Fall 2016 COPD Using Oxygen at Home Health and wellness or prevention information Sautéed Spinach with Pine Nuts & Golden Raisins Ingredients Directions 2 teaspoons extra-virgin olive oil 2 tablespoons golden raisins 1 tablespoon pine nuts 2 cloves garlic, minced 1 10-ounce bag fresh spinach, (see Ingredient Note), tough stems removed 2 teaspoons balsamic vinegar 1/8 teaspoon salt 1 tablespoon shaved Parmesan cheese Freshly ground pepper, to taste 1. Heat oil in a large nonstick skillet or Dutch oven over medium-high heat. Add raisins, pine nuts and garlic; cook, stirring, until fragrant, about 30 seconds. Add spinach and cook, stirring, until just wilted, about 2 minutes. Remove from heat; stir in vinegar and salt. Serve immediately, sprinkled with Parmesan and pepper. HW-P-NEWSLETTER-0816 Preparation Time: 15 minutes Total Time: 15 minutes Makes: 2 servings Ingredient Note: The sturdier texture of mature spinach stands up better to sautéing than baby spinach and it’s a more economical choice. We prefer to serve baby spinach raw. Per serving: 158 calories; 9g fat (2g saturated fat, 5g monounsaturated fat); 2mg cholesterol; 16g carbohydrates; 6g protein; 4g fiber; 310mg sodium; 804mg potassium. Nutrition Bonus: Vitamin A (170% daily value), Folate (42% daily value), Vitamin C (40% daily value), Magnesium (29% daily value), Potassium (23% daily value), Calcium & Iron (20% daily value). Carbohydrate Servings: 1. Exchanges: 1½ vegetable, ½ fruit, 2 fat. Source: Recipe by EatingWell.com. © Meredith Corporation. All rights reserved. Used with permission. 83185_002_P.indd 4 7/27/16 4:07 PM If your doctor has told you that you need oxygen therapy, you may wonder what to expect. Here are some common types and how to use them safely at home. » Compressed oxygen is a gas that comes in a large or small tank. Large tanks are heavy but give you a long supply of oxygen. Small tanks are portable but need to be refilled mo e often. » Liquid oxygen is also available in tanks. These tanks weigh less and hold more oxygen, so they may be a good choice if you’re active. » An oxygen concentrator takes in regular air and makes oxygen that’s about 95% pure. This machine doesn’t have to be refilled like a tan , so it may cost less over time. It runs on an electrically charged battery, so you’ll need a backup tank of oxygen in case your power goes out. Know how to manage your tanks. » Keep your tanks upright. Don’t let them fall over. 83185_002_P.indd 1 » Don’t change the fl w-rate settings until you talk to your doctor. Turning them up or down could endanger your health. » Keep track of how much oxygen you have in your tank. Order more before you need it. Help oxygen do its work. Don’t drink alcohol or take medicines that make you sleepy unless your doctor says it’s okay. They can cause you to breathe too slowly. Avoid starting a fire. Oxygen is a fi e hazard and makes a flame bu n hotter and faster. Keep a fi e extinguisher at home. Also: » Never smoke or let anyone else smoke while you are using oxygen. » Don’t use flammable p oducts, such as aerosol sprays or cleaning fluid , while using oxygen. » Keep your oxygen far away from barbecue grills, candles, fi eplaces, gas stoves, and space heaters. How Does Oxygen Help? When you have COPD, your lungs don’t send enough oxygen into your blood. So your chest feels tight, and you’re very short of breath. Your doctor may prescribe oxygen therapy if you have severe COPD and very low oxygen levels. With it, you may notice that you have less shortness of breath and more energy. Getting oxygen at home can help you live longer. If your COPD is not severe, oxygen therapy will probably not help you. In this case, your doctor may prescribe medicine and a program that includes exercise, breath training, and healthy eating. 7/27/16 4:06 PM these, you lie in different positions to help mucus move to the top of your lungs, where it is easier to cough up. » L ie on your back with 2 or 3 pillows under your hips. Use a small pillow for your head if you need it to feel comfortable. Keep your arms at your sides and push out your belly as you breathe in. Pull in your belly as you breathe out. This is called belly breathing. Breathe in this position for 5 minutes. » T urn onto your belly, keeping the pillows under your hips. Raise your arms over your head and breathe in and out, using belly breathing. Breathe in this position for 5 minutes. » L ie on your side with the pillows » S it on the edge of a chair with both under your hip so that your chest is feet on the floo . Lean forward a lower than your hips. Put your arms little and relax. where you are comfortable, use belly »B reathe in through your nose slowly breathing, and switch sides after 5 or and fold your arms over your belly. 