alignment with orientation improved significantly in this patient.
Background / Literature search
           There is a different distribution of nicotine in different cigarette
ands. One option is to change and alter different cigarette
ands. After changing and altering different cigarette
ands there is much lesser exposure to cigarette smoke levels in people smoking cigarettes. The first two weeks of the experiment were kept at a baseline level. Various physiological parameters of the patients were measured after the intake of tobacco smoke. These parameters are changes in the heart rate, alterations in the blood pressure, the weight of the patients, and the amount of ca
on monoxide in the blood and the lungs of the patients (Hatsukami et al., 2007). This statistical study involves the study of different factors like the ability to crave for cigarette smoking, the ability to withdraw the smoking of cigarettes, the ability to say no and quit smoking and deny the intake of smokeless tobacco dips. After the change over to the different smoking
ands, there was a significant change in the nicotine and cotinine levels in the blood of the patients after some weeks of the intake of the smokeless tobacco (Hatsukami et al., 2007). Further, there is a decrease in the incidence and the occu
ence of cancer in patients who restrict their intake of smokeless tobacco dips. Starting from the first week until the eighth week and finally, till the twelfth week of study, there was a significant reduction in the amount and the number of smokeless tobacco dips among the participants (Hatsukami et al., 2007). 
In a study conducted by Ogden et al., 2015 reported a significant reduction in the presence of harmful products after tobacco smoking among the patients in comparison to the results obtained in the baseline studies undergoing this statistical experimental study. The sample study involved the collection and analysis of the blood and urine samples of the participating patients in the study before and after exposure to cigarette smoke (Ogden et al., 2015). Various carcinogenic compounds are present in the blood and the urine samples of the patients undergoing the test analysis for the participants who inhaled cigarette smoke in comparison to the patients who did not smoke. 
Some of the carcinogenic compounds present in cigarette smoke are polycyclic hydroca
ons, aldehydes, nicotine, cotinine, and organic compounds like benzenes. These organic compounds and hydroca
ons accumulate in the lungs and the other tissues of the body causing serious damage to the body tissues (Ogden et al., 2015). There are different forms of cigarette smoking like the burning, heating of the tobacco in cigarettes, and inhalation of the tobacco smoke. According to the statistical study, there are serious harmful effects smoking of cigarettes leading to cancer and death of the body tissues due to necrosis. The levels of the carcinogenic products are much more in heating cigarettes after a few weeks of exposure in comparison to the other forms of cigarette smoking like the burning of cigarettes (Ogden et al., 2015). The level of ca
oxyhemoglobin was reduced in the number of participants as the weeks passed who decreased the intake of tobacco smoke due to the heating or burning of the cigarettes. The half-life of the different carcinogenic products present in the blood and urine are different so the concentration of these products varies in the body. In addition, the tar accumulation per day was observed in the normal participants and in the participants who were exposed to cigarette smoke (Ogden et al., 2015). 
Discussion
There are seriously harmful and side-effects of the intake of cigarette smoke like the activation of the sympathetic nervous system
anch and an increase in the contraction rate of the heart muscles. Further, there is also an increase in the rate of the beating of the heart and an increase in the consumption of oxygen in the heart due to the fast contraction of the heart muscles. In addition, the polycyclic aromatic hydroca
ons present in cigarette smoke causes various side effects like inflammation of the body tissues, and a reduction in the supply of blood and nutrients to the heart muscles, and the different other organs of the body (NIH, 2014). 
There is clogging or hindrance of the flow of blood to the vessels leading to pain in the heart and a less supply of oxygen to the heart muscles (NIH, 2014). Smokeless tobacco is considered harmful as it causes addiction with a...