1 Living with COPD An Everyday Guide for You and Your Family
2 Start Today! This guide was developed by doctors, nurses, pharmacists, and patients, many of whom are in these pictures. This guide will help you learn to make small changes that will make big differences in how you feel. Get started now! The sooner you start, the sooner you ll begin to feel better!
3 This Guide Will Help You: Live Well With COPD page 2 Get The Most From Your Medicines page 5 Learn Breathing Exercises page 15 Be More Active page 19 Plan For When Your Breathing Gets Worse page 24 Free Yourself From Smoking page 27 1
4 Chapter 1: Live Well With COPD When you have COPD, taking care of yourself is important. By learning to take care of yourself, you will: Breathe easier. Have more energy. Feel better. This guide is filled with tips from people with COPD. Use these tips to start taking better care of yourself, one step at a time. You can t cure COPD, but you can still live a good life. 2 I feel better when I make myself get out of the house and do something. I can still do many of the things I used to do, like play harmonica. Now I just need to pace myself.
5 Facts About COPD (Chronic Obstructive Pulmonary Disease) COPD is a lung disease. People with COPD have a hard time getting air in and out of their lungs. COPD can make people: Feel like they can t catch their breath. Cough a lot. Cough up more mucus or phlegm. Feel like their chest is tight. COPD may also be called chronic bronchitis or emphysema. Most people get COPD from smoking. However, some people get it from being around other people who smoke or from breathing dirty air. People with COPD may feel: Frustrated. Tired. Scared or worried. Irritated or upset. Embarrassed. Depressed. I was always afraid when I couldn t catch my breath. This book helped me know what to do. Now I m not so afraid. 3
6 Chapter 2: Get The Most From Your Medicines Most medicines for COPD are inhalers. Some inhalers are used every day. Others are used only when your breathing gets worse. Medicines to use every day: Use these medicines every day, even when you feel good. These medicines only work if they stay in your lungs all the time. These medicines may take several days to make you feel better. Some doctors call these medicines controllers because they help you control your COPD. Medicines to use when your breathing gets worse: These medicines help you feel better quickly if you can t catch your breath. They are called rescue medicines. Carry your rescue medicine with you all the time. Your doctor will tell you which inhalers to use every day and which inhalers to use only when your breathing gets worse. I didn t think my controllers did any good. But when I started using them every day, I breathed better and needed to use my rescue medicines less. Other medicines: Your doctor may prescribe a pill to reduce COPD flare ups. Your doctor may prescribe oxygen to help you breathe easier. When you are sick, your doctor may prescribe steroid pills or antibiotic pills. 4
7 Get The Most From Your Inhaler Using your inhaler right will help you: Breathe easier. Have more energy. Feel better. Always make sure your inhaler is clean and the mouthpiece is not blocked before you use it. I didn t realize I was using my inhalers wrong. My breathing got easier when I started using them the right way. There are two main types of inhalers: Mist Inhalers (puffers) Dry Powder Inhalers 5
8 How To Use Your Mist Inhaler With A Spacer 1. Remove the cap and shake well. 2. Put the mouthpiece of the inhaler into the spacer. 3. Sit up straight or stand up. Breathe out like you normally do. 4. Close your lips tightly around the end of the spacer. 5. Breathe in slowly and deeply through your mouth. Once you have started breathing in, press down on the inhaler while you finish breathing in. 6. Hold your breath for 10 seconds, or as long as you are able. Then breathe out slowly. 7. Wait 1 minute before taking a second puff. 8. Rinse your mouth out or brush your teeth. This will keep you from getting an infection in your mouth. 6
9 How To Use Your Mist Inhaler Without A Spacer 1. Remove the cap and shake well. 2. Sit up straight or stand up. Breathe out like you normally do. 3. Hold the inhaler 2 finger-widths from your mouth. 4. Breathe in slowly and deeply through your mouth. Once you have started breathing in, press down on the inhaler and finish your breath. 5. Hold your breath for 10 seconds, or as long as you are able. Then breathe out slowly. 6. Wait 1 minute before taking a second puff. 7. Rinse your mouth out or brush your teeth. This will keep you from getting an infection in your mouth. 7
