Fillable My Route Health - On Target With Your Asthma (Superior HealthPlan)

Fill Online, Printable, Fillable, Blank My Route Health - On Target With Your Asthma (Superior HealthPlan) Form

Use Fill to complete blank online SUPERIOR HEALTHPLAN pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

My Route Health - On Target With Your Asthma (Superior HealthPlan)

On average this form takes 79 minutes to complete

The My Route Health - On Target With Your Asthma (Superior HealthPlan) form is 99 pages long and contains:

  • 0 signatures
  • 201 check-boxes
  • 223 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Superior HealthPlan forms online.

BROWSE SUPERIOR HEALTHPLAN FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
WITH YOUR
ASTHMA
STAR T
BREATHING
EASY
TM
®
FIRST THINGS FIRST
AN INTRODUCTION
You’re an adult. You’ve got duties and responsibilities and people who
rely upon you. The last thing you need in your life is to have to deal with
asthma. And yet here it is.
It can be a scary thing the first time you’re told you have asthma. It’s a
stressful time. How will your body change? What limits will this pose
on your lifestyle? What medications will you have to take? How will it
affect your physical and emotional health? It’s a lot to think about.
The good news is you don’t have to do it alone. This book offers hope and
a better understanding of your asthma and how to deal with it. We want
you to feel certain that you have what you need to be responsible for your
own health, so you can be on target with your asthma.
The best way to a healthy lifestyle is through teaching and support.
Think of this book as your first step toward that. Asthma can be scary,
but you can handle it. And we can help.
DISCLAIMER. This book provides general information about asthma and related issues.
This information is not intended to be used as a solitary reference on the subject matter,
for the diagnosis or treatment of a health problem, or as a substitute for consulting a
licensed health care professional. Consult with a qualified health care practitioner to
discuss specific individual issues or health needs, and to professionally address personal,
emotional, health, physical or medical concerns.
WITH YOUR
ASTHMA
TABLE OF
CONTENTS
1
TM
BREATHING BASICS
2
ASTHMA MYTH BUSTING
4
TYPES OF ASTHMA
5
TRIGGERS AND IRRITANTS
8
YOU'RE NOT ALONE
14
PREVENTING LUNG INFECTIONS
15
THE SMOKE-FREE SOLUTION
16
MEDICATIONS
21
PARTNERS IN CARE
27
Using your Inhaler
28
THE SPACER CONNECTION
30
The Medical Power of your Powder
32
REACHING YOUR PEAK
36
ASTHMA SELF-MANAGEMENT
TREATMENT PLAN
44
CONTROLLING YOUR BREATHING
48
YOUR EMOTIONAL HEALTH
49
ASTHMA AND NUTRITION
51
MAKING MATTERS WORSE
52
ASTHMA IN SPECIAL GROUPS
53
ASTHMA IN PREGNANCY
55
ACKNOWLEDGEMENTS
56
FURTHER HELP
57
BREATHING BASICS
The Work of Breathing
HERE’S HOW THIS BREATHING THING WORKS: BREATHING BRINGS
FRESH AIR INTO YOUR LUNGS AND REMOVES STALE AIR. THE FRESH
AIR CARRIES OXYGEN TO YOUR BLOODSTREAM. YOUR HEART THEN
PUMPS BLOOD WITH OXYGEN THROUGH YOUR BODY TO ALL YOUR
ORGANS, WHICH NEED OXYGEN TO WORK SMOOTHLY.
FRESH AIR RUSHES DOWN THE THROAT AND INTO A LARGE A I RWAY
OR BREATHING TUBE THAT BRANCHES MANY TIMES INTO SMALLER
AND SMALLER TUBES. YOUR BREATHING TUBES ARE LINED WITH
SPECIAL MUSCLES THAT RELAX AND CONTRACT WITH BREATHING.
AT THE ENDS OF EACH OF THE SMALLER AIRWAYS IS A BALLOON-
LIKE POUCH THAT EXPANDS AND COLLAPSES AS YOU BREATHE IN
AND BREATHE OUT.
AS YOUR HEART PUMPS, BLOOD FLOWS THROUGH ARTERIES TO ALL
YOUR ORGANS. AS THE BLOOD PASSES BY EACH ORGAN, IT GIVES UP
SOME OF ITS OXYGEN TO FEED THE ORGAN, AND REMOVES THE WASTE
GAS. WHEN YOU BREATHE OUT, THE STALE AIR IS PUSHED OUT.
So What is Asthma?
So, that whole breathing thing sounds pretty plain
and easy, right? Well, not for people with asthma.
Asthma is a disease that affects the breathing tubes
of the lungs. Those with asthma have sensitive
breathing tubes that react to everyday things.
These are called TRIGGERS. People with asthma
have times when breathing is hard when they are
exposed to triggers. These times are called asthma
attacks or episodes.
2
3
Attack!
WHAT HAPPENS DURING AN ASTHMA ATTACK?
The breathing tubes in lungs become swollen (inflammation)
The muscles that surround the airways start to tighten (bronchoconstriction)
Extra mucus clogs the smaller breathing tubes
These changes slow the air that most often flows smoothly into and out of the lungs.
Think about blowing air through a tube the size of a garden hose, then through a
straw. The size of the tube makes a big difference in being able to push air through it.
Breathing gets harder as you try to force air through the thin breathing tubes.
Asthma symptoms
• Wheezing or whistling sound while breathing
• Coughing and spitting up mucus
• Chest tightness
• Shortness of breath
Some people may describe an asthma episode as
not being able to get enough air into their lungs.
But, the changes that happen make the breathing
tubes too small to let out the stale air.
After aN
ASTHMA
Episode
You may feel that your symptoms have
gone away and your breathing has
returned to normal after an attack. But
the breathing tubes are still swollen
and sensitive. There’s no cure for these
sensitive breathing tubes. But there
are things that you can do to care for
your asthma.
What Are
The Causes of
Asthma?
We don’t know. Sorry. But we do know about the risk factors that
can cause asthma.
Allergies: The American Lung Association says that at
least 80% of children with allergies have asthma.
For adults it’s 50%.
Family History: A strong family history of asthma
has been linked with having the disease.
ASTHMA
MYTH
BUSTING
There are many things that people believe about asthma that just aren’t
true. It’s good to set apart the truth from the myths when it comes to
knowing about the disease. Keep in mind, knowledge is power. Use your
brain and your knowledge as a weapon in the fight to be healthy.
MYTH MYTH BUSTED!
You can get addicted
to using inhalers.
Inhalers are not habit-forming or addictive. They are a good way to control
your asthma every day.
You won’t alwa
ys have
asthma. It comes and
goes over time.
The s
ymptoms may come and go, but if you have asthma, it’s always there.
Asthma is a chronic (long duration) disease that needs to be treated with
medicine on a regular basis, even when no symptoms occur.
You can’t play spor
ts
or exercise if you
have asthma.
Whi
le exercising in cold, dry air can trigger an episode in some people,
exercise is a good idea for everyone. Take your medicine and you can play
sports, run and exercise. Swimming is good for asthma.
You can’t lead a normal
life if you hav
e asthma.
Please
. Even with asthma, you’ll be able to lead as normal a life as you can.
Follow what your doctor tells you, learn about your asthma, use your inhaler
and stay away from your triggers. Don’t let asthma get in the way of your life.
Asthma is contagious
and can be caught from
other people.
Wrong. Asthma isn’t an infection and can’t be spread from person to person.
You can outgrow
asthma as you get older.
Asthma is a lifelong condition. A child’s lungs can grow and handle it better,
but asthma is forever.
Asthma can be cured.
Nope. While modern medicine keeps searching for treatment options, a cure
for asthma has yet to be found. But managing asthma can be done with
regular treatment.
4
TYPES OF ASTHMA
Asthma comes in many shapes, sizes and forms. These are the different
types of asthma from which you may be suffering.
Allergic
Asthma
People with allergic asthma may
suffer symptoms when they come in
contact with an allergen, a common
substance such as dust, animal
dander, plant pollen and mold spores.
Allergies happen when the person’s
immune system can’t handle these
substances. A special skin test may
find out about your allergies.
