Living a Healthy Life with Chronic Conditions:Self Management of Heart Disease, Arthritis, Diabetes, Asthma, Bronchitis, Emphysema and others (

392 Pages·2006·2.44 MB·English

by  Kate Lorig

Living a
Healthy Life
Chronic
with
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©2006BullPublishingCompany
BullPublishingCompany
P.O.Box1377
Boulder,CO80306
Phone[phone] Fax[phone]
PrintedintheUnitedStates.Allrightsreserved.
FirstPrinting
Supported by AHCPR Grant HSO 6680 and California State Tobacco-Related Disease Research Program
Award1RT156
LibraryofCongressCataloging-in-PublicationData
Livingahealthylifewithchronicconditions:self-managementof heartdisease,
arthritis,diabetes,asthma,bronchitis,emphysema&others/KateLorig...[etal.].;
contributor,PegHarrison.—3rded.
p.cm.
Includesbibliographicalreferencesandindex.
ISBN-13:978-1-933503-01-1
ISBN-10:1-933503-01-7
1.Chronicdiseases—Popularworks.2.Medicine,Popular.I.Lorig,Kate
II.Title.
RC108.L5652006
616’.044—dc22
Publisher:JamesBull
CoverDesign:LightbourneImages
InteriorDesignandComposition:ShadowCanyonGraphics
Illustrations,Editing,andProofreading:PublicationServices
Index:EmilyPlantSewell
Chapter-openingIllustration:CatherineMulligan
Note: Information about medications for chronic conditions is provided throughout this text. However,
becauseresearchaboutmedicationsischangingrapidly,wesuggestthatyouconsultyourphysician,phar-
macist,and/orarecentdrugreferencebookforthelatestinformation.
Foradditionalcopiesof thisbookandforcopiesof theaudiorelaxationrecording
TimeforHealing,pleasecalloursalesdepartmentat800-676-2855.
Quantitydiscountsareavailableforordersof 10copiesormore;callfordetails.
BullPublishingCompany,P.O.Box1377,Boulder,CO80306
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 259
CHAPTER 17
Managing Heart Disease and High Blood Pressure 287
v
CHAPTER 18
Managing Arthritis 307
CHAPTER 19
Managing Diabetes 317
CHAPTER 20
Planning for the Future: Fears and Reality 341
CHAPTER 21
200+ Helpful Hints 357
INDEX 375
vi
ACKNOWLEDGMENTS
Many people have helped us write this book. Among the most important are the
first 1,000 participants of the Stanford University Chronic Disease Self-
Managementstudy.Thesehavebeenfollowedbythousandsof othercoursepar-
ticipants in the United States, Australia, New Zealand, Canada, Great Britain, Holland,
Norway, Denmark, Sweden, Austria, Switzerland, China, Hong Kong, Singapore, India,
Mexico,and Japan.All of these people,along with our wonderful course leaders,have told
us what information they needed and helped us make adjustments as we went along.
Therearealsomanyprofessionalswhohaveassistedus:SusanKayman,SuephyChen,
Sandra Wilson, Margo Harris, Nancy Brannigan, Jim Phillips, Jean Thompson, Lynne
Newcombe,JohnLynch,MaryHobbs,MartyKlein,NazaninDashtara,VivianVestal,María
Hernández-Marin, Richard Rubio, John S. Golden, Donna Schaffer, Michelle Wong, and
Laurie Doyle. To all of you, your help has been gratefully received. A special thanks to
GloriaSamuel,whokeptusallontrack.WewouldalsoliketothankourT-trainers,Master
Trainers,leadersandparticipants.Therearenowtensof thousandsof you.Youhavemade
many suggestions that have helped us with this new edition.
If you would like to learn more about us, see our website: patienteduca-
tion.stanford.edu.
To contact us,email [email protected].
Finally,thankstoDavidBulltowhomthisbookisdedicated.Davidwasourfirstpub-
lisher and had faith in this project that allowed us to proceed. Without him, there may
never have been a book.His son Jim has continued the family tradition with support and
encouragement for this third edition.
vii
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