Care plan is a virtual coach to manage Care Plan for COPD - Medcall (Hindi) better. It gives you regular messages about alarm signs, Do’s / Dont’s, Nutrition, Diet, Exercises and Reminders to improve your health
COPD is a name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. It is a progressive disease that makes it hard to breathe. "Progressive" means the disease gets worse over time.
Cigarette smoking is the leading cause of COPD. Long-term exposure to other lung irritants such as air pollution, chemical fumes, or dust also may contribute to COPD. COPD can cause coughing that produces large amounts of mucus, shortness of breath, chest tightness, and other symptoms.
Overview
The air that you breathe goes down your windpipe into tubes in your lungs called bronchial tubes or airways. Healthy airways and air sacs in the lungs are elastic they try to bounce back to their original shape after being stretched or filled with air. This elastic quality helps retain the normal structure of the lung and helps to move the air quickly in and out.
In COPD, less air flows in and out of the airways because of one or more of the following:
(A) (B)
Fig.1. Diagram of (A) COPD affected Lung (B) Spirometery
Self-care instructions:
When COPD is severe, shortness of breath and other symptoms can get in the way of doing even the most basic tasks, such as doing light housework, taking a walk, even bathing and getting dressed.COPD develops slowly, and can worsen over time, so be sure to report any symptoms you might have to your doctor or health care provider as soon as possible, no matter how mild they may seem.
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How to prevent the complications:
Typical follow-up schedule:
Lifestyle | Positive changes |
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Smoking |
Quit! Call - the Quit Line, 1800-22-77-87.
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Returning to work |
Your doctor can help you decide if your job will affect your lung condition and if you need to make changes.
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Emotional health |
As you begin taking charge of your health and making positive changes, you might feel depressed and helpless. However, if negative feelings continue and interfere with your ability to enjoy life, talk to your doctor. Professional counseling might help you feel better.
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Reduce Stress |
Incorporate a daily routine to relax and rejuvenate - try to listen to soothing music, chant, read a book or meditate.
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Rest and sleep |
If you are not sleeping well, you will have less energy and fewer resources for coping with stress. Developing good sleep habits is very important.
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Pranayam |
Breathing techniques, Yoga can help, check out (it is in Hindi language) - |
Singing therapy |
Taking group lessons in singing not only improves lung function but the activty and group effect helps to eleviate mood and reduce stress
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Group Support |
Seek people with similar conditions to help you remain as active and independent as possible and provide emotional support.
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Avoid crowds and protect against seasonal flus |
Avoid crowds in seasons which you tend to catch infections. Keep your surroundings clean and free from irritants and allergens.
Take your flu shots as prescribed by the doctor.
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Watch your weight in both directions. Patients with chronic bronchitis may have a tendency to be obese, while those with emphysema have a tendency to be underweight. People with COPD use more energy while breathing than the average person. Therefore, the pulmonary (breathing) muscles in someone with COPD might require up to 10 times the calories needed by a person without COPD. It is important for you to consume enough calories to produce energy in order to prevent wasting or weakening of the diaphragm and other pulmonary muscles.
Immediate Diet Plan
Do's
Don'ts
Sample Diet Plan (patient with COPD)
Choose foods which are healthy at the same time high on calories because COPD causes a person to tire more easily consequently require more energy.
Do not add SALT while cooking or as seasoning.
Early Morning |
- 1 Cup (250ml) lukewarm water with 1 Tbsp. lemon juice and 1/2 tsp. honey
- 5 Almonds/other dry fruits |
Breakfast |
- 1 Ragi Dosa (Recipe) OR 1 Moong Dal Dosa (Recipe) OR Oats
- forteified full cream Milk (1 cup)
- 1 medium Apple OR 1 medium Banana |
Early Morning Snack |
- 1/2 Cup boiled Sweet potatoes, sprinkled with lemon juice OR Brown rice Poha OR Toast with cream cheese
- 1 Cup Coconut water with Malai |
Mid-Morning Snack | - 2 dried Figs and 1 whole Walnut OR Biscuits |
Lunch |
- 1 large bowl of Salad (carrots, cucumbers, beets, tomatoes and onions)
(Dressing - mix Olive oil or cream, lemon juice and pepper)
- 2 Multigrain phulka OR Jowari Roti - 1 Cup Palak/Plain Dal OR 1 Cup Rajma - 1 Cup full fat yogurt |
Mid Afternoon Snack |
- 2 Biscuits/ 1 Muffin
- 1 glass of Milk Shake/ Fruit smoothie |
Early Dinner Snack |
- 1/2 Cup Mixed sprouts OR Chole salad (Recipe)
- 1 Cup Soup, preferably with cream |
Dinner |
- 1/2 Cup Brown rice with 1 Cup Mixed vegetable sambar OR 1 Cup Brown rice Khichadi with 1 small bowl of Raita made with full fat yoghurt
- 1 Cup Cauliflower curry OR Bottle gourd (Lauki) curry - 1 Whole grain bread - 1 Portion of Sweet |
Late Night Snack | - 1/2Cup Whole milk infused with Saffron |
Pulmonary rehabilitation
Pulmonary rehabilitation can help you learn how to breathe more easily and improve your quality of life. It includes breathing re-training, exercise training, education, and counseling. Your health care provider can help you find a program that matches your level of fitness and physical condition.
Always breathe slowly to save your breath. Inhale through your nose, keeping your mouth closed. Exhale through pursed lips. Include the following in your exercise routine-
For more on breathing techniques
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This is a preview only... To get complete information, reminders and regular advice from doctors