Some common symptoms of allergies:
• Itchy, watery eyes
• Sneezing
• Stuffy or runny nose
• Headache
• Dark circles under eyes
Allergic Rhinitis/Hay Fever
Rhinitis attacks the inside of your nose, causing it to swell after
you come in contact with an allergen. Symptoms are a runny
nose, sneezing and congestion, sometimes mistaken for a cold.
Like asthma, rhinitis may make your breathing tubes more swollen.
Immunotherapy/Allergy Shots
If you have allergies, your doctor may suggest a shot to lessen
your allergy symptoms. You may get allergy shots over many
months or years, given weekly and then slowly reduced to once
a month. This lets you slowly build up your immunity to the
allergen. You may need allergy shots if:
You have medium to strong allergy symptoms
Your symptoms happen most of the year
Your symptoms don’t clear up with allergy medications
You are sensitive to pollen, dust mites or other allergens
that aren’t easy to avoid
Allergy shots aren’t for everyone with asthma and allergies.
Talk to your doctor to find out if allergy shots will work for you.
Seasonal Asthma
Allergens or weather changes can trigger seasonal
asthma. A person with seasonal asthma may be
allergic to pollen or mold around in different seasons.
Others are sensitive to the cold air in the winter or the
heat and humidity of summer. Unfortunately, there
is no climate that is good or bad for all people with
asthma. Cold winter days may be rough for people
sensitive to cold air. But the wintertime may be better
for someone with pollen allergies. Taking certain
asthma medications at the start and throughout the
season may keep you from getting seasonal asthma.
Non-Allergic
Asthma
People with non-allergic asthma
don’t have allergies but suffer the
same symptoms. They can be
sensitive to things like:
• Smoke
• Emotional stress
• Weather changes
• Respiratory infections
5
Asthma due
to Exercise
Asthma due to exercise may
occur in people who have allergic
and non-allergic asthma. The
signs are triggered by changes
in temperature and humidity
that occur while being active.
Because you tend to breathe
through your mouth during
exercise, cold dry air hurts the
breathing tubes.
IMPORTANT!
DON'T LET ASTHMA KEEP
YOU FROM EXERCISING!
It’s important for all people
with asthma to stay active.
Normal exercise helps to make stronger bones
and muscles, and fight off infections. It makes
your mental health and self-image better. Work
closely with your doctor and follow a treatment
and fitness plan to control your asthma.
PHYSICAL ACTIVITY TIPS FOR THOSE
WITH ASTHMA DUE TO EXERCISE
CAUTION
You may need to take asthma medications before doing activities.
Don’t be too active on days when your asthma isn’t under control.
Don’t exercise outside on high pollen count days or during times of high pollution.
Exercise at your own pace.
Don’t exercise in cold or hot weather.
Warm up and cool down before and after exercise.
Try other types of physical activities. Some people with asthma have less trouble
swimming than running. Figure out what works for you.
6
Nocturnal
Asthma
"Sleeping Asthma"
A person with NOCTURNAL
ASTHMA may have symptoms
that get worse in the middle
of the night.
Think of it this way: During the day,
our bodies make hormones that act
like soldiers, protecting us against
asthma. But at night, these soldiers
chill out, reaching their lowest levels
and making us prone to attack.
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
THESE FACTORS MAY ALSO MAKE
ASTHMA SYMPTOMS WORSE AT NIGHT
Postnasal drip and sinus infections
GERD: Ga
stro-esophageal reflux
disease (acid from the stomach moving
backwards into your esophagus)
Allergens in the bedroom
A late reaction to something that you
were exposed to earlier
Cool nighttime air
If you have m
ore asthma symptoms at night
than during the day, talk to your doctor.
Your doctor may be able to figure out the
cause and change your medications, giving
you more nighttime troops to fight for you.
7
ZZZ
TRIGGERS AND IRRITANTS
A Sensitive Subject
People with asthma have sensitive airways.
Things that wouldn’t usually cause
breathing problems for most people may
do so in a person with asthma. These
troublesome things are called
triggers.
There are two types of asthma triggers:
Allergen
A substance that can trigger
allergies. These things cause
your breathing tubes to swell
and extra mucus to build up.
IRRITANT
Not a substance that causes
an allergic reaction, but
something that can bother
your breathing tubes and
trigger asthma symptoms.
The Key to Self-Managing Your Asthma
Stop symptoms and control your asthma by staying away from
allergens and irritants. That’s the key. There’s good news and
bad news about these allergens and irritants, but these ideas
for staying away from them can help! Making these changes
won’t cure your asthma but it may keep episodes from starting
and help you breathe better. And that’s always good.
8
OUTDOOR
ALLERGENS
POLLEN AND MOLD
THE BAD NEWS
Pollen and mold are anywhere you
find trees, grass and weeds. So unless
you live in a plastic bubble it’s going
to be hard to keep away from these
microscopic bothersome creatures.
THE GOOD NEWS
You may be able to lower your contact
with pollen and mold by minding local
allergen reports. Stay inside during
pollen alerts, keep your windows
and doors closed and run your air
conditioner. You may not be able to
beat them, but you can hide from them.
Before heading to other places on
trips, find out what allergens are there.
Stay away from wet leaves and fallen
wood, standing water and places of
bad drainage, which are sources of
molds. Wear a mask for yard work,
and shower and wash your hair after
outdoor events.
INDOOR
ALLERGENS
DUST AND DUST MITES
THE BAD NEWS
House dust has a lot of things like tiny pieces
of fabric, particles of food, flakes of skin and
protein from plants and animals. Dust mites
survive on these items and humidity. A protein
in their waste product triggers asthma and
allergy symptoms. You can’t completely get rid
of dust mites from your home.
THE GOOD NEWS
There are solutions that can help lower their levels.
Use a wet mop and damp cloth when cleaning to
keep your home dust-free.
Remove carpets. If that’s not possible, clean them
regularly. Have a friend vacuum with a HEPA
filter so the dust doesn’t bother you.
Get rid of drapes and mini-blinds on windows.
Replace them with washable curtains or vinyl
shades that don’t trap dust.
Cover your pillows, mattress and box spring with
allergen-proof encasements.
Wash bedding weekly in very hot water.
Remove clutter such as stuffed animals, knick–
knacks, books and bookshelves.
Use a dehumidifier or air conditioner to keep the
humidity level below 50% in your home.
9
Animals and Pets
THE BAD NEWS
Some people may be allergic to an outdoor
allergen that their pet brings in on its fur. In
other cases, they are allergic to the protein
found in animal dander, urine, and saliva.
These proteins are very small and they can
travel throughout your home in the air.
THE GOOD NEWS
Take these steps if you have pets that
cause your asthma to become worse:
Find a new home for your pet or
keep the pet outdoors.
Keep the animal out of your
bedroom and other places where
you spend a lot of time.
Bathe your pet once a week.
Vacuum your floors once a week
with a HEPA filter.
Remove carpets. If that’s not
possible, have them cleaned often.
Cockroaches
THE BAD NEWS
Like dust mites, the protein in the
waste of cockroaches can cause
problems for asthma sufferers.
THE GOOD NEWS
Getting rid of cockroaches will help this
problem. Cockroaches need three things
to survive: water, food and humidity. Get
rid of those things and you can get rid of
the cockroaches.
Seal places where cockroaches can
enter you
r home.
Fix leaky water faucets and pipes.
Hire an exterminator to spray while
you’re away.
Never leave food out.
Wash dishes right away after eating.
Vacuum and sweep floors.
Take out garbage often.
10
Indoor Molds and Mildew
THE BAD NEWS
Molds and mildew live
in places of your home
that are damp and
humid. They send out
small spores into the air
and can trigger asthma.
THE GOOD NEWS
By limiting the moisture in your home you can control the mold.
Use a dehumidifier to keep the indoor humidity level less than 50%.
Clean bathtubs and sinks three to four times a week.
Clean the drip pan under the refrigerator once a month.
Clean the garbage can with mild detergent.
Don’t put in carpet on concrete.
Remove indoor plants.
Vent your clothes drier to the outside.
Clean the inside and outside of your air conditioner.
FOODS
THE BAD NEWS
Food allergies are rare
and mostly found in
children, but even they
can cause asthma attacks.
The most common food
allergens are cow’s milk,
eggs, peanuts, soybean
products, shellfish, corn
and wheat.
THE GOOD NEWS
By staying away from
processed foods and
those with allergens
that harm you, you
can keep from having
asthma episodes. Make
sure to read food labels,
checking for ingredients
that can harm you.
