Plan to Control Your COPD
For most big decisions in life--buying a home, getting a job, having children--you wouldn't think of moving forward without mapping out a plan first. A detailed plan can help you manage your lung disease, too.
Get It in Writing
Ask your doctor to help you make a written action plan for your COPD. This plan will list symptoms to watch for and steps to take when you're feeling bad.
Studies show written action plans can help you understand when you're healthy and when you're not. They also help you get and take the medicines you need and may even lower your risk of dying.
To get started, track your daily life when you're well. Write down things you're able to do comfortably, how well you sleep, what your appetite is like, and what your mucus looks like when you cough it up. Note what medicines you take. Make sure your action plan also has phone numbers for your doctor, a neighbor or family member, and emergency services.
Warning Signs to Look For
Changes may mean your COPD is getting out of control. Watch especially for the following:
Increased shortness of breath.
Greenish discharge or blood when you cough--blood is a sign of an emergency situation.
General aches or fatigue.
Coughing more or wheezing.
A sore throat, runny nose, or other cold and flu symptoms.
Losing your appetite (not wanting to eat).
If you have these warning signs, your action plan will help you decide what to do. The first step is almost always to call your doctor. Some other actions you may take include:
Taking bronchodilators (a medicine your doctor may give you), which open your airways quickly.
Using inhaled steroids or steroid tablets, as your doctor tells you.
Breathing slowly and deeply.
Resting more.
Starting antibiotics, as your doctor tells you.
Call for help right away if you can't catch your breath, have a high fever, feel chest pain, or if your lips or fingernails turn grey or blue.
Keystone Mercy is also here to help you. Please call 1-800-573-4100 to learn more about our program for members with COPD. You can also click here for more information.
Publication Source:
A Nurse-Led Intermediate Care Package in Patients Who Have Been Hospitalized with an Acute Exacerbation of Chronic Obstructive Pulmonary Disease. M. Sridhar et al. Thorax. ePub ahead of print, Sept. 27, 2007.
Publication Source:
Action Plans for Chronic Obstructive Pulmonary Disease. A.C. Turnock et al. Cochrane Database of Systematic Reviews. Oct. 19, 2005, vol. 4, CD005074.
Publication Source:
Practical Interventions to Prevent or Lower Emergent Care and Rehospitalization. G. Polzein. Home Healthcare Nurse. July/August 2007, vol. 2, no. 7, pp. 482-6.
Publication Source:
Self-Management Plans in the Primary Care of Patients with Chronic Obstructive Pulmonary Disease. G.R.B. McGeoch et al. Respirology. September 2006, vol. 11, no. 5, pp. 611-8.
Publication Source:
Written Action Plans in Chronic Obstructive Pulmonary Disease Increase Appropriate Treatment for Acute Exacerbations. R. Wood-Baker et al. September 2006, vol. 11, no. 5, pp. 619-26.
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Online Source:
Living Well with COPD. American College of Chest Physicians, 2004http://www.chestnet.org/downloads/patients/guides/COPDbrochure.pdf
Online Source:
COPD, National Heart, Lung and Blood Institute, March 2009http://www.nhlbi.nih.gov/health/dci/Diseases/Copd/Copd_WhatIs.html
Online Source:
How Can I Stay Healthy? American Thoracic Society, November 2009http://www.thoracic.org/sections/copd/for-patients/how-can-i-stay-healthy.html
© 2000-2012 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.