10 How To Use Your Powder Inhaler (Disc Style) 1. Hold inhaler level. Push first lever to open. 2. Push second lever until it clicks. This will put the medicine into the right place. 3. Sit up straight or stand up. Breathe out like you normally do. 4. Close your lips tightly around the end of the inhaler. Breathe in deeply through your mouth. 5. Hold your breath for 10 seconds, or as long as you are able. Then breathe out slowly. 6. When you are done, close the inhaler. Then rinse your mouth out or brush your teeth. This will keep you from getting an infection in your mouth. 8
11 How To Use Your Powder Inhaler (Egg Style) 1. Take out one medicine capsule. 2. Open the inhaler and put the capsule in the hole. Then close the inhaler. It should click. 3. Hold the inhaler with the mouthpiece facing up. Press the button one time to get the medicine ready. 4. Sit up straight or stand up. Breathe out completely. 5. Close your lips tightly around the mouthpiece. Breathe in deeply through your mouth. 6. Hold your breath for 10 seconds, or as long as you are able. Then breathe out slowly. 7. Repeat steps 5 and 6 to make sure you got all the medicine out of the capsule. 8. Open the inhaler, take out the capsule, and throw the capsule away. 9
12 Get The Most From Your Inhalers Always bring your inhalers with you when you go to the doctor. The doctor can show you how to get the most from your inhalers. Use your spacer with your inhaler. Once a week, use soap and warm water to rinse out your spacer, then let it air dry. Or put it in the dishwasher. I just wash and rinse out my spacer when I do the dishes. It s part of my routine. 10
13 Tips For Using Inhalers When I started using a spacer, I noticed that my puffer worked a lot better. When I wake up in the middle of the night because I can t breathe, I use my rescue medicine right away. Then I can get right back to sleep. It s hard for me to tell when my inhaler is empty, so I asked my pharmacist for a counter. 11
14 Take Your Medicines Most people with COPD need to take one or more medicines. These can be inhalers, pills or both. Make sure you understand when and how to take the medicine. Tell your doctor or pharmacist how you plan to take them and ask if that is ok. Don t stop taking your medicine unless your doctor tells you to stop. Call your doctor if your medicines: Don t have refills. Make you feel sick. Are too expensive. Cause any side effects. Take all your medicines to every doctor's visit. That way you and your doctor can keep better track of your medicines. Bring your medicines with you if you will be away from home. Ask your family and friends for help with your medicines. Call your pharmacist if you have a question about missed pills. 12
15 Using Oxygen Your doctor will tell you if you need extra oxygen. If your COPD is severe, oxygen will help you: Catch your breath. Be more active. Sleep better. Have more energy. Live longer. The more you wear oxygen, the more it will help you. Use it every night while you sleep. Use it as many hours of the day as you can. Oxygen can cause fires. Don t smoke while you use oxygen. Don t use oxygen near the stove or fireplace. Keep a fire extinguisher near your oxygen. Prepare for if your electricity goes out. Have a back-up tank. Call the power company and tell them you are on oxygen. 13
16 Get The Most Out Of Oxygen At first I was embarrassed to use my oxygen in public, but people don t really seem to care. I didn t want to start oxygen because I was afraid I would never get off of it. Now when I use it, I sure feel better. My oxygen supply company helped me get a portable oxygen tank that I can take with me everywhere I go. Now I feel like I can do more. When I use oxygen, my lips and nose get dry. Lip balm helps. 14
17 Chapter 3: Learn Breathing Exercises Breathing and coughing exercises can help you open up your lungs and feel better. Some people with COPD think these exercises help them breathe better than anything else they do. Use them especially when you get scared. Doing these breathing exercises helps me feel in control of my COPD! I used to panic when I felt like I couldn t catch my breath. Now I use my breathing exercises when I get in trouble. 15
