I was the incoming nurse, and after reporting this one lady resident on wheelchair comes up to me and asks me for her cigarette. I know this is like stupid but I was really shocked...I have never in my life hand down a cigarette to a patient, and knowing that a cigarette is detrimental to her health..i was hesitant. I mean, I am supposed to be guarding this old woman's health, right? I really hate cigarettes and smoking and have seen/taken care of lots of COPD patients and lung cancer patients as a student in the Philippines, but it's not like I'm back there where I can say "hey, stop smoking dude!" I mean, here in America, it's like a burger king 'have it your way' commercial everyday...and this old lady, if i tell her that smoking is bad for her, she'll tell my face 'I have the right to get lung cancer'...I feel sad..and I know this is not supposed to be a big deal, but by handing out a smoke to her, I feel like I am not being an advocate for health. So it's really upsetting me..