Medications
THE BAD NEWS
Some over-the-counter medications such as
aspirin and most often prescribed medications
such as non-steroidal anti-inflammatory and beta-
blockers may not improve your asthma symptoms.
THE GOOD NEWS
It’s important to know your allergies and try to
stay away from them. By making sure your doctors
know that you have asthma, they can prescribe
medications for you that don’t make asthma
conditions worse.
11
IRRITANTS
Air Pollution
THE BAD NEWS
People with asthma are more sensitive to sources of indoor and outdoor
air pollution. These are traffic, high ozone levels, smoke, gases, and fumes.
THE GOOD NEWS
You can fight these sources by taking these steps:
Stay indoors when the air is smoggy or traffic is heavy with smoke
and fumes.
Stay away from places with heavy smoke, smog or power plants.
Don’t pump gas yourself, and keep your car windows closed during
fueling to keep from breathing the fumes.
If you have to use a fireplace or wood-burning stove, make sure it’s
well ventilated.
Don’t use kerosene heaters.
Always use fans to remove any fumes or smoke while cooking.
Don’t let others smoke in your home.
Reserve smoke-free hotel rooms and rental cars.
Strong Odors
THE BAD NEWS
Even odors from perfumes, after-shave,
cologne and cleaning products can bother
your breathing tubes and trigger an attack.
THE GOOD NEWS
Not using aerosol sprays, chemical products
like ammonia, chlorine bleach and other
products with strong odors can save you
from an asthma episode. Use roll-on
deodorants, liquid or gel personal hygiene
products instead of aerosol sprays.
Changes in the Weather
THE BAD NEWS
Changes in the temperature and humidity,
barometric pressure, or strong winds, may cause
more symptoms for a person with asthma.
THE GOOD NEWS
Wearing a scarf or mask over your mouth and
nose can help. When it’s hot and humid, don’t
exercise or work outdoors.
12
Influenza
(Flu)
THE BAD NEWS
Watch out. It comes back each year. The flu
is a virus that strikes quickly and spreads
even faster. It’s easy to mistake a common
cold for the flu, but cold symptoms are
milder and most often don’t last as long.
Know these flu signs:
• Fever
• Muscle aches
• Feeling weak and tired
• Sore throat
• Cough
MORE BAD NEWS
When you have asthma and you get the
flu, you’re more likely to feel asthma
symptoms and get lung infections.
THE GOOD NEWS
Not getting lung infections from the flu
is your best course of action. Get a flu
shot every year as soon as it’s on hand,
usually in the early fall. Some people
worry that the shot will give them the
flu, but that’s not possible. The shot is
made from a form of the virus that has
been killed.
Acute Bronchitis
THE BAD NEWS
Viral or bacterial infections can attack asthma
sufferers, causing a swelling in the lower
breathing tubes and a productive cough. This
is acute bronchitis. Look for these signs:
A moist cough
Clear or colored mucus
Wheezing
Shortness of breath
THE GOOD NEWS
Well, there isn’t any, really. Most often acute
bronchitis is caused by a viral infection and
doesn’t react to antibiotics, so you’re forced to
let the infection run its course and wait till the
signs clear. Ugh.
Pneumonia
THE BAD NEWS
When you have asthma, you’re also more
likely to get pneumonia, especially during the
winter months. Pneumonia may happen after
you’re exposed to a virus or bacteria. It causes
your breathing tubes to swell and fill with
mucus, making it harder to breathe.
Signs for pneumonia:
• Fever
• Shortness of breath
• Change in amount or color of mucus
THE GOOD NEWS
Ask your doctor about a pneumonia shot. Most
people only get the pneumonia shot once in
their lifetime but you may need a booster
after age 65 if you haven’t had one in
the last five years.
13
YOU're NOT ALONE
Famous People through History Who Suffered
from Asthma
POLITICIANS
Martin Van Buren
8th president of the U.S.
Theodore Roosevelt
26th president of the U.S.
Woodrow Wilson
28th president of the U.S.
Calvin Coolidge
30th president of the U.S.
John F. Kennedy
35th president of the U.S.
William Tecumseh
Sherman
Civil War general
Peter the Great
Russian Czar
John Locke
Politician, philosopher
Walter Mondale
42nd vice president of the
U.S.
ARTISTS &
COMPOSERS
Leonard Bernstein
Conductor, composer
Antonio Vivaldi
Composer, conductor
Ludwig von Beethoven
Comp oser
ENTERTAINERS
Bob Hope
Actor, comedian,
entertainer
Steve Allen
Comedian, actor
Robert Joffrey
Dancer, choreographer
Paul Sorvino
Actor
Martin Scorsese
Film director
Loni Anderson
Actress
Jason Alexander
Actor, director
Morgan Fairchild
Actress
Judy Collins
American folk singer and
songwriter
Elizabeth Taylor
Actress
Alice Cooper
American rock singer
AUTHORS & WRITERS
Samuel Johnson
Poet, critic, essayist
Marcel Proust
French novelist
John Updike
Author
Louis “Studs” Terkel
Author, historian, broadcaster
Edith Wharton
Author
Ambrose Bierce
Journalist, author
Charles Dickens
English novelist
Dylan Thomas
Poet, playwright
ATHLETES
Jim “Catfish” Hunter
Hall of Fame baseball player
Tom Dolan
Olympic medalist for swimming
Greg Louganis
Olympic medalist for diving
Jackie Joyner-Kersee
Track and field Olympic medalist
Jim Ryun
Olympic medalist runner
Dennis Rodman
Basketball player
Dominique Wilkins
Basketball player
Art Monk
Football player
George Murray
Wheelchair athlete and
Boston Marathon winner
14
PREVENTING LUNG INFECTIONS
Risk Factor
When you have asthma, you’re more at
risk for lung infections from a cold or the
flu. What can you do to keep from getting
these illnesses?
Try these tips:
Get the flu shot each fall as soon as it’s ready.
If you’re allergic to eggs, ask your doctor
before getting this shot.
Ask your doctor for a pneumonia shot. Keep
in mind that the pneumonia shot is not a
substitute for the flu shot, you need both! It’s
safe to get the pneumonia shot and flu shot
at the same time.
Urge everyone in your home to get the flu shot.
Try to stay away from people who have a
cold or flu.
Stay out of crowds, mostly during the winter
cold and flu seasons.
Wash your hands often, and try not to touch your
face. Most germs are spread by touching your
hand to your mouth.
Eat a good, balanced diet and exercise regularly.
Get plenty of sleep.
Don’t smoke.
Keep your lungs clear of mucus, which can
trap germs.
Keep your respiratory gear clean and sanitized.
Infection! Signs
and Symptoms
Don’t wait to get a doctor’s help.
The earlier you do so, the sooner
you can get the care you need. Signs
and symptoms may be different for
each person, but include:
Fever or chills
Sore throat and painful neck glands
Shortness of breath, coughing,
wheezing or a tight feeling in
the chest
A change in mucus, such as an
increase in the amount, odor or color
Feeling more tired and run
down than usual
Stabbing chest pain when breathing
Watch your signs and symptoms
and call your doctor right away if
you have any concerns.
15
THE SMOKE-FREE
SOLUTION!
THE BIG CHOKE
Smoking when you have asthma is a really bad idea. Being exposed to cigarette
smoke or even secondhand smoke can make it harder to keep your asthma in
check. The quick fix? If you’re not a smoker, don’t start. If you are a smoker, stop.
Today. Now. Stopping will help you manage your asthma and lessen the risk of
other health problems.
No Good Reason to Smoke
If you smoke, think about these facts:
FACT 1
Cigarette smoke contains about 4,000 chemicals. Many of these are harmful
and some cause cancer.
FACT 2
Smokers are twice as likely to have heart attacks as nonsmokers.
FACT 3
Smokers are ten times more likely to get cancer than those who don’t smoke.
FACT 4
Cigarette smoke is harmful to EVERYONE who breathes it, even family members
who don’t smoke.
16
Quit Smoking, Feel Better, Live Longer
Your health will start to get better right away after you quit smoking.
After 24 Hours
Your chances of a heart attack go down.
2 Weeks -
3 Months
Your circulation gets better and your lung
function rises by up to 30%.
1 - 9 Months
Your lungs are able to fight infection better.