18 Pursed Lip Breathing Pursed lip breathing can open up your lungs and help you relax when you can t get enough air. Practice this exercise a couple of times each day. Use it when you can t catch your breath or you are feeling worried. 1. Take a slow breath in through your nose. While you breathe in, count to two: One two 2. As you breathe out, pucker or purse your lips as if you were blowing bubbles. While you breathe out, slowly count to four: One two three four 3. Repeat. Doing this 4 or 5 times can slow down your breathing and make it easier to get the air you need. Remember: Don t breathe out too fast. Blow out like you are blowing bubbles, not like you are blowing out a candle. 16
19 The Good Cough Coughing this way a few times can help you clear the mucus or phlegm out of your lungs. It doesn t tire people out like a normal cough. Some people call this cough a huff cough or forceful cough. 1. Slow your breathing down by doing pursed lip breathing 3 or 4 times. Breathe in, one two. Breathe out, one two three four. 2. Let your belly push out as you take a slow, deep breath in. Fill your lungs almost all the way. 3. Hold your breath while you count to four: One two three four 4. Tilt your chin up, and open your lips. 5. Use your belly to push the air out of your lungs in short, quick bursts. Make a sound like huh, huh, huh. 17
20 Tips For Catching Your Breath When I climb the stairs, I stop and rest each time I breathe in, and I step up each time I breathe out. I always do my pursed lip breathing while I am getting dressed. It helps me control my breathing. I know now that I can t walk and talk at the same time. I just stop walking when I want to say something. 18
21 Chapter 4: Be More Active Staying active is good for your heart and lungs. Any exercise will help you feel stronger and breathe easier. Start Smart Build your strength slowly. Exercise until you have a little trouble breathing and it takes you 1 or 2 minutes to recover. Then start again. You may be able to push yourself a little bit by doing more of the things you normally do, like: Doing housework. Working in your yard or garden. Playing with your grandchildren. Be patient when you start It takes a while for your body to get used to a new activity. The more active you are, the more you will be able to do. 19
22 Pulmonary Rehabilitation Can Help Your doctor may suggest you go to pulmonary rehab (pulmonary rehabilitation). Pulmonary rehab can help you Feel better. Be more confident. Build your strength. Learn more breathing exercises. Deal with stress. Stop smoking. Pulmonary rehab can help you feel better whether your COPD is mild or severe. 20 I like exercising with other people. Pulmonary rehab taught me new ways to breathe easier. The staff at pulmonary rehab knew the right exercises for me. It gave me more confidence.
23 Be Active. Be Safe. Ask your doctor whether you can go to pulmonary rehab. Always bring your rescue inhaler with you when you exercise. Exercise inside if it is smoggy or very humid. Drink plenty of water. Push yourself but don t overdo it. At the grocery store I rest on my shopping cart when I get tired. 21
24 People With COPD Say... If I get dressed in the morning, I am more likely to go out and be more active. I feel safer when I walk with somebody. I plan ahead. When I work in the yard, I have something to sit on if I get tired. 22
25 You Can Do It! Everyone with COPD should get regular exercise. Being active is good for your lungs and heart. It also will make you feel better! Try one of these ideas, or write down 1 or 2 things you can do to help be more active. I will exercise until I have to rest for 1 or 2 minutes. When I catch my breath, I will do it again. I will ask my doctor if pulmonary rehab is right for me. I will take a short walk every day. I will find a partner to exercise with. I will get up and move around during TV commercials. I will work in the yard 2 days this week. 23
26 Chapter 5: Plan For When Your Breathing Gets Worse Notice any change in the way you feel. If you are having trouble breathing, wheezing more, or feeling more tired than usual: Rest. Try breathing exercises. Use your rescue medicine. Be aware of the times when your breathing gets much worse than usual. Signs to watch out for: You are wheezing much more than usual. Your rescue medicines aren t working like they normally do. You are coughing more, or coughing up a different color phlegm or mucus. You have a fever. You are scared or worried. Your legs are swelling more than usual. If you notice any of these problems, call your doctor. Make sure you tell them you are having trouble breathing. 24 I know I am having a bad day when it feels like my lungs are shutting down. The harder I try to breathe, the worse it is.
