Living a Healthy Life with Chronic Conditions Self-Management of Heart Disease, Arthritis, Diabetes, Asthma, Bronchitis, Emphysema and others Third Edition Kate Lorig, RN. DrPH, Halsted Holman, MD David Sobel, MD, Diana Laurent, MPH Virginia González, MPH, and Marian Minor, RPT, PhD Contributor: Peg Harrison, MA, MSW, LCSW Copyright © 2006 Bull Publishing Company Bull Publishing Company P.O. Box 1377 Boulder, CO 80306 Phone (800) 676-2855 Fax (303) 545-6354 Printed in the United States. All rights reserved. First Printing Supported by AHCPR Grant HSO 6680 and California State Tobacco-Related Disease Research Program Award 1RT 156 Library of Congress Cataloging-in-Publication Data Living a healthy life with chronic conditions : self-management of heart disease, arthritis, diabetes, asthma, bronchitis, emphysema & others / Kate Lorig ... [et al.]. ; contributor, Peg Harrison. — 3rd ed. p.cm. Includes bibliographical references and index. ISBN-13: 978-1-933503-01-1 ISBN-10: 1-933503-01-7 1. Chronic diseases—Popular works. 2. Medicine, Popular. I. Lorig, Kate II. Title. RC108.L565 2006 616’.044—dc22 Publisher: James Bull Cover Design: Lightbourne Images Interior Design and Composition: Shadow Canyon Graphics Illustrations, Editing, and Proofreading: Publication Services Index: Emily Plant Sewell Chapter-opening Illustration: Catherine Mulligan Note: Information about medications for chronic conditions is provided throughout this text. However, because research about medications is changing rapidly, we suggest that you consult your physician, pharmacist, and/or a recent drug reference book for the latest information. For additional copies of this book and for copies of the audio relaxation recording Time for Healing, please call our sales department at 800-676-2855. Quantity discounts are available for orders of 10 copies or more; call for details. Bull Publishing Company, P.O. Box 1377, Boulder, CO 80306 800-676-2855 • 303-545-6350 • 303-545-6354 (fax)
[email protected] To David Bull, who made this book possible TABLE OF CONTENTS ACKNOWLEDGMENTS vii CHAPTER 1 Overview of Self-Management 1 CHAPTER 2 Becoming an Active Self-Manager 17 CHAPTER 3 Finding Resources 31 CHAPTER 4 Understanding and Managing Common Symptoms 39 CHAPTER 5 Using Your Mind to Manage Symptoms 71 CHAPTER 6 Exercising for Fun and Fitness 93 CHAPTER 7 Exercising for Flexibility and Strength: Warm-Up/Cool-Down 109 iv CHAPTER 8 Exercising for Endurance: Aerobic Activities 131 CHAPTER 9 Exercising Tips for People with Specific Chronic Illnesses 149 CHAPTER 10 Communicating 159 CHAPTER 11 Sex and Intimacy 183 CHAPTER 12 Making Your Wishes Known: Advance Directives for Health Care 191 CHAPTER 13 Healthy Eating 201 CHAPTER 14 Managing Your Medicines 239 CHAPTER 15 Making Treatment Decisions 255 CHAPTER 16 Managing Chronic Lung Disease