Coughing, sinus congestion, fatigue and
shortness of breath go down.
5 - 15 Years
Your chance of stroke is reduced to that of
a nonsmoker.
10 Years
Your risk of dying from lung cancer is about
half that of a smoker who doesn’t quit.
15 Years
Your risk of heart disease is that of a nonsmoker.
17
STOPPING ISN’T EASY
If you’ve stopped smoking, CONGRATULATIONS! You’ve taken a big step in self-
managing your asthma. If you haven’t stopped yet, here are some tips to help you
succeed when you try next time:
Use the calendar as a tool to drive you. Set a special date to stop, like your
birthday or a holiday, and stick to it.
Change up your routine to stay away from the places you most often smoke.
Write out the reasons for not smoking and put them up everywhere you
can see them.
Get rid of your cigarettes, ashtrays, lighters and matches.
Empty and completely clean car ashtrays. Fill them with some change to keep
from using them for ashes.
Involve your friends and family. Tell them about your plans to stop and ask
for their support.
Get a friend who smokes to stop with you. Quitters enjoy more success
with a partner.
Join a stop-smoking support group. Find out if your health plan has a support
group or other programs. Your doctor may have some ideas about local programs.
Get in touch with your Respiratory Therapist for info and support.
MEDICATIONS TO HELP YOU QUIT
When pure willpower and the right attitude aren’t enough to get you through the cravings for cigarettes,
nicotine patches, nicotine gum, nasal spray, inhalers and pills can sometimes help lessen your craving.
But always talk with your doctor before using these. Here are some things you should know before
using medications to help you quit:
18
A nicotine patch is worn on the skin, most often
on the arm, and puts small doses of nicotine
into your bloodstream throughout the day.
Nicotine gum releases nicotine as you chew it.
Chew it for 30 minutes at a time and only when
you feel the need to smoke a cigarette.
Nicotine nasal spray gives you the fastest relief
from nicotine cravings, but you need a doctor’s
prescription to get it.
You breathe in the nicotine inhaler through
your mouth. It gives you nicotine as quickly as
gum, and should only be used when you feel
the need to smoke.
Your doctor can prescribe pills that don’t
contain nicotine but help get rid of the
feelings of nicotine withdrawal.
Never smoke cigarettes while using the
patch, gum, spray, inhalers or pills. Too much
nicotine can cause a heart attack. Always
follow the directions on the package.
Be sure to tell your doctor right away about
any side effects.
Don’t forget: check with your health plan
to figure out if the cost of the patch, gum,
spray, inhaler or pills is covered.
Stronger Than This: No More Relapses
Check your list of reasons for quitting often.
Stay away from people who smoke or from places where smoking is okay.
Fight the urge to smoke by using healthy substitutes like chewing on a toothpick,
fruit, vegetable sticks or sugarless gum.
In place of smoking, stay busy with activities like gardening, woodworking, or
drawing that keep both your hands and mind busy.
Reward yourself for your success now and then with a special meal or movie.
Rewards also remind you of the good parts of giving up smoking.
19
MEDICATIONS TO HELP YOU QUIT (CONTINUED)
CREATE AN
“
I CAN DO IT!
”
PLAN
Make a personal action plan and write it down:
To help me stop smoking, I will use:
I will change my daily routine so things don’t remind me of smoking by:
When I feel the urge to smoke, I will:
Who can I call, if I need help?
Doctor:
What will I do if I slip up?
Ask your doctor to answer these questions.
When I quit smoking, how should I expect to feel?
If I have withdrawal symptoms, how long will they last?
Where can I get more help, if I need it?
Add any others you might have in the spaces below:
20
MEDICATIONS
Medicine to the Rescue
Medicine has come a long way in easing common asthma problems. Your doctor may
prescribe medication to help you breathe easier and help other medical problems.
Take them the right way and these medications may keep asthma symptoms from
happening. Preventing your symptoms from occurring is the key to self-managing
your asthma. Be sure to ask your doctor what side effects may happen with the
medicine he prescribes for you.
Medications List
Medication What They Do
What I Take
Bronchodilators
Relax and open the muscles around the airways.
Two types of medications are used to relax
airway muscles.
Short acting
Give you quick relief of symptoms
and last 4 to 6 hours.
Long acting Last 6 to 12 hours; not to be used
for quick relief of symptoms.
Corticosteroids
Reduce, reverse and in some cases stop
irritation, swelling and mucus build-up in
breathing tubes.
Three forms of corticosteroids:
Oral
Inhaled
Nasal
21
22
Medication What They Do
What I Take
Non- Corticosteroids
Stop swelling and mucus build-up when
coming in contact with something that
bothers you.
Two types of non-corticosteroid medications:
Anti-Inflammatories
Anti-Leukotrienes
Anti-Histamines
Stop the symptoms of hay fever allergies (itching,
sneezing, runny nose and watery eyes).
Expectorants &
Mucolytics
Loosen mucus so that it’s easier to cough up.
Cough
Suppressants
Stop a steady, dry cough that doesn’t bring
up any mucus.
Antibiotics
Fight infections.
Water Pills
(Diuretics)
Get rid of any extra body water or fluids—
sometimes prescribed for people with heart
problems such as congestive heart failure.
Digitalis Drugs
(Digoxin)
Make the heart beat stronger and more
regularly—sometimes given to people with
heart trouble.
Potassium/Calcium
Supplements
Replace vitamins and minerals needed for
managing heart rate, blood pressure, and
making bones strong. These minerals are
often lost due to certain medications, such
as water pills.
Anti-Depressants
and Anti-Anxiety
Help stop feelings of depression and anxiety.
Anti-Reflux
Help to stop heartburn or acid reflux that
won’t go away, which may cause ulcers,
stomach bleeding and more harmful
asthma symptoms.
Medication Concerns
Q
Will I become addicted to my asthma medication?
a
Addiction to asthma medication hasn’t been noted as a
regular side effect.
Q
If I take my asthma medication all the time, will it
stop working?
a
This is not too likely. Your doctor can help you manage
your prescription use.
Tips for Using Medications
the Right Way
Learn your asthma early warning signs/
symptoms and take your quick-relief
medications as soon as symptoms occur.
If your doctor prescribes anti-inflammatory
or corticosteroids, take these every day.
These ease the swelling in your breathing
tubes where bronchodilators do not.
Watch your medication use. If you’re using
your quick relief medication more than two
days a week (not including for exercise),
your asthma may not be in control.
23
MANAGING YOUR MEDICINE
It should be clear, but medicine works best when
you do what your doctor says. If you don’t take
your medicine the right way, it might not help you
and could even harm you.
So follow these tips for
managing your medicine:
24
Read the label with care before taking any medicine.
Take the right amount of each medicine at the right time.
Take the medicine the way your doctor taught you.
Don’t skip doses or change the amount of the medicine you take each time. It could
hurt you.
If your medicine doesn’t have a label, call your doctor and ask for directions. Remember
to write them down.
Take your medicine in a room that is well lit so you don’t mix up medicine bottles.
Check expiration dates on your medicines. Expired medicines can hurt you and should
be thrown away.
If you have any side effects, tell your doctor right away.
Place your medicines in a pillbox. Pillboxes remind you to take your medicine at the
right time each day and can be found at any drug store. Some even come with alarms
that alert you when to take your pills.
Never share medicines with someone else. Sharing medicine can be harmful.
Some medicines should not be taken together. Be sure your doctors and
pharmacists know which medicines you take so no bad reaction happens.
MANAGING YOUR MEDICINE...
25
Before your next appointment, write
down a list of questions like these
about your medications:
What am I taking?
Why am I taking this?
How should I take it?
How long will I have to take it?
What are the possible side effects?
What other drugs or foods may
interact with this?
What symptoms should prompt
me to call you right away?
Should I take it with food or on an
empty stomach?
Can I drink alcohol while taking
this drug?
Where should I store the
medication?
If your doctor prescribes a new
medication or same medication at
a different dosage, make sure that
you ask these questions:
Should I keep taking all of my
present medications?
Should I keep taking all of my
present medications at the same
dosage and just as often?
Your Daily Medication Plan
Keep a list of daily medications you take, including
over-the-counter ones. This list will help you take the
right medication and dose at the right time. Remember
to update your list as medications and dosages change.