27 You may need to call 911 if: You are breathing very fast and hard and your rescue medicine doesn t help. Your chest feels tight for more than 5 minutes. Your lips, hands, or feet turn blue. You can t finish a sentence in one breath. Tips to keep from getting sick: Stay away from people who have colds. Wash your hands a lot when you are around someone with a cold or the flu. Get your flu shot every October or November. Make sure you have had your pneumonia shot. I ve learned to call the doctor when I am having a really bad day with my breathing. I don t want to get sick. When I am around someone who has a cold, I wash my hands a lot. 25
28 People With COPD Say... I pay attention now to how I am feeling. It tells me what I should do for my COPD. With my COPD I have good days and bad days. Now, I have a plan for what to do on bad days. Yes, I have COPD, but I don t let it get me down. 26
29 Chapter 6: Free Yourself From Smoking If you are reading this chapter, you are ready to take an important step toward quitting smoking. You probably have tried to stop smoking before. For most people, it takes many tries. Some people think quitting is impossible, but that s just not true. Millions of people have stopped smoking. So can you! Quitting was the hardest thing I ve done in my life. It took me six tries, but I finally did it. I smoked for almost 50 years. I quit for my grandchildren. 27
30 What Makes You Want To Smoke? Knowing your triggers can help you stay away from things that make you want to smoke. These are triggers for many people: Talking on the phone. Watching television. Driving. Drinking coffee or alcohol. If you cannot stay away from the things that make you want to smoke, try to change the way you do them. Drink your coffee in a different spot, drive a different route to work, or watch television in a different room. Sometimes feelings make people want to smoke, like being: Nervous or stressed out. Bored. Hungry. Have a plan for what you are going to do when you have these feelings. This guide will help you. 28
31 What To Do When You Want To Smoke When you get the urge to smoke, quickly do something else. Take a few deep breaths. (Do your breathing exercises.) Think about something or some place that makes you feel good. Distract yourself with a piece of chewing gum or a healthy snack. Take a walk. Call a friend. Play a game or look at pictures. Doing these things will make you want to smoke less. Whenever I want to smoke, I look at pictures of my grandchildren. Hang in there! A craving for a cigarette will usually go away after 3-5 minutes. When I get a craving, I ask myself: What s the worst thing that will happen if I don t smoke? After a few minutes the urge to smoke passes. Sometimes all it takes is a walk to the mailbox. 29
32 When You Are Ready To Quit Pick a quit date to stop smoking. Tell your friends and family you will stop smoking on your quit date. Ask your doctor or pharmacist about medicines (or nicotine replacements) to help you quit smoking. The medicines come as: Pills. Gum. Patches. Lozenges. Nasal spray. Inhalers. On your quit date, throw away your cigarettes, ashtrays, lighters, matches, and anything else that makes you think about smoking. The harder it is to get a cigarette, the easier it will be to quit. Quitting is not easy. Ask others for help. Get a personal quitting coach for free. Call QUIT-NOW ( ) or a local quit line for support. 30
33 Tips From Former Smokers The people who really understand! Gum or candy works for me. I found a friend who wanted to quit with me. I felt like I needed something to do with my hands. Now I draw or doodle. I just kept quitting until I quit. 31
34 What To Expect When You Quit When you first quit, you will feel bad. Everybody does. You may feel scared you can't quit and angry you have to quit. Over time though, you will notice that you feel better than you used to. This is what you can expect: After 8 hours you may feel cranky, on edge, and hungry. It may be hard to concentrate. You may feel tired. But the oxygen level in your blood is normal again. And your blood pressure and heart rate are going down. After 1 day you will still feel cranky and you may cough a lot. But your sense of smell and taste will start to improve. After 3 days you are still coughing more than usual this is normal. But you should start noticing it is easier to breathe. Simple things like taking a walk got much easier when I stopped smoking. 32
35 In a few weeks you will be able to walk more easily. Your lungs can hold more air. You will have more energy. In a few months you will be less tired. Your cough will be better. Your breathing will be easier. In one year your risk of a heart attack will be halfway back to normal. In five years your risk of lung cancer will be halfway back to normal. I am back to doing the things that make me happy. 33
