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living with asthma: one day at a time

Asthma can affect your whole life:
  • Emotions
  • Physical well-being
  • Financial well-being
  • Family
  • Work
  • Social Life
  • Lifestyle
  • Living arrangements
You can probably think of other areas where you are personally affected by your asthma. The more you know about your asthma, the more effectively you can help control it and lessen its effect. One way to decrease its impact on your life is by educating yourself (and others) about asthma. You need to understand exactly how asthma affects each part of your life. Once you do, you can take steps to reduce asthma’s impact on your life.

responses of family and friends

lifestyle changes

how you feel physically

indoor environmental effects

emotional responses

responses of family and friends
While you are responsible for managing your asthma, your family and friends also play an important role. Certainly, it is important that they understand your condition and how it is affecting you. However, your asthma symptoms may not always be obvious to others. As a result, there may be times when family members or friends express doubt that you have asthma, or they may think that your asthma symptoms are all in your mind. They may also react with panic or fear when you have an asthma attack.

Other responses common among the family and friends of a person with asthma are shame, guilt, and avoidance. Family members may also be jealous and resent the attention you receive because of your asthma. Try to bring these feelings into the open so they are recognized and understood.

Another common response of family members and friends of someone with asthma is to be overprotective. Sometimes, family members may limit activities outside the home, including exercise, shopping, or vacations because of your condition. However, with proper precautions, asthma should not greatly limit your activities. Education is the answer to all of these responses.
  • Explain to your family and friends the signs of worsening and severe asthma.
  • Review your Asthma Action Plan with your family and friends so that they understand that you are doing everything possible to control your asthma.
  • Have an emergency phone list ready and let your family know where it is.
  • If appropriate, give each person a role to play in case you have an asthma attack. For example, one person can get the emergency phone list, while another gets your medicine. Then, if you have an asthma attack when family members or friends are present, they too will feel like they can help instead of just wondering what to do or what is going on with you.
lifestyle changes
Some people respond to their asthma by changing how they live. For example, they may limit their trips away from home. They may avoid parties, family outings, vacations, or even trips to the grocery store. Often, the reason behind this is the fear of having an asthma attack when they are away from home.
  • To lessen this fear, form a plan for such times. When you are going on vacation, find out the locations and phone numbers of the nearby hospitals. Carry a list of your medicines and other information (such as a letter from your healthcare professional) that will be helpful to medical personnel who may need to treat you for the first time. This information can be written on your Asthma Action Plan.
Another common response to asthma is to stop exercising or to avoid physical activity.
  • With the agreement of your healthcare professional, you can continue to exercise if you know your exercise limits, take preventive medicines if needed, and are aware of asthma signs and symptoms that may develop during or after you exercise or are very active. An exercise specialist or your healthcare professional can help you develop a suitable exercise program. Remember, exercise can be as simple as taking a walk or climbing stairs, and with good control of your asthma, you should be able to exercise and be physically active.
how you feel physically
People with asthma may notice that how they feel physically may vary from day to day. This may include feeling tired, getting sick often, or gaining weight. These changes are usually caused by asthma but can sometimes be a side effect of your medicine. Most often, it is some combination of the two.
  • The best way to deal with feeling tired is to get adequate rest. If feeling tired is an early warning sign that your asthma is getting worse, follow your Asthma Action Plan and take steps to avoid a full-blown attack.
Trouble sleeping can be caused by your medications or by your asthma. Sleep loss from asthma symptoms may mean that your asthma medicines should be adjusted. Let your healthcare professional know what is happening. You should never adjust any of your medicines without talking to your healthcare professional.

Just like everyone else, people with asthma can get lung infections, colds, or influenza. Four important ways to help prevent getting these problems are:
  • Eat a balanced diet
  • Get plenty of rest
  • Wash your hands often
  • Get a flu shot each year
Having asthma itself doesn’t cause weight gain. However, asthma medications (especially steroids in pill or liquid form), lack of exercise, lifestyle changes, or feelings of depression can cause you to gain weight.
  • If you think one of your medicines is causing you to gain weight, talk to your healthcare professional. Another medicine may be right for you. But remember, do not stop taking any medicine without your healthcare professional’s okay.
  • Get moving! Asthma shouldn’t stop you from exercising. Get an exercise plan from your healthcare professional.
  • Asthma doesn’t mean you need to completely change your lifestyle. Talk to your healthcare professional if you’re having trouble doing something you want to do.
  • At times, you may feel sad or guilty about having asthma. It’s not your fault. Asthma is a lung disease that millions of people have. However, if you’re feeling depressed or blue, talk to your healthcare professional.
Waking up at night may be the result of something in your room triggering your asthma. Take a close look at everything in your bedroom and consider the following changes:
  • Encase your mattress and pillow in a special dust-proof cover.
  • Replace old pillows with new ones at least once every 5 years.
  • Wash the sheets and blankets on your bed each week in hot water. Water must be hotter than 130°F (this kills dust mites).
  • During the day, keep dust off your bed by covering the entire bed with a bedspread. At night, take off the bedspread and put it in another room.
  • If you’ve done all these things and still have trouble with your asthma during the nighttime, talk to your healthcare professional.
indoor environmental effects
You can help prevent many asthma symptoms and attacks by avoiding things in your home or office that can trigger your asthma. If allergens such as dust mites, mold, or fumes trigger your asthma, do what is necessary to avoid them.
  • Make sure your home and office are kept as free of dust as possible.
  • Avoid cool, damp places (for example, a basement) if mold triggers your asthma.
  • Avoid household cleaning products that trigger your asthma symptoms.
  • Use the other suggestions discussed earlier in this program.
emotional responses
Common emotional responses to asthma include:
  • Feelings of depression and low self-esteem
  • A lack of confidence
  • Anger
  • Panic and fear--especially the fear of dying from asthma
It is not unusual for someone with a chronic illness like asthma to experience feelings of depression or low self-esteem.

These feelings can occur more regularly in some people, especially in people with prolonged uncontrolled asthma. If you think you or a family member has become depressed, seek the advice of your healthcare professional.

Anger and frustration are also common emotions for people with asthma. Try to figure out the source of these feelings and then find a way to use that anger more productively. Again, the sense of control you gain by effectively managing your asthma will help lessen or eliminate the anger you feel about having asthma.

Feelings of panic and fear are also common responses in patients with asthma and may explain why some people with asthma may avoid going outdoors or exercising. Keep in mind that fear of situations related to your asthma can be useful if it leads to taking preventive steps. But, the more you know, the more you can effectively manage your asthma and live your life without fear.


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