10 minutes. »A s you breathe out, lean even farther Tap it out. Another way to clear your forward and push your arms against lungs is called chest percussion. your belly. Cough 2 or 3 times. »Y ou can do this during postural »B reathe in slowly and gently through drainage, by yourself, or by having your nose, and repeat the coughing someone do it for you. if you need to. »C up your hand, and lightly tap your Use gravity to get it out. To do that, chest and back. This helps shake use postural drainage methods. For mucus loose so you can cough it up. Clear Your Lungs to Make Breathing Easier Too much mucus in your lungs from COPD may make it hard to breathe. It can also cause a rattle sound when you breathe or make your voice sound deeper, raspy, or hoarse. Here are three ways to cough that clear the mucus and make breathing easier. You can try all three because each works in a different way. Press it out. Practice controlled coughing after you use your inhaler or other medicine. Everyday Protection from Lung Infections Lung infections and pneumonia can be caused by bacteria or a virus. Mucus in your lungs creates a place for these germs to grow. That’s why people who have COPD are more likely to get a lung infection. And lung infections are more dangerous when you have COPD. Here are several steps you can take to prevent lung infections: » If you smoke, ask your doctor for help to quit. Smoking increases your chance of getting a lung infection. Quitting will help slow down the damage to your lungs. »A void secondhand smoke. Smoke makes it hard for your lungs to fig t infections. »D o breathing exercises. These can make breathing easier and help keep your lungs healthy. You can learn to control your breathing by practicing breathing techniques, like pursed-lip breathing, every day. »C lear your lungs: When you have COPD, your lungs may produce more mucus, and it may be harder to clear them. See exercises on how to clear your lungs on page 2. » E ach year, get the fl vaccine. Ask your doctor if you need a pneumococcal vaccine shot. Taking care of yourself every day can also help protect your lungs. »W ash your hands often, especially if you’re around people with colds or the fl . » E at regular, well-balanced meals. Eating right keeps your energy levels up and helps your body fig t infection. »B alance rest with activity. Keeping your body active strengthens your immune system. Getting enough rest and sleep allows your body to recharge. Vaccine Reminder We all try to make as many healthy choices as we can. And one very important choice you can make for yourself is to get the seasonal fl vaccine and make sure you’re up-to-date with your pneumococcal vaccine. The fl vaccine is recommended for people age 6 months and older. The vaccine is especially important for people with long-term (chronic) health problems, like diabetes, or with heart or lung problems. Flu vaccine: Since fl viruses are always changing, new vaccines are made each year. That’s why getting a fl vaccine each year is your best chance for protection. vaccine can help prevent serious problems caused by bacteria that cause pneumonia and other infections. Two different types of pneumococcal shots are 83185_002_P.indd 2 Pneumococcal vaccine: This Good Health Care Starts With You Taking an active role in your care and partnering with your doctor can help you stay healthy. Here are some things you can do to manage your COPD: • Follow your written COPD action plan from your doctor. The plan tells you what COPD medicine to take each day and how to treat a COPD fla e-up. • Take your COPD medicines exactly as prescribed. And be sure you’re using your inhaler medicines correctly. •A sk your doctor if you need to have spirometry or other tests to see how well your lungs are working. • Work with a dietitian to be sure you’re getting the nutrients and calories you need. •B e active. Ask your doctor to help you choose activities that are safe for you. recommended for people age 65 and older. • Think about joining a pulmonary rehabilitation program. A pneumococcal vaccine is also recommended for people who smoke and for anyone age 2 years or older with long-term health problems, like diabetes, or with heart or lung problems. Check with your doctor to see if you need a pneumococcal vaccine. 7/27/16 4:06 PM • I f you smoke, quitting is one of the best things you can do for your health. ©2016 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Any references to commonly used brand-name medications or products are for example only and are not endorsements. 83185_002_P.indd 3 7/27/16 4:07 PM
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