36 You Can Do It! Here is a list of things to help you get ready to quit: 1. Pick a quit date. Write it here:. Tell your friends and family what your quit date is. Ask for their help. Ask them not to give you cigarettes...even if you ask. 2. Prepare for your quit date: Buy healthy snacks (sugar free gum, carrot sticks, sugar free hard candy). Talk to your doctor about pills, patches, or gum to help you stop smoking. Make plans to spend time with people who don t smoke and stay away from places that remind you of smoking. Find a hobby that will keep your hands busy, like needlework, woodcarving, or gardening. I ve taken up painting. I love it, and it gets my mind off wanting to smoke. 34
37 3. On your quit date: Throw away cigarettes, ashtrays, lighters, and matches from your home, car, and work. Start using your pills, patches, or gum. Stay busy with people and activities that don t remind you of smoking. Keep healthy snacks and drinks nearby. Keep your hands occupied. Try to change your normal routine a little, like your meal time or your route to work. Re-read this chapter. Remind yourself to think about the things that make you happy when you get the urge to smoke. We quit together. Now we help each other when the smoking urge hits. 35
38 Acknowledgements Living with COPD: An Everyday Guide for You and Your Family was developed with the help of people with COPD, their family members, and health care providers under the direction of the following: Louisiana State University Health Sciences Center, Shreveport Terry Davis, PhD, Connie Arnold, PhD, Dennis R. Wissing, PhD, RRT, AE-C, Robert Walter, MD, MPH Mary Bocchini,BS, Daci Spielberger, BA University of California, San Francisco; San Francisco General Hospital Hilary Seligman, MD, MAS, Payam Nahid, MD, Ricardo Muñoz, PhD, Zenelia Roman, BS, Adriana Delgadillo, BS University of North Carolina at Chapel Hill Darren DeWalt, MD, MPH, Daniel Jonas, MD, MPH, Michael Gilchrist, MD, James Donohue, MD Kelli Scanlon, BA, Diane Dolan-Soto, MSW, Zachary Warner, BA The American College of Physicians strives to improve the health and quality of life for patients by providing the information that patients need to understand and manage their health. The development of the Living with COPD: An Everyday Guide for You and Your Family was originally funded by the American College of Physicians Foundation with educational grants from Boehringer Ingelheim, Pfizer and Forest Laboratories, Inc. January 2014 Copyright Graphic Design by Lewis Kalmbach, Kalmbach Advertising, Inc /80
39 My Important Numbers Doctor: Phone number: Pharmacist: Phone number: Nurse: Phone number: Pulmonary Rehab Educator: Phone number: Family member: Phone number: Power company: Oxygen company:
40 190 N Independence Mall West Philadelphia, PA To order, go to: Product Code: E Copyright American College of Physicians, Inc. (ACP) All rights reserved.
Live Well With COPD Chronic Obstructive Pulmonary Disease, or COPD is a lung disease. People with COPD have a hard time getting air in and out of their lungs. There is no cure for COPD. COPD is also commonly
Your guide to stopping smoking for good Reading this is your first step to stopping smoking for good Help2Quit gives you advice and support to help stop smoking for good. Nicotine replacement therapy and
Better Breathing with COPD People with Chronic Obstructive Pulmonary Disease (COPD) often benefit from learning different breathing techniques. Pursed Lip Breathing Pursed Lip Breathing (PLB) can be very
Asthma and COPD Awareness Molina Breathe with Ease sm and Chronic Obstructive Pulmonary Disease Molina Healthcare of Michigan Fall 2012 Importance of Controller Medicines Asthma is a disease that causes
Tobacco Addiction Why does it seem so hard to stop smoking? Smoking causes changes in your body and in the way you act. The changes in your body are caused by an addiction to nicotine. The changes in the
Asthma Basics Patient and Family Education This teaching sheet contains general information only. Talk with your child s doctor or a member of your child s healthcare team about specific care of your child.
WHEN COPD* SYMPTOMS GET WORSE *Includes chronic bronchitis, emphysema, or both. Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any other organization that advertises or markets
Chronic Obstructive Pulmonary Disease Patient Guidebook The Respiratory System The respiratory system consists of the lungs and air passages. The lungs are the part of the body where gases are exchanged
GLOBAL INITIATIVE FOR ASTHMA What You And Your Family Can Do About Asthma BASED ON THE GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND PREVENTION NHLBI/WHO WORKSHOP REPORT NATIONAL INSTITUTES OF HEALTH NATIONAL