DAILY MEDICATION CHART
DATE:
MEDICINE
DOSE
(TABLETS/
TEASPOONS/
PUFFS)
BREAKFAST
LUNCH
DINNER
BEDTIME
AS
NEEDED
COMMENTS
26
PA RT N ERS
in
CARE
TAKE CHARGE
This is your life. It’s your asthma and your job to
handle it. Doctors admire people who take an
active role in their own care. Nurses, doctors and
therapists are all on your team, but taking charge
of your own health starts with you.
Here are a few smart tips to help you take a more
active role in self-managing your asthma.
Keep all of your appointments. Put a note on your refrigerator or bathroom mirror
to remind you. If you can’t make it there on that day, call right away and reschedule.
Make sure you know your asthma. If you don’t grasp something your doctor
says, speak up right away and ask him to make it clear.
Be ready. Write down your questions before the visit.
Be honest and tell your doctor about your symptoms, problems and concerns.
Take notes when you are with your doctor or nurse. You might not recall the
details of the visit later.
27
USING YOUR INHALER
Okay. So you’ve got an inhaler to help you breathe. It’s important
to know how to use it the right way to get the most out of it. For
your inhaler to work at its best, use it with a spacer tool.
If you don’t have a spacer for your inhaler, follow these steps:
STEP 1
Shake the inhaler before using, then remove
the cap from the mouthpiece.
STEP 2
Open your mouth wide, and place the
mouthpiece 1 or 2 inches from your mouth.
STEP 3
Tilt your head back slightly, keeping your
mouth wide open.
STEP 4
Take a slow deep breath through your mouth,
press down one time on the canister.
STEP 5
Hold your breath for 10 seconds if you can.
STEP 6
Breathe out slowly through pursed lips.
STEP 7
Wait 2-3 minutes before repeating the dose.
STEP 8
Put the cap back on the mouthpiece after your last
puff of medicine.
STEP 9
Rinse your mouth with water so your throat and mouth
won’t be bothered.
28
CARE INSTRUCTIONS FOR YOUR INHALER
Like any piece of useful equipment, taking care of your inhaler will make it last longer
and perform better. NEVER store inhalers in a place that may have extreme temperatures,
like in the glove compartment of a car or in a refrigerator. Clean your inhaler at least
every three or four days or sooner if it seems blocked (releasing little or no medication).
TO CLEAN YOUR INHALER:
Remove the metal canister from the
plastic dispenser.
Run WARM water through the plastic dispenser.
Shake water from the dispenser and let air dry.
Place the cap back on the mouthpiece.
In some cases, you may need to use your
inhaler before it’s all the way dry. If so:
Shake off the extra water.
Replace the canister.
Test spray it in the air.
Take your normal dose.
PLAN AHEAD
It’s of great value to know how much medicine you
have and how long it should last. Plan ahead for
traveling, holidays, weather conditions and busy
lifestyles. Make sure you have a good supply at all
times. Remember:
Going without your asthma medicines, even
for a day or two, can cause you to have trouble
breathing. Always have plenty on hand.
The number of puffs available in a canister
varies with the medicine. For each
prescription, ask your pharmacist how many
puffs are in your canister and keep track of
what you use.
Check Your Inhaler
You can figure out the amount of medicine
left in your inhaler by using this method:
Figure out how many inhaler puffs of a
medication you need for a month.
For example, if you take two puffs, four
times a day for 30 days, you’ll use 240
puffs each month. If you know how many
puffs are in your inhaler, you can figure the
number of puffs left at any time during the
month. Remember, if you take extra puffs
you’ll need to subtract the puffs from what
is left in your canister. Keep a slip of paper
with your canister to keep track.
29
THE
SPACER
CONNECTION
What's a
Spacer?
A spacer is a small tube used with a metered dose inhaler that can
help the medicine go deeper into your lungs, cause less mouth pain
and make the inhaler simpler to use. You should use a spacer when
you can, but not with a dry powder inhaler or breath-activated
inhaler. To get the best results, use the spacer in the right way.
30
Spacer Instructions (With and Without a Mask)
Remove the protective cap from the inhaler and spacer.
Check inside the spacer for dust or other objects before each use.
Place the inhaler mouthpiece into the end of the spacer.
Hold the spacer and inhaler firmly, and shake four or five times.
Breathe out as normal.
Place the mouthpiece of the spacer in your mouth between your front teeth and seal your lips
around the mouthpiece, keeping your tongue flat and under the mouthpiece. (If you use a mask,
place the mask gently over the mouth and nose.)
Push down on the end of the inhaler, and breathe in slowly.
When you have taken in as much air as you can, hold your breath for five-10 seconds. (If you use
a mask, keep the mask sealed on your face and breathe in and out five to six times.) If the spacer
makes a whistling sound, slow down.
Breathe out slowly through pursed lips.
Rinse your mouth out after using the inhaler.
Remember to:
Always use medicine the way you are told.
Use only one puff at a time, and wait two to three minutes between puffs.
Breathe in slowly to fill your lungs.
After using, remove the inhaler from the spacer and replace the caps on both.
Return the spacer to its plastic storage bag.
KEEP IT CLEAN!
Spacer Cleaning Instructions
(With and Without a Mask)
31
Clean at least once each week or more often if you’re having breathing trouble.
Remove inhaler from spacer.
Undo the parts that can be removed. (If you use a mask, gently remove
mask from mouthpiece.)
Soak the spacer parts in warm water with a mild detergent for 20 minutes.
Rinse with clean, warm water.
Never boil or put the spacer in the dishwasher.
Shake spacer parts and set them on a clean area to air dry.
Let the spacer parts air dry all the way before putting them back together.
When dry, store spacer in a clean plastic bag.
THE MEDICAL POWER OF YOUR POWDER
Dry Powder Inhaler (DPI)
Dry Powder Inhaler is a form of inhaled
medication, different from your MDI
(Metered Dose Inhaler), but designed
in the same way to get medication into
the lungs.
DPI INSTRUCTIONS
32
Load your DPI as the instructions suggest.
Turn your head to the side and breathe
out as usual.
Wrap your lips tightly around the
mouthpiece of the DPI.
Take a breath in very quickly and deeply.
If you can, hold your breath for 10 seconds.
Breathe out slowly through pursed lips.
Wait two to three minutes before
repeating the dose.
Rinse your mouth with water so your
throat and mouth don’t get bothered.
CARE INSTRUCTIONS FOR DPI
Clean the mouthpiece of the
DPI w
ith a cl
ean dry soft cloth.
Keep your DPI dry. Never put
it in water.
Don’t store in places where it
gets very humid, such as in a
bathroom medicine cabinet
or above a kitchen stove.
Nebulizer Use
Instructions:
Nebulizers use oxygen, compressed air or
ultrasonic power to break up medical solutions
into small aerosol droplets that can be directly
breathed in. It’s therapy that works well on asthma.
Always take your nebulizer treatment either before
eating or one hour after eating. Never take on a
full stomach.
HOW To use the nebulizer:
Wash your hands before you measure and get your medicine ready.
Measure the medicine and put it in the nebulizer cup. Don’t touch the inside
of the cup.
Attach the top to the nebulizer cup and join the tubing to the nebulizer
and the compressor.
Turn on the compressor. A fine mist will flow out through the mouthpiece.
Place the mouthpiece securely in your mouth between your teeth and close your
lips around it to make an airtight seal.
Breathe in through the mouthpiece like you usually would, then hold your breath
for one to two seconds. Remove the mouthpiece and breathe out slowly through
pursed lips. The medicine will go deep into your lungs.
33
Tap the side of the nebulizer cup every two to three minutes.
Keep taking the treatment until the nebulizer cup is empty. This may take 15 to 25 minutes.
When you’ve finished, turn the compressor off and place a cover over the machine.
Cough to bring up any mucus.
KEEP IT
CLEAN!
Nebulizer
Cleaning
Instructions
Cleaning gets rid of germs, stops infection
and helps your nebulizer last longer.
Keeping your nebulizer gear clean is easy.
After each use:
Rinse the mask or mouthpiece and T-shaped part in warm running
water for 30 seconds.
Let air-dry on a clean area.
When fully dry, store in a clean plastic bag.
Once each day:
Wash the mask or mouthpiece and T-shaped part with a mild
dishwashing soap and warm water and let dry.
Put back in its plastic bag.
Never put the nebulizer in the dishwasher.
