Dangerous and toxic, to be a smoker regardless of your Mobility. Though I think before trying to change the smoking first, see what can be done for the pain. Without addressing her current quality of life I sincerely doubt she’ll be receptive to quitting and it’s likely to cause a shut down in communication completely. For years while I was in massive amounts of pain the doctors would point out that my smoking was going to kill me and I would respond every time with “Really? How many more do I need to smoke a day to speed things up then?” It was one part my being a smart *** and one part truly wishful thinking hat maybe if I could smoke a carton a day things would really speed up.

Trust me, no smoker thinks it’s actually healthy for them, we all know it’s a terrible vice, and when our family, friends and even perfect strangers lecture us about it all that really goes through our minds is how much longer are you gonna harp because we really WANT a cigarette right now. Many a times I’ve been driven to smoke almost 2 packs in a day because of folks telling how I need to quit (I normally smoke half a pack if that a day). Not advocating smoking, and not proud to be a smoker, but facing a perceived lifetime of agony in which nothing can be done for you is not the time that most smoker will even consider putting down their bic’s for good.