Stop Now! The Bad News About Smoking Smoking harms nearly every organ of the body. Smoking causes cancer and coronary heart disease, the leading causes of death in the United States. Health effects from
YOU CAN QUIT WE CAN HELP SO, you re thinking of quitting tobacco. Let s figure out where you are right now, and see how this book can guide you through the quit process. Which of these sounds most like
LIVING WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)*: MANAGING YOUR DIET, FITNESS, AND MOODS Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any other organization that advertises
DISEASE MANAGEMENT Living With Chronic Obstructive Pulmonary Disease (COPD) * Managing Your Diet, Fitness, and Moods *Includes chronic bronchitis, emphysema, or both. Learning to Live Well With COPD To
Oxygen AND COPD This fact sheet talks about home oxygen, prescribed as a medicine for some people with COPD. For more information on COPD, phone 1-866-717-COPD (2673) or visit us online at www.lung.ca/copd
Help Yourself Breathe Tender Loving Care for Your Lungs PD 1359 (Rev 06-2009) File: peyles Department of Physiotherapy Why are you breathless? Chronic Airflow Limitation or Obstruction is a decrease in
DISEASE MANAGEMENT Living With Chronic Obstructive Pulmonary Disease (COPD) * Managing Your Diet, Fitness, and Moods *Includes chronic bronchitis, emphysema, or both. Learning to Live Well With COPD To
Living With Congestive Heart Failure Information for patients and their families Patient information developed by EPICORE Centre, Division of Cardiology, University of Alberta The REACT study: supported
Using an Inhaler Without a spacer Remove the cap Shake the inhaler for 3 4 seconds Place your middle finger on the sprayer Place your thumb on the bottom of the inhaler Stand up and tilt your head back
Stay Healthy By Not Smoking Stay Healthy By Not Smoking ENGLISH ENGLISH This edition printed 2009 Published by Books of Hope LLC Sound element design and engineering copyright cc Books of Hope Visit our
Your Go-to COPD Guide Learning how to live with chronic obstructive pulmonary disease (COPD) Inside, you ll learn: COPD facts COPD symptoms and triggers How to talk with your doctor Different treatment
TAKING CARE OF YOUR ASTHMA WHAT IS ASTHMA? Asthma is a disease that affects the lungs. If you have asthma, you have it all the time, but will have an asthma attack only when something, known as a trigger,
Emphysema Introduction Emphysema is a type of chronic obstructive pulmonary disease, or COPD. COPD affects about 64 million people worldwide. Emphysema involves damage to the air sacs in the lungs. This
BOOKLET 8 TM A Guide To Remaining Smoke Life Without Cigarettes Contents Urges 2 Benefits of Quitting 4 But What About My Weight? 7 If You Do Smoke 9 In Closing 10 This is the eighth and last booklet in
re-learn life without cigarettes. About EX EX was created by the American Legacy Foundation with the help of quit smoking experts at Mayo Clinic Nicotine Dependence Center. It has been brought to the public
COMMUNITY HEALTH AND COUNSELING SERVICES Self Management for COPD Call Your Home Health Nurse and/or Physician Call 911 Sputum (phlegm) that increases in amount/color or becomes thicker than usual Unrelieved
Breathlessness and anxiety Being anxious can make breathlessness feel worse Not being able to catch your breath can be very frightening Learning to relax and slow down can help to build your confidence
Patient information from the BMJ Group Stopping smoking Smoking harms your health, but it's difficult to stop. That s because most people who smoke have become addicted to nicotine, a chemical in tobacco.
Patient information How to Stop Smoking Before your Operation PIF 734 V5 Fag Ends can help you stop smoking before your operation. To contact Fag Ends for help to stop smoking please call Freephone: 0800
Steps to Help You Quit Smoking How Other Moms Have Quit Most Smokers Want to Quit If you are one of them, this workbook is for you. You may have good reasons to quit smoking and some concerns. This booklet
You can quit smoking. We ll teach you how. Quit Guide Welcome to the Program! Quitting is the best thing you can do for yourself and the people you love. In this program, you will learn about the 4 Essential
written by Harvard Medical School COPD It Can Take Your Breath Away www.patientedu.org/copd What Is COPD? COPD stands for chronic obstructive pulmonary disease. There are two major diseases included in
south carolina 2015 ISSUE II How Care Management Can Help You Got a question or concern about your health? Care Management helps members with special needs. It pairs a member with a care manager. The care