HOW To use the nebulizer, Continued:
34
Once each week:
REMEMBER
After washing and rinsing the mask or mouthpiece and T-shaped part,
soak them for 30 minutes in a mixture of one part distilled white
vinegar and two parts water.
Rinse under a strong stream of water for 30 seconds.
Let air-dry on a clean area.
When fully dry, store in a clean plastic bag.
Once a month:
If you’ve been using your nebulizer each day, throw away the old
nebulizer kit and tubing. Call your homecare supply business for a
new kit and start using it.
SAFETY FIRST: Compressor Safety
Follow these rules below to use your compressor safely.
Keep your compressor clean and dry.
Never try to clean your compressor by
placing it in water.
Call your medical equipment business to
tell them about any problems.
Never try to fix a compressor that is broken
or not working.
35
REACHING YOUR
Peak Flow Meter: What It Is, What It Does
A peak flow meter is a tool that measures how fast and hard you can blow air out
of your lungs. When mucus, swelling and tightening make your breathing tubes
thin, the air leaves your lungs slower. A peak flow meter is like a thermometer for
your lungs, but it tracks breathing problems instead of temperatures.
GO WITH THE FLOW
Peak flow monitoring can help you…
• Track the triggers that make your
asthma worse.
• Decide if you need emergency care.
• Decide if your lungs are tight before
you have symptoms.
•
Figure out if your treatment
plan is working.
PEAK FLOW METER INSTRUCTIONS
1
Move the indicator to the base of the peak flow meter.
2
Hold the peak flow meter at the end away from
the mouthpiece.
3
Always stand up.
4
Fully fill your lungs with a deep breath.
5
Put the mouthpiece of the peak flow meter in your
mouth, between your teeth, over your tongue, and
close your lips tightly around it.
6
With as much force as you have, blow out as
quickly as you can. Pretend you’re trying to blow
out all the birthday candles at once.
7
Read the number at the level of the indicator.
8
Repeat these steps two more times.
9
Write down your highest number on the chart.
REMEMBER:
36
Always give it your best effort or the reading won’t be right.
Write down your highest peak flow reading in the morning and again in the late afternoon.
Write down your highest peak flow reading before and after using quick-relief medicine.
KEEP IT CLEAN! Peak Flow Meter Cleaning
Wash your peak flow meter once a week or more often if you’re
having asthma symptoms.
Wash the peak flow meter in warm, mild soapy water.
Rinse completely.
Let it air dry before you measure again.
NEVER try to clean the inside of the peak flow meter with a brush.
NEVER boil or put the peak flow meter in a dishwasher.
“BEST” PEAK FLOW READINGS
Asthma is different for different people. You may have another type of
asthma from someone you know who has it. Your symptoms, triggers
and peak flow readings may be higher or lower than someone of your
same age and height. So, it’s important for you to find out your “Best”
peak flow reading, that is, your highest peak flow reading.
How to Find
Yo u r “Best”
Peak Flow
Number
Use your peak flow meter at least twice
a day for two to four weeks when you’re
feeling well with no symptoms
Record your highest readings in your Best
Peak Flow Chart.
FORMULA FOR SUCCESS
Here’s a useful formula to help you figure out your “Best” Peak Flow:
Take your three highest readings and add them together, then divide by three. For example, if
you’re three highest readings are 300, 310 and 320, when you add those three numbers together
your base number is 930. Divide the 930 by three and your “Best” reading or average is 310.
300 + 310 + 320 = 930 / 3 = 310
A child’s “Best” peak flow readings will change as he or she grows,
so you may need to retake this reading every six months.
37
SYMPTOMS
Check all
that apply.
RECORD PEAK
FLOW READING
Wheezing
Coughing
Chest
Tightne
ss
Limited
Activity
Night
Awakenings
Early Morning
Cough
Record your best peak flow
each morning and early
afternoon, before and a few
minutes after using inhaler
or nebulized medicine.
AM PM
Date
Triggers/PRN
Medications*
38
*Use as needed
for increased
symptions
KNOW YOUR ZONE
Once you’ve figured out your “Best” peak flow number, your doctor or
respiratory therapist can figure your peak flow zones. These zones will
help you to look for any changes in your peak flow readings. To make
things simpler, the National Asthma Education and Prevention Program
came up with a system in which the zones match up with the colors of a
traffic light.
Your doctor may also give you lessons on what to do for changes in your
peak flow readings.
Green Zone
Your asthma is
under control.
GO!
YELLOW Zone
Your asthma is
not under control
and you should be
very careful. Your
doctor may give you
instructions for
your quick-relief
medications and
may even tell you
to call his office.
CAUTION!
RED Zone
ALERT!
Your doctor may
tell you to call
for medical care
right away.
SEEK
MEDICAL
HELP!
39
40
EARLY WARNING SIGNS AND SYMPTOMS
Even though some people talk about their asthma episodes as asthma “attacks,”
they rarely happen without warning. Most people can tell when an asthma episode
is coming. Think back to your last asthma episode. Did you have any early warning
signs or symptoms? Early warning signs are those small changes that occur that may be
connected with asthma that is getting worse. Symptoms are signs that clearly tell you
it’s an asthma episode. It’s important that you notice early warning signs.
When these signs and symptoms show up,
you can follow the instructions that your
doctor gave you to care for your asthma.
This may keep more serious problems from
starting. Read over this list and check the
signs and symptoms that pertain to you.
Share them with your family, friends and
doctor. Remember to change your list as
others come up.
LESSENING
PEAK FLOW
TIGHTNESS
IN CHEST
OUT OF
BREATH
QUICKLY
TIRED
SCRATCHY,
OR SORE,
THROAT
STUFFED-UP,
OR RUNNY,
NOSE
RESTLESS
COUGHING
BREATHING
FASTER
SHORTNESS
OF BREATH
ITCHY,
WATERY
EYES
SNEEZING HEADACHE
ITCHY
BACK OF
NECK
HARD TO
SPEAK
COLOR
CHANGE IN
YOUR FACE
WHEEZING
OTHER
(SIGNS THAT YOU IDENTIFY)
YOUR ASTHMA SYMPTOM
SELF-ASSESSMENT CHART
Use this asthma self-assessment chart to track triggers, early warning signs,
symptoms and medication needs. After looking at the information written in the
chart, your doctor may make changes in your medication or asthma plan.
Use the charts in this booklet, or make your own. Your chart should remind you to write down:
• Date
• Symptoms
• Use of quick-relief medications
• Triggers that cause asthma symptoms
• Activity limits because of asthma
Wheezing
Coughing
Chest
Tightne
ss
Limited
Activity
Night
Awakenings
Early Morning
Cough
Itching
Headach
e
Time of event
AM PM
Date
Triggers/
Quick-relief
Medications
Comments:
Instructions for Increased Symptoms:
41
42
YOUR ASTHMA SYMPTOM SELF-ASSESSMENT CHART
Wheezing
Coughing
Chest
Tig
htness
Limited
Activity
Night
Awakenings
Early Morning
Cough
Date
Time of event Triggers/
Quick-relief
Medications
AM PM
Itching
Headache
Comments:
Instructions for Increased Symptoms:
NOTES FOR MY DOCTOR
43
ASTHMA SELF-MANAGEMENT
TREATMENT PLAN
Step-by-Step Instructions for
Managing Your Symptoms
Your doctor may give you an asthma self-management
treatment plan that is based on your history of asthma
symptoms and present findings. The treatment plan
gives you step-by-step instructions on how to manage
your symptoms on a daily basis, as well as when you
feel increased symptoms. Because the medication
doses and how often you take them may differ at
times, be sure you know these instructions.
44
When to Seek Help
Call your doctor if:
Your peak flow doesn’t improve after you’ve
taken your quick-relief medications.
Your symptoms don’t clear up after taking your
quick-relief medications.
There’s a change in your phlegm, such as the
color, amount, or odor.
You have a hard time breathing while lying down.
You notice that you’re more tired than normal.
You notice swelling in your ankles.
Remember
Quick-relief medications don’t
treat swollen, inflamed airways.
Medications that ease swelling
won’t stop an attack of wheezing,
coughing or choking. Used
together, these medications can
make up a treatment plan that
works. Used one by one, they have
very important but different roles.
Treatment plans are matched to
each person’s needs. The goal is
to keep the daily use of the quick-
relief medication to a smallest
amount by using other measures,
such as staying away from asthma
triggers and sometimes using anti-
inflammatory medications.
you’ve
NOTES for MY DOCTOR
45
Asthma Peak Flow
Meter ActionPath
™
GREEN ZONE
INSTRUCTIONS
(If your peak flow is
_________ or higher)
Take these medications
daily for your asthma
1.
2.
3.
4.
5.
6.
If you are having symptoms
and your peak flow is
_____
or higher, take
___________
________________________
________________________
Call your doctor if
_______
________________________
________________________
Take these medications
before exercise:
__________
________________________
________________________
If you are having symptoms
or your peak flow reading
is below
______
call your doctor.
YELLOW ZONE
INSTRUCTIONS
(If your peak flow is
between ____and____ )
1.
Keep taking your Green Zone
medications.
2.
Take these:
________________
__________________________
__________________________
3.
Check your peak flow readings.
If your peak flow is
_____
or
higher, call your doctor for
follow-up instructions TODAY
and keep taking
____________
__________________________
__________________________
__________________________
If your peak flow is less than
_____
, call your doctor NOW
and keep taking
___________
__________________________
__________________________
Add these:
__________________________
__________________________
__________________________
RED ZONE
INSTRUCTIONS
(If your peak flow is less
than _____ )
1.
Take these RIGHT AWAY
__________________________
__________________________
2.
Check you peak flow readings.
If your peak flow is
_____
or higher, call your doctor NOW.
Add these:
________________
__________________________
__________________________
If your peak flow is less than
_____
repeat
_______________
__________________________
__________________________
Add these:
________________
__________________________
__________________________
and call 911.
Name:
___________________
Date:
____________________
Height:
___________________
Weight:
__________________
Doctor’s Name:
____________
__________________________
Doctor’s Phone Number:
__________________________
Emergency Phone Number:
__________________________
46
Asthma ActionPath
™
for Increased
Symptoms
Name:
Date:
Height:
Weight:
Age:
Doctor: Phone:
Daily Medications:
Action for Increased Symptoms:
Additional Instructions:
47
CONTROLLING YOUR BREATHING
What Should You Do?
It’s scary to have asthma and feel like you’re winded and can’t catch your
breath. If this has happened to you, you know that gasping for air and
breathing faster doesn’t help. What should you do? Try these techniques:
Pursed-lip Breathing
Pursed-lip breathing helps breathing tubes stay open while you breathe
out, letting you push out stale air that is trapped in the lungs. It may also
help slow you down if you’re breathing too quickly.
Relax your neck and shoulders and breathe in slowly through your nose.
Keep your mouth closed. (If you can’t breathe through your nose, breathe
gently through your mouth.)
Purse or pucker your lips like you were going to blow out a single birthday
candle.
Breathe out slowly and gently through your pursed lips. Breathe out two to
three times longer than when you breathed in. You may hear a soft whistling
sound. Make sure you don’t blow out your imaginary candle. If you think
you have, you’re still breathing too hard! With practice, this technique can
become easy. You can use it any time you feel short of breath, even during
physical activity.
48
YOUR EMOTIONAL HEALTH:
IT'S THERE FOR A REASON.
Keeping Peace
of Mind
Living with asthma and changing your
lifestyle can make you feel upset, angry
and unhappy. Here’s a list of some actions
you can take to make yourself feel better.
Gain
Control
over
Your
Feelings
You are not defined by your feelings. Anxiety, depression, and
anger are normal. They happen. Accept these feelings, and
try to work through them. Try writing in a journal, talking
with a friend or family member, and joining a support
group. You may gain more power over your feelings, once
you learn to accept how you feel about having asthma.
Think
Positive
It’s hard to stay upbeat when you focus on the negative. You
have the power to change! Having a good outlook on life can
make your health better. Stay positive with these tips:
Let laughter be your best medicine. Lighten up
and share your laughter with the world.
Enjoy the small things. There’s joy all around us. Find it. Ta k e
time each day to think about the things that bring you joy.
Set goals. Use your imagination and be creative with your
goals. You could grow an indoor herb garden, learn a language
or how to play an instrument – the possibilities are endless.
Be true to yourself and try your best to meet each goal.
49
Talk To
Others
It’s important to talk to others. Your family, friends,
teachers or people you work with can give you support
if they know the facts. Choose the right time to tell each
person about your asthma. The best time is at the start
of a new school year, new job, in private, when you’re not
having breathing problems.
Deal with
Anxiety
and Panic
Disorders
Anxiety and panic disorders are episodes of great fear.
People who have anxiety or panic attacks often have
strong chest pain, rapid heartbeat, shortness of breath,
dizziness and pain in the abdomen. If you’re having
these symptoms, tell them to your doctor. The feelings
of anxiety and panic disorders can be life threatening.
Your doctor will need to see you in person to find the
cause of the attacks.
Stay In
Control
The bad news: It’s impossible to stay away from all the
situations that may trigger an anxiety attack. But you can
come up with a plan that will help you deal with it. Take
control of your attacks:
If you feel a panic attack coming on, stop what
you’re doing and get in a comfortable position.
Do some deep breathing exercises to control
your breathing.
Relax your muscles.
Control your thoughts. Tell yourself that you won’t
die from a panic attack.
YOUR EMOTIONAL HEALTH: IT'S THERE FOR A REASON... CONTINUED
50
ASTHMA
AND
NUTRITION
Eat Right,
Breathe Right
Good nutrition has so many
benefits, even for asthma sufferers.
It helps the body keep from getting
infection and lessens the symptoms
of asthma and allergies.
A Healthy Diet - A healthy diet contains fresh
frui
ts, vegetables, nuts, seeds and whole grains.
A diet rich in vitamin E may help lung function.
Food Labels - If you have allergies and
asthma, it’s always good to read food labels. Know
your triggers and stay away from them.
Know What You Need - If you have a food
allergy that cuts a whole food group from your
diet, talk to your doctor about the vitamins or
minerals you might need.
OMEGA-3 fatty acids may lower asthma
symptoms by easing the swelling and
pain in the breathing tubes.
Foods with Omega-3 Fatty Acids
Omega-3 Fatty Acids are found in oily fish
such as salmon, tuna, mullet, and rainbow
trout. Other sources are flaxseed, soybean
oil, canola oil and dark green vegetables.
GET FLUIDS
The need for fluids is vital when
dealing with asthma. You can ease
asthma and respiratory allergy
symptoms by thinning the mucus
in the lungs. So what’s the answer?
Drinking plenty of water.
The Need
for Calcium
Many people with asthma use
corticosteroids to help them
breathe comfortably. High doses
over many years can raise your
risk of getting osteoporosis.
Osteoporosis is a bone disease
that leads to bone loss and
fractures. You can prevent this
disease by taking calcium and
adding more vitamin D in your
food plan. Vitamin D helps the
body to take in calcium.
51
Foods with Calcium Foods rich in calcium are dairy products,
tofu, raisins, sardines, and salmon with bones and dark green,
leafy vegetables like broccoli, chard and collards.
Can You Get Enough Calcium? Unfortunately, some
people are either allergic to dairy products or can’t digest them.
As we get older we lose our ability to take in calcium. Sometimes
other things we eat, such as large amounts of proteins and fiber,
can also take away the body’s calcium.
Calcium Supplements Calcium supplements can help you to
reach your recommended daily intake. Make sure you talk to your
doctor because calcium supplements can block other medications
and can cause abdominal side effects. Start with lower doses and
work your way up.
m
52
MAKING MATTERS WORSE
"GERD is the Word"
Gastro-esophageal Reflux Disease (GERD) may be to blame if you can’t control your
asthma symptoms or if they seem to get worse at night. GERD or reflux happens
when a muscle in the stomach lets the stomach acid back up into the esophagus.
This can make matters worse for your asthma.
If you’re having any of these symptoms, talk with your doctor.
Frequent heartburn
Bitter or sour taste in mouth
Hoarseness
Cough that won’t go away
Chest pain
A worsening of your asthma symptoms at night
If your doctor decides that you have GERD, he
or she may choose a care plan for your asthma.
This plan should greatly help your breathing.
Treatment options for GERD:
Taking medications that help with acid
Elevating the head of the bed six or more inches
Not eating or drinking three to four hours
before going to bed
Staying away from certain foods (caffeine,
chocolate, citrus, mint, carbonated drinks)
and certain medications
Not wearing tight garments
Quitting smoking
Not drinking alcohol drinks
Losing weight
AST H M A
IN SPECIAL
GROUPS
A Note to Parents of
Children with Asthma
There are scary moments for the parents of kids
with asthma. But with the right care, your child
can live a normal life. You’ll have added duties,
concerns and tasks in order to keep your child
safe and breathing freely.
If you have a child with asthma, keep these guidelines in mind:
Make sure you work
with your child’s
doctor to come up
with a plan as soon
as possible. This
may include a list
of daily medications
and instructions
for managing the
symptoms.
If your child spends
most of his day in
school or day care,
make sure teachers
and other caregivers
know about your
child’s asthma and
treatment plan.
For older children,
it’s vital that they
become involved in
their own care. Talk to
your child about his or her
asthma and make clear what
to do during an asthma
episode. Review the treatment
plan with your child so you
both feel confident to
handle symptoms when
they occur.
Make sure your
child knows how
important it is to
carry his quick relief
medication and use it
when needed. Most
children eight years
old or older can
do this.
Urge your child
to be active. If
his asthma is well
controlled, he
should be able to
take part in most
activities. Exercise
is necessary for
your child’s health
and self-esteem.
Keep a diary. Jot
down everything
you learn about your
child’s triggers and
symptoms. Remember
that these may change
based on the season.
53
Make sure your child
takes his medication each
day. Asthma is a condition
that needs daily attention and
doesn’t just go away. Without
treatment, asthma can
cause serious changes in the
breathing tubes. These changes
may cause lasting harm
to the lungs.
If you smoke
cigarettes, nev
er
smoke around your
child. The smoke will
make your child’s
asthma symptoms
worse. It’s another
great reason to quit
smoking for good.
Asthma in Seniors
Some people don’t get asthma until their senior years. Seniors who have poorly
controlled asthma may think of themselves in poor health, and have a harder time
with daily activities. Even though lung function does go down after the age of 40,
there are things seniors can do to improve their asthma symptoms.
Lower exposure to indoor triggers
such as older furnishings, high indoor
humidity, mold, older mattresses,
cockroaches, and pets with fur.
Report asthma symptoms to your
doctor. Older people may feel that the
symptoms they’re having are part of
normal aging, so they may not report
their symptoms. Many seniors don’t
take the proper medications to control
their allergy and asthma signs. They
may rely too heavily on quick-relief
medications.
Get a total check-up. Seniors may
have other health problems that affect
their asthma. Some physical problems
(eyesight, arthritis and poor hearing)
may make it hard to follow instructions
or use medical devices. Talk to your
doctor and respiratory therapist about
these problems.
Talk to your doctor about
preventing lung infections by
getting flu and pneumonia shots.
Write down instructions for
taking medications if you have
problems remembering.
Eat well. A healthy well-balanced
diet can stop some asthma
symptoms and help you stay fit.
Stay as active as you can. Staying
physically active is good for mind,
body and spirit. It’s no different
with asthma. Keep moving and
you’ll be better able to take care
of the condition.
54
Learn about your medicine. Ask
your physician or pharmacist if any
of your prescription medicine could
interfere with your asthma control.
ASTHMA IN PREGNANCY
Baby on the Way, Asthma Not Okay!
The bad news about being pregnant while having asthma is that symptoms may
become worse for about a third of pregnant women. Not keeping your asthma in
check can be harmful to both your health and that of your baby.
How to Better Manage Your Asthma While Pregnant
Tell your doctor or nurse that you have asthma.
Plan regular visits to your doctor for your
asthma and the care of your unborn baby.
Talk to your doctor about the medicines you
take for your asthma.
Keep taking your asthma medication. Most
medicines for asthma are safe to take when
you’re pregnant as long as you follow your
doctor’s advice.
REMEMBER: If your asthma is not under
control, your lungs aren’t getting enough
oxygen to your baby, which is a far greater risk
than taking the asthma medications.
Try not to take over-the-counter medications
while pregnant. These asthma/allergy and cold
medications contain drugs that break up or lower
extra mucus and may be harmful to your baby.
Stay away from certain antibiotics, such
as tetracycline.
Don’t receive live virus vaccines, only killed
virus vaccines.
Don’t start allergy shots during pregnancy. If
you were getting them before your pregnancy,
you may be able to keep taking them under the
supervision of your doctor.
Be extra careful to stay away from things that
may trigger an asthma episode.
Don't Worry
• Wheezing during labor and delivery is rare.
• Most asthma medicines will not harm your baby.
• If you breastfeed, asthma medicines will not cause problems for your baby.
55
ACKNOWLEDGEMENTS
This booklet contains information adapted from:
The Global Initiative for Management of Asthma. A Practical Guide for Public
Health Officials and Health Care Professionals. National Institutes of Health
and World Organizations, 1998.
National Heart Lung and Blood Institute (NHLBI) of the National Institutes
of Health (NIH). Expert Panel Report 3: Guidelines for the Diagnosis and
Management of Asthma- Full Report 2007.
Peak Performance USA, A Program for Managing Asthma in the School.
American Association for Respiratory Care, Dallas, TX.
Information
The information contained in this booklet is for general reference purposes only.
This booklet is not intended as a substitute for professional medical care. Only
your doctor can diagnose and treat a medical problem.
Nurtur’s policy prohibits staff members from actively advertising, marketing, or
promoting specific products or services to our members or their physicians when
discussing the member’s health condition.
Medical Review
The content of this booklet was reviewed by Woody Kageler, MD, FACP, FCCP.
Special Thanks
Special thanks to Dr. Woody Kageler, Kaneshia Agnew, Dana Oliver and Jennifer
Allen for their contributions to the revision of this guide.
56
FURTHER HELP
For information and answers to questions you
have about asthma, contact any of these groups:
envolve®
envolvehealth.com
Healthy Solutions for Life
1-800-293-0056
American Lung Association
1-800-LUNG-USA (1-800-586-4872)
lungusa.org/
National Heart, Lung, and Blood Institute
NHLBI Information Center
P.O. Box 30105
Bethesda, MD 20824-0105
nhlbi.nih.gov/health/index.htm
American Academy of Allergy, Asthma and Immunology
aaaai.org
Asthma and Allergy Foundation of America
aafa.org
Allergy and Asthma Network, Mothers of Asthmatics Inc.
aanma.org
American College of Allergy, Asthma and Immunology
acaai.org
57
Call Us When:
You have an increase in symptoms
You receive new medications
You have questions as to your breathing
Your phone number, address or Primary Care
Physician changes
You have asthma and your peak flow drops
into your yellow zone or red zone
58
CALL THE NUMBER LISTED BELOW
1
4
7
*
8 9
#0
5 6
2
3
COMPLETE THE CARD BELOW
The card printed below is for you to supply medical staff with key information
about yourself and medicines you take.
Once you fill out the card, simply cut it out along the dashed line, fold it and
place it in your wallet or purse. Carry it with you at all times.
My name:
My doctor’s name:
Phone #:
Emergency Contact’s name:
Phone #:
I have these health conditions: Asthma
Allergies:
59
59
fill out all your information!
I take these medicines:
MEDICINE NAME HOW MUCH? HOW OFTEN?
60
MY NOTES:
© 2012 Centene Corporation. All rights reserved. All materials are exclusively owned by Centene
Corporation and are protected by United States and international copyright law. No part of this
publication may be reproduced, distributed, displayed, stored in a retrieval system, or transmitted in
any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without
the prior written permission of Centene Corporation. You may not alter or remove any trademark,
copyright or other notice.
MCARE14-00016E
WITH YOUR
ASTHMA
START BREATHING EASY
Get your asthma under control and
start breathing easier. This helpful
book contains information about:
TM
• Asthma basics
• Quitting smoking
• Asthma triggers & irritants
• Using peak flow meters & spacers
• Self-Management treatment plans
• Nutrition choices
• Asthma myths
• Medications
•
Emotional health
and much more
Because Where’s It @? Media cares
about the environment, this book
was printed on recycled paper.
ISBN: 978-0-9857750-2-5
created by: Michelle Bain
Design By: Sam Washburn
MADE IN
THE U.S.A.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

My Route Health - On Target With Your Asthma (Superior HealthPlan)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document