SUPPORT FOR HEALTHIER LIVING CARE MANAGEMENT PROGRAM 1.855.624.5223 (toll-free) Expert advice for all of your health questions 24 hours a day, 7 days a week Care Management Program NEED HELP BETWEEN SCHEDULED
Get the Facts About TB TUBERCULOSIS Disease What s Inside: 3 PAGE Get the facts, then get the cure 4 PAGE 9 PAGE 12 PAGE Learn how TB is spread Treatment for TB disease Talking to family and friends about
Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,
quit Smoking GUIDE Congratulations on your decision to quit smoking! Quitting smoking is a great way to improve your health and the health of those around you. Deciding to quit smoking is the first step
CAN YOU LIVE WITH THAT? 1 in every 2 smokers will die of a tobacco related disease. It doesn t have to be that way you can quit. If you are a smoker, quitting is one of the best things you can do for your
Understanding COPD An educational health series from Our Mission since 1899 is to heal, to discover, and to educate as a preeminent healthcare institution. We serve by providing the best integrated and
Smoking and your lungs Why it s never too late to give up Giving up smoking is never easy, but it s the most important thing you can do to look after your health. If you have a lung condition, you might
LOCAL NHS STOP SMOKING SERVICES For one-to-one or group-based advice. Just text GIVE UP plus your postcode to 88088 NHS Smoking Helpline 7am-11pm every day 0800 169 0 169 Textphone 0800 169 0 171 For free
How to Stop Smoking In a Week Redding Hypnosis Roger Gray, CHT Call today for an appointment (0) - www.reddinghypnosis.com CONTENTS PREFACE THE RISKS OF SMOKING KNOW YOUR ENEMY HOW YOU CAN QUIT SMOKING
Dear Parent/Guardian, We all want our children with asthma to be healthy! Asthma can be a frightening experience for kids, as well as their parents. Let Darby BoIngg be your partner, along with your physician,
New Beginnings: Managing the Emotional Impact of Diabetes Module 1 ALEXIS (AW): Welcome to New Beginnings: Managing the Emotional Impact of Diabetes. MICHELLE (MOG): And I m Dr. Michelle Owens-Gary. AW:
Tobacco Intervention Workbook Name: Addiction Prevention & Treatment Services To be tobacco free! TO BE TOBACCO FREE. TOBACCO INTERVENTION WORKBOOK. Table of Contents Introduction.............................................................
BOOKLET 4 TM A Guide To Remaining Smoke What If You Have A Cigarette? Contents Can t I Have Just One Cigarette? 2 Be Prepared for a Slip 3 Watch out for the Effects of a Slip 4 Keep a Slip from Turning
The American College of Obstetricians and Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ065 WOMEN S HEALTH It s Time to Quit Smoking What are the dangers of smoking? How does smoking affect the body?
Smoking Cessation Program UHN Information for people who are ready to quit smoking Read this information to learn: why you should quit smoking how the Smoking Cessation Program works treatments to help
Neonatal Abstinence Syndrome A Guide for Families Contents What is Neonatal Abstinence Syndrome (NAS)?...................... 4 When will my baby show signs of NAS?..................................................
Manage cancer related fatigue: For People Affected by Cancer In this pamphlet: What can I do to manage fatigue? What is cancer related fatigue? What causes cancer related fatigue? How can my health care
Things you might want to ask about asthma This information is from Asthma UK. We are a charity that helps people with asthma. EasyRead version What is asthma? If you have asthma your airways do not work
B O O K L E T 10 StopSmoking ForGood The Road Ahead Contents Where Are You Along the Quit-Smoking Road? 2 Frequently Asked Questions by Ex-Smokers 4 Remember All That You Have Achieved 6 If You Are Still
Key #2 Stop Smoking There are many different poisons that can be found in cigarettes, such as carbon monoxide, tar, rat poison, paint thinner, and lighter fluid, just to name a few. Any of these toxins,
Patient information factsheet Anxiety and breathing difficulties Breathing is something that we all automatically do and we often take this for granted. Some chronic health conditions, for example asthma
James Paget University Hospitals NHS Foundation Trust Managing my Breathlessness Patient Information Contents Living with breathlessness 3 Battery life 4 How can I control my breathlessness? 5 Simple breathing
ST. GEORGE S RESPIRATORY QUESTIONNAIRE ORIGINAL ENGLISH VERSION ST. GEORGE S RESPIRATORY QUESTIONNAIRE (SGRQ) This questionnaire is designed to help us learn much more about how your breathing is troubling
Chemotherapy What It Is, How It Helps What s in this guide If your doctor has told you that you have cancer, you may have a lot of questions. Can I be cured? What kinds of treatment would be best for me?
SUBSTANCE ABUSE You have to choose who you want to be in life. This happens by making lots of decisions every day. Using substances is a choice. This is a big choice, because substances have a very real
Influenza (Flu) What is the flu? The flu is an illness caused by flu viruses. The flu may make people cough and have a sore throat and fever. They may also have a runny or stuffy nose, feel tired, have
Pneumonia Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. People with mild (not so bad) pneumonia can usually be treated at
TB Get the Facts About Tuberculosis Disease What s Inside: Read this brochure today to learn how to protect your family and friends from TB. Then share it with people in your life. 2 Contents Get the facts,
Massachusetts Department of Public Health www.makesmokinghistory.org Massachusetts Smokers Helpline 1-800-Try-to-Stop (1-800-879-8678) TTY: 1-800-833-1477 Free one-on-one support Information about local
Pneumonia Education and Discharge Instructions Pneumonia Education and Discharge Instructions Definition: Pneumonia is an infection of the lungs. Many different organisms can cause it, including bacteria,
X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding
Alcohol and drug abuse This chapter explores how alcohol abuse affects our families, relationships, and communities, as well as the health risks associated with drug and alcohol abuse. 1. Alcohol abuse
What is TB? Do many people get tuberculosis (TB)? Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ. It is infectious, so it
MIGRAINE ADVICE FOR 7 TO 12 YEAR OLDS You are not alone seven out of every ten children in your school will probably have had a headache at some time What is your headache like? If you are reading this
Stop Smoking Guide Congratulations on your decision to quit smoking! There are few things you can do that will improve your health and the health of those around you more than quitting smoking. Deciding
This is from a letter that a member of COPD-International and others, Filcab, developed for publication and sharing with everyone. He would like everyone either who has COPD or works with COPDers to have
Brain Injury Association National Help Line: 1-800-444-6443 Brain Injury Association Web site: www.biausa.org Centers for Disease Control and Prevention Web site: www.cdc.gov/ncipc/tbi Contents About Brain
QUIT SMOKING SELF-HELP HANDBOOK Table of Contents Benefits of quitting Page 2 Possible cost savings. Page 3 Withdrawal symptoms Page 4 Weight gain after quitting.. Page 5 Second Hand Smoke.. Page 6 Why
Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be
Asthma Ear Infections in childhood asthma in childhood Asthma in childhood is common and it can be serious. About one in six children (aged less than 15 years) in Western Australia are affected by asthma.
Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia
Living with dying Patients and carers experiences of living with lung cancer Dr Donna Fitzsimons, Lesley Rutherford & Jill McAuley Study Aims To explore the experiences of patients living with lung cancer.
Table of Contents INTRODUCTION...3 HOW TO USE THIS PROGRAM...4 PREPARATION: WEEK #1...5 PREPARATION: WEEK #2...8 TERMINATION: 4 DAYS AFTER... 14 TERMINATION: 7 DAYS AFTER... 18 MAINTENANCE: 2 WEEKS AFTER...
Fact Sheet Benefits of Quitting Smoking Within 20 minutes of your last cigarette: Blood pressure drops to normal Pulse rate drops to normal Body temperature of extremities increases to normal After 8 hours:
Your Health Insurance: Questions and Answers This simple guide will help you understand how to use and keep your health insurance Meet four people with questions about their health insurance: George is
Attention Health Care Professional: Detach Patient's Instructions for Use from package insert and dispense with the product. PROVENTIL HFA (albuterol sulfate) Inhalation Aerosol FOR ORAL INHALATION ONLY
What You Need to KnowWhen Taking Anticoagulation Medicine What are anticoagulant medicines? Anticoagulant medicines are a group of medicines that inhibit blood clotting, helping to prevent blood clots.
Name: ID# : Tobacco Use Intake, Assessment and Treatment Planning Form I. INTAKE INFORMATION Smoking History: Current number of cigarettes per day: approx. 20 per day How soon after awaking is first cigarette
Staying on Track with TB TUBERCULOSIS Medicine What s Inside: Read this brochure to learn about TB and what you can do to get healthy. Put it in a familiar place to pull out and read when you have questions.
Living with a lung condition: how exercise and eating well can make a difference to your life This information is for people living with a lung condition in the UK and your family and carers. It will help
Chronic obstructive pulmonary disease (COPD) Chronic obstructive pulmonary disease (COPD) is the name for a group of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways
YOU CAN QUIT YOUR TOBACCO USE Learn how to get help to quit using tobacco and improve your chances of quitting. This document explains the best ways to quit tobacco use as well